UNIVERSITY OF HAWAIIDenise L Uehara, PhD, HI-DMIE Evaluation CoordinatorLandry Fukunaga, Leeanna Kobayashi, Christy M Nishita, PhD, Tammy Tom, MA, MS, Denise L Uehara, PhD, Monica Um

Potentially Disabling Condition All have Type 2 diabetes (ICD9-CM = 250)

• Diagnosed with diabetes

• Already participating in one arm of the treatment (not eligible for actual HI-DMIE)treatment (not eligible for actual HI-DMIE)

• 18-60 years of age18 60 years of age

• Working at least 40 hours a month g

• (…and the other DMIE requirements)

In lieu of participants

Use feasibility study period to prepare for participants and improve actual DMIE studyp p p p p y

• Provide life coaches (treatment staff) experience in coaching individuals withexperience in coaching individuals with diabetes

• Find out how recruiting strategies could be improvedimproved

• Find out if the planned intervention of both lifeFind out if the planned intervention of both life coaching and pharmacist services is feasible

Developmental design

All feasibility participants offered the intervention servicesg

(1) Recruit feasibility participants from an existing diabetes programp g

(2) Enroll interested and willing participants in the feasibility study (baseline data collection)study (baseline data collection)

(3) Offer (expose) these participants to the intervention (life coaching pharmacist services sub services)(life coaching, pharmacist services, sub-services)

(4) Evaluate intervention feasibility by following-up with participants after fo r months of e pos reparticipants after four months of exposure

(5) Use results to improve actual HI-DMIE study

Developmental design

• Get feedback on administering the treatment• Test out data collection planned for actual HI-DMIE studyg DMIE study

• Baseline data collection Get kinks out of enrollment processGet kinks out of enrollment process(similar to actual study…but no randomization)

H k d• Hours workedTest monthly calendar idea

• Life coaching session recordingsStart assessing treatment fidelity

• Follow-up surveyGet feedback from participants

~80 individuals invited to Nine (9) individuals enrolled in feasibility studyparticipate

September 2007: Enroll (n=9)

October 2007 to January 2008: Exposure to treatmentExposure to treatment Note: participants will receive treatment services through October 2008services through October 2008

February 2008: Follow-up survey administered

March 2008: Survey results reported

Treatment i i i

Participants felt it was feasible to provide both life i i i iadministration coaching and pharmacist services simultaneously

D t ll ti

100% response rate on enrollment forms, monthlycalendars, and the follow-up survey

Data collection88% of life coach sessions were successfully recorded

GenderMajority Male

M l 67%Gender Male 67%Female 33%

P iPrimaryLanguage All nine (100%) speak English as their primary language

M 51

Age

Mean age: 51 years

Range: 43 – 60 years

Note: Only 18-60 year olds eligible

43 to 45 11%46 to 50 44%51 to 55 22%51 to 55 22%56 to 60 22%

Majority Married

Marital Status

Majority Married

Now Married 67%Widowed --Divorced 11%Separated --Never Married 22%

Housing Situation

Majority Own

Own 78%Housing Situation Rent 11%Other 11%(lives w/ relatives)

Eth i

• All participants are Native Hawaiian, Chinese, or JapaneseEthnic

Background

C ese, o Japa ese• No Whites or Blacks

participating• No Hispanic/Latinosp

participating

EducationLevel

• All have at least a high school diploma or GEDLevel • 44% are 4-year college graduates

All nine (100%)• Have health insuranceOther • Have health insurance• Are not on, and had not been on, selectgovernment services

P t ti ll Di bli Potentially Disabling Condition All have Type 2 diabetes (ICD9-CM = 250)

Over half have no Activities of Daily Living

Two-thirds have no Instrumental Activities of

limitations Daily Living limitations

Most common limitations reported:Most common limitations reported:

ADL: Dressing IADL: Doing heavy housework

Activity of Daily Living (ADL)

% reportinghaving difficulty

Instrumental Activity of Daily Living (IADL)

% reportinghaving difficulty

Bathing or showering --

Dressing 33%

Preparing your own meals --

Shopping for groceries and personal items --

Eating 11%

Getting in/out of bed/chairs 22%

Managing your money 11%

Using the telephone --bed/chairs

Walking 22%

Getting outside

Doing heavy housework 22%

Doing light housework --

G tti t l t id f Getting outside --

Using the toilet, including getting to the toilet 11%

Getting to places outside of walking distance 11%

Managing your medications --

SF 12 A it SF-12: Average composite scores

Note: General population norms = 50

Range: 40 - 60 41 - 60

Work Status

Majority work full-time

F ll ti 89%Work Status Full-time 89%Part-time 11%

Average 16 years with current employer

Years w/ currentemployer

Average 16 years with current employer

Less than 5 yrs 22%5 10 yrs 22%employer 5 -10 yrs 22%10+ - 20 yrs 22%20+ yrs 33%

Work Hours

Majority (78%) work 40+ hours a week

Average: 43 hrs/wkg

Range: 30-60 hrs/wk

Over half (56%) from Trade (retail)-- Natural resources, mining-- Construction

Industries

-- Manufacturing56% Trade, transportation, utilities

-- Information22% Financial activities

-- Professional, business services-- Education, health services

11% Leisure, hospitality11% Public Administration11% Public Administration

Majority (78%) Professional, technical, managerial78% Professional, technical, managerial22% Cl i l l

Job Types

22% Clerical, sales-- Services-- Agricultural, fishery, forestry-- Processing-- Machine trades-- Benchwork-- Structural

Over half (67%) reported a household income of Household Income

Over half (67%) reported a household income of 50,000 or more

Range: $30,000 to $149,000

Note: UI data not availablefor feasibility participants