Progress 09/15/05 to 09/14/08
Outputs
OUTPUTS: On the Road to Living Well with Diabetes is an educational outreach program designed to teach people with diabetes how to interpret diabetes test results. The focal point for these programs is the "Are you on the road to living well with diabetes" flipchart and booklets developed by Joslin Diabetes Center, The Cooperative Extension System of the USDA, Washington State University and University of Hawaii at Manoa. During the educational session, participants received tests for A1c, blood pressure, microalbumin, and LDL cholesterol. The educator discussed the results from these tests with the participants with a focus. When possible, participants were scheduled for ongoing care at a local health clinic if they were not seeing a healthcare provider. Pre and post tests were administered to participants at the class and at three months follow up. Southern NM: The Extension Home Economist in Dona Ana county partnered with staff of the New Mexico Dept. of Health, District 3 Border Health Office to provide diabetes education and services to residents of colonias in southern Dona Ana county and rural Luna county. Colonias are neighborhoods that lack adequate infrastructure and frequently lack other basic services. Colonias southern Dona Ana county represent the poorest of the poor in New Mexico. In serving this target population, the team used a mobile clinic that currently serves the colonias in southern New Mexico. Because participants were recruited from the community in addition to a clinic, people at high risk for diabetes as well as those with diabetes come to the programs. The high risk people were screened and referred to a clinic. Physical sites (like community centers and churches) were also used. Implementation of "On the Road" occurred in Northern Dona Ana county and Sierra county in collaboration with the Ben Archer Clinic in Hatch in three sites: Dona Ana, Hatch, Truth or Consequences. Implementation in these sites is primarily by clinic staffed trained through Extension. Approximately 400 people have participated in the educational program and several hundred more at risk for diabetes have been screened. A nutrition series for people with diabetes called "Healthy Kitchen" was taught by an experienced paraprofessional in collaboration with a CDE in Dona Ana county to complement the "On the Road" outreach. The classes include 8 sessions approximately 2 hours long. A training component and a tool designed to evaluate the knowledge and competence of the paraprofessional in teaching the units were also developed. Typically, the series was offered twice a year, primarily in Spanish. Approximately 100 people participated in the program. Northern NM: On the Road to Living Well with Diabetes was being implemented in Colfax and Quay counties. In these counties, the home economists are partnering with other agencies to deliver the program. Approximately 100 people participated in the program at these sites. PARTICIPANTS: Nothing significant to report during this reporting period. TARGET AUDIENCES: Nothing significant to report during this reporting period. PROJECT MODIFICATIONS: Nothing significant to report during this reporting period.
Impacts
Total number of participants was 590. Of these, 69% were female and 53% were Spanish speakers. Statistically significant improvement was observed in the following areas: 1) Belief that diabetes is a serious disease. 2) Confidence in knowing what one needs to do to take good care of one's diabetes. Belief that something can be done to prevent diabetes complications. 3) Decreased feelings of depression. 4) Increased interest and pleasure in doing things. 5) Increased self-report of eating a variety of fruits and vegetables. 6) Increased incidence of taking medicines as prescribed. 7) Increased awareness of A1C, microalbumin, and LDL cholesterol tests.
Publications
- No publications reported this period
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Progress 09/15/06 to 09/14/07
Outputs
Last set of 6 month assessments were completed on December 19, 2007. Sixty-six participants have completed baseline, two educational classes, 3 month assessment and 6 month assessment. Twenty participants have dropped from the program for various reasons and two were excluded due to exclusion criteria. Translated into Spanish exercise class materials including the booklet, questionnaires, consent, and PowerPoint presentations. Other counties throughout NM have begun implementing the exercise program with Kitchen Creations. Quay County implemented Keep Moving, Keep Healthy with On the Road and reached 18 participants. Roosevelt, Curry and Dona Ana counties have implemented Keep Moving, Keep Healthy with Kitchen Creations. Roosevelt had two classes for Spring 2007 reaching 31 participants, one class was held in Portales, NM and the second class was in Causey, NM. Curry and Dona Ana counties each reached approximately 20-25 participants. Data collected were questionnaires
(short IPAQ and baseline & post exercise program), blood pressure, blood glucose if applicable, waist circumference, and log sheets at the follow-up class.
Impacts
Data are being analyzed. No outcomes/impacts to report yet.
Publications
- No publications reported this period
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Progress 09/15/05 to 09/15/06
Outputs
Programs for the public included 'On the Road to Living Well with Diabetes' and 'Keep Moving, Keep Healthy with Diabetes'. Training for county agents involved with these programs was on an as-needed basis done by a CDE. Tasty Solutions for Diabetes, web site and television series was designed for a mixed cultural audience with a focus on foods appealing to Hispanic audiences. Materials developed for 'Keep Moving, Keep Healthy with Diabetes' were designed to appeal to audiences with variety of ethnic and cultural backgrounds including Hispanics.
Impacts
This project is reaching underserved audiences with diabetes practical skills in diabetes management and importance of medical tests used for diabetes management.
Publications
- No publications reported this period
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