The 131st Annual Meeting (November 15-19, 2003) of APHA

Abstract #63627

Tammy Brown, MPH, RD, BC-ADM¹, S. Lorraine Valdez, RN, CDE², Kelly Moore, MD², Cheryl A. Wilson², Yvette Roubideaux, MD, MPH³, Susan Gilliland, PhD, RN², and Kelly J. Acton, MD, MPH². (1) National Diabetes Program, Indian Health Service, 5300 Homestead Rd NE, Albuquerque, NM 87110, 5052484182, tammy.brown@mail.ihs.gov, (2) National Headquarters Diabetes Program, Indian Health Service, 5300 Homestead Rd NE, Albuquerque, NM 87110, (3) College of Public Health, University of Arizona, 1601 N. Tucson Blvd, Suite 23A, Tucson, AZ 85716

Background: In 1997 Congress provided $150 million over 5 years to Indian Health Service (IHS) for establishment of the Special Diabetes Program for Indians (SDPI) grant program focused on “the prevention and treatment of diabetes.” IHS was instructed to evaluate the grant program and provide reports to the Congress. In December 2000 Congress passed additional legislation authorizing supplemental funding ($240 million) of the Special Diabetes Program for Indians through 2003. Methods: The IHS National Diabetes Program applied a framework for program evaluation in public health developed by the CDC. Funds were allocated to local programs, tribes, tribal organizations, and urban Indian organizations through a grant process. Short-term, intermediate and long-term outcomes were included in evaluation. Results: As a result of the SDPI grants, programs have enhanced their clinical and community nutrition services. For example, · 63% and 41% of programs reported availability of cooking classes and grocery store tours , respectively, for people with diabetes, · 63% of programs reported developing traditional food and nutrition activities, · 66% of programs reported developing an adult weight management program · 72% of programs reported the addition of RDs or PHNs to their Diabetes Teams · 68% of programs reported the availability of Medical Nutrition Therapy services for people with diabetes or at risk for diabetes · 80% of programs reported developing nutrition activities or classes for family members of people with diabetes

Conclusion: Significant enhancements in clinical and community nutrition services occurred as a result of the SDPI.

Learning Objectives:

• Learning objectives -
• As a result of this session the learner will be able to:
• 1. Describe the clinical nutrition services which have been increased through the Special Diabetes Program for Indians.
• 2. Describe the community nutrition services which have been increased through the Special Diabetes Program for Indians.

Keywords: Diabetes, Community-Based Public Health

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Indian Health Service, USPHS
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.