172688 Special Diabetes Program for Indians Healthy Heart Project: Translating research into practice for American Indians and Alaska Natives with diabetes

Tuesday, October 28, 2008: 2:50 PM

Yvette Roubideaux, MD MPH , College of Medicine, The University of Arizona, Tucson, AZ
Janette Beals, PhD , American Indian and Alaska Native Programs, University of Colorado at Denver Health Sciences Center, Aurora, CO
Luohua Jiang, PhD , American Indian and Alaska Native Programs, University of Colorado at Denver Health Sciences Center, Aurora, CO
Tammy L. Brown, MPH, RD, BC-ADM , Division Of Diabetes Treatment and Prevention, Indian Health Service, Albuquerque, NM
Spero M. Manson, PhD , American Indian and Alaska Native Programs, University of Colorado at Denver Health Sciences Center, Aurora, CO
Kelly J. Acton, MD, MPH, FACP , Division Of Diabetes Treatment and Prevention, Indian Health Service, Albuquerque, NM
     
Background: The prevalence of type 2 diabetes is two to three times greater in American Indians and Alaska Natives compared to the overall U.S. population. In 2002, Congress increased funding for the Special Diabetes Program for Indians and directed the Indian Health Service to develop a competitive demonstration project to reduce the risk of the most compelling complication of diabetes - cardiovascular disease.

Methods: As of June 30, 2007, 30 programs have recruited 1486 participants with diabetes to participate in an intensive, clinic-based case management approach to reduce their risk factors for cardiovascular disease. Short term and intermediate outcome measures include change in reported physical activity, weight, BMI, waist/hip circumference, blood pressure, cholesterol and A1C tests.

Results: Baseline characteristics in year 1 include a mean BMI of 36.6, mean A1C of 7.6 percent, and mean blood pressure and cholesterol levels already within goal range. Comorbid conditions were common, including self-reported high blood pressure (66.4%), back pain (44.4%), depression (26.3%), arthritis (24.8%) and heart disease (18.4%). Preliminary annual assessment results in a portion of these participants reveal improvements in some short term and intermediate outcome measures.

Conclusions: The Special Diabetes Program for Indians Healthy Heart Project was designed to demonstrate the reduction of risk for cardiovascular disease in American Indians and Alaska Native with diabetes over a 3-year implementation phase. These preliminary results from the first year of the project are encouraging and programs will continue to recruit participants for an additional two years, after which final results will be reported.

Learning Objectives:
1. Describe the SDPI Healthy Heart Project 2. Describe the evaluation of the SDPI Healthy Heart Project 3. Discuss results/outcomes after the first year of the project

Keywords: Diabetes, Health Care Quality

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the co-director of the coordinating center for the program and participated in the design, development, implementation and evaluation of the program
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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