Online Program

Mid-Program Evaluation of a Diabetes Prevention and Management Program in West Virginia

Monday, November 2, 2015

Samantha Shawley, MPH, Office of Health Services Research, School of Public Health, School of Public Health, West Virginia University, Morgantown, WV
Ranjita Misra, PhD, CHES, FASHA, Social and Behavioral Health Sciences, West Virginia University, School of Public Health, Morgantown, WV
Jonathan Stewart, MS, West Virginia University, Morgantown
Meredith Brown, RN, Social and Behavioral Sciences, WVU, Morgantown, WV
Megan Whetzel, BS, Social and Behavioral Sciences, WVU, Morgantown, WV
Kara Viggiano, BS, MPH, Choose to Change, WVU Davis College, Morgantown, WV
Benjamin Frear, BS, Exercise Physiology, WVU, Morgantown, WV
Objectives: To determine the feasibility and effectiveness of implementing a diabetes prevention and management program (DPM) in Morgantown, West Virginia. Methods: DPM is a twenty-two session, 1-year program, modeled after the evidence-based Group Lifestyle Balance program and AADE7 Self-Care Behaviors framework. A community-based participatory research approach was used to culturally tailor the curriculum and facilitate the program. Participants were recruited through convenience sampling techniques such as flyers, email lists and local newspapers. Participant eligibility was based on a CDC diabetes risk-screening. Those who were at high-risk for diabetes or have diabetes, at least 18 years of age, and could at least participate in 150 minutes of physical activity were included. Survey data, fasting bloodwork and anthropometrics were administered. Fasting glucose, weight, and BMI were tracked as primary outcomes; secondary outcomes included attendance record, lipid profile and blood pressure. Primary and secondary outcomes were evaluated at baseline, mid-program, post-program, and at the 6 month follow-up. Results: Forty-one participants positively screened into the program (29% males, 50% with diabetes). Twenty-four individuals (mean age 61.91 ± 11.51 years; 44% Body Fat; 46% with diabetes; 50% with high cholesterol and blood pressure) agreed to participate in the DPM program, with an attendance rate of 60% at mid-program. Initial fasting bloodwork revealed 7 participants with pre-diabetes (mean A1c 5.67) and 17 with diabetes (mean A1c 6.85).  After 6 months, there was a mean weight loss of 5 lbs. Conclusions: This community-based DPM mid-program evaluation successfully demonstrated a reduction in anthropometrics and clinical risk factors.

Learning Areas:

Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Chronic disease management and prevention
Planning of health education strategies, interventions, and programs
Public health or related education
Public health or related public policy

Learning Objectives:
Demonstrate the benefits of community-based participatory approach. Describe the development and implementation of the Diabetes Prevention and Management Program. Explain the risk factors of diabetes and pre-diabetes of a community in West Virginia. Determine the mid-program effectiveness of the program.

Keyword(s): Diabetes, Health Promotion and Education

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have a broad background in biology and public health, with specific training and expertise in obesity, diabetes, mental imagery, asthma, lifestyle interventions, and evaluation. I have been the project coordinator of the Diabetes Prevention and Management Program for over 2 years. As the project coordinator, I supervised the intervention, administered educational sessions, and conducted data analyses on clinical and behavioral aspects of obesity and diabetes.
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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