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American Public Health Association
133rd Annual Meeting & Exposition
December 10-14, 2005
Philadelphia, PA
APHA 2005
5034.0: Wednesday, December 14, 2005 - 8:30 AM

Abstract #115531

Evaluation results and lessons learned from implementing the From Data to Action: Eliminating Health Disparities in Alameda County Project

Mia Luluquisen, DrPH, MPH, RN1, Phillip Gardiner2, Gayle Cummings, MPH3, Robynn Battle, EdD, MPH3, and Sarah Stone-Francisco, MPH4. (1) Community Assessment Planning and Education Unit, Alameda County Public Health Department, 1000 Broadway, Suite 500, Oakland, CA 94607, 510-267-3224, mia.luluquisen@acgov.org, (2) Tobacoo Related Disease Research Program, 300 Lakeside Dr. 6th Floor, Oakland, CA 94612, (3) CAMI Consulting, 1510 4th Street, Suite 4, Berkeley, CA 94710, (4) Samuels & Associates, 663 13th Street, 3rd Floor, Oakland, CA 94612

The Alameda County Public Health Department (ACPHD) found in 2000 that diabetes prevalence was significant and increasing with roughly 66,000 of the counties adults (6.1%) diagnosed with diabetes. African Americans and Latinos living in Oakland and Hayward bore the greatest burden of diabetes in the county. Consequently, ACPHD implemented the From Data to Action: Eliminating Health Disparities project, funded by The California Endowment. SIGNIFICANCE: The Data to Action project implemented a multilevel model addressing diabetes health disparities that included clinical case management, diabetes self-care education, establishing multisectoral community collaborations, conducting epidemiological and policy analyses and changing institutional practices within ACPHD. METHODS: The evaluation team employed qualitative and quantitative methods to measure and assess the Data-to-Action project through observations, structured interviews with ACPHD and community stakeholders, and analysis of diabetes case management and diabetes education patient data. Group frequencies, Chi-squared analyses, and tests for differences of means were performed on the patient-level data. FINDINGS: 1) ACPHD expanded an individual patient care, disease-specific approach to one addressing social determinants of health; 2) community groups partnered with numerous public and private agencies, faith based organizations to formulate data needs, collect data, conduct community health education and developed sustainable infrastructure to respond to chronic diseases; 3) diabetes case management and diabetes education was more effective in improving diabetes-related health measures than either activity alone; 4) numerous program and policy lessons from this model intervention. CONCLUSIONS: Previously non-existent diabetes prevention programs appear to be sustainable within both the ACPHD and African American and Latino communities.

Learning Objectives:

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    Keywords: Evaluation, Health Disparities

    Related Web page: www.acphd.org

    Presenting author's disclosure statement:

    I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.

    Diabetes: Prevention and Management with Special Attention to Socioeconomic and Cultural Issues

    The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA