Diabetes Empowerment Education Program (DEEP)

Presenter: William Carter & Danny Croxson Date: August 20, 2015

29.1 million people in the US have diabetes, with an estimated 86 million with pre-diabetes

Higher risk of blindness, kidney failure, heart disease, stroke and lower-limb amputations

People with diabetes spend 2.3 times more on health care costs than those without diabetes

7th leading cause of death in the US

UIC- Midwest Latino Health Research, Training and Policy Center

The percent of adults living with diagnosed diabetes for Wichita County is 11% - US Health & Human Services 2005-2011

Among our clients 32% reported at least one member in the household that has diabetes – HIA 2014 Food Bank Report

The total civilian population without health insurance coverage…19% - US Census Bureau

◦ 31% of WIC clients indicated they did not have any insurance or any way to pay for healthcare – WIC client survey, 2015

Among citizens in Wichita County, 23% are functionally illiterate – North Texas Area United Way & Wichita Adult Literacy Council

Some communities are affected more severely by diabetes than others

Racial and ethnic minority populations have a higher risk ◦ Suffering from chronic complications ◦ Increased hospitalizations for uncontrolled diabetes ◦ Increased mortality rate

UIC- Midwest Latino Health Research, Training and Policy Center

Total Reach of Initiative Outcomes

Total number of people enrolled in DSME

11,607

Successful graduates 8,755

% of people enrolled who have never had a class

51% - non-Medicare61% - Medicare

Average time since diagnosis 7.5 years – non-Medicare13.5 years - Medicare

Increase access to DSME with new education

428 new DSME educators

Engage physician practices 43 participating practices

TMF Health Quality InstituteHealth Disparities Team

Total Reach of Initiative Outcomes

Total number of people enrolled in DSME

6,292

Successful graduates 4,763

% of people enrolled who have never had a class

66% among those who responded

Average time since diagnosis 12 years

Increase access to DSME with new education

816 new DSME educators

Engage physician practices 15 participating practices

TMF Health Quality InstituteHealth Disparities Team

To reduce diabetes care disparities among minorities in the US

•To prevent and/or reduce adverse health outcomes related to diabetes

UIC- Midwest Latino Health Research, Training and Policy Center

Empowerment DSME ◦ Focuses on building skills that motivate and

empower people with diabetes to make small changes in their lives that will lead to a better life with diabetes

Traditional DSME ◦ Traditional, lecture-based classes where a person

acquires knowledge but may not focus on goal-setting for behavior changes

Developed by the Midwest Latino Health Research, Training and Policy Center at the University of Illinois at Chicago

•Training of facilitators targets community health workers

•Educational curriculum designed to engage community residents in self-management practices for prevention and control of diabetes

•Very interactive and fun program

UIC- Midwest Latino Health Research, Training and Policy Center

Understanding the Human Body Understanding diabetes and its Risk Factors Monitoring Your Body Get up and Move! Diabetes and Exercise Managing Diabetes through Nutrition Diabetes Complications: Identification and

Prevention Learning about Medications and Medical Care Living with Diabetes: Mobilizing your Family

and Friends UIC- Midwest Latino Health Research, Training and Policy Center

Making group rules Demonstrations Discussions Group learning activities and games Brief lectures using visuals Problem-solving activities Practice: blood glucose self-monitoring,

exercise

UIC- Midwest Latino Health Research, Training and Policy Center

6 – 10 weekly educational sessions conducted by a trained and certified Peer Trainer

Session duration: 1.5-2 hours Monthly follow-up encouraged: support

groups, informational meetings; referrals to other health programs

Encourages involvement of family and friends of participants with diabetes

UIC- Midwest Latino Health Research, Training and Policy Center

County classes completed to date – 5 Participants who completed the program -

50 Classes in progress – 3 (2 English, 1

Spanish…38 participants) DEEP Lunch and Learn – Last Thursday of

the month at the Health District Trained 10 additional educators in Wichita

County (July 14-16, 2015)

“I liked the activity but I also liked the discussion. We learn a lot from each other”

“Gives me a better understanding of why I should control my blood sugar”

“I am getting to understand the why of diabetes and how it affects the body”

“The class was so informative. I loved the fact that it is hands on and I was comfortable to ask any questions I needed answered!”

“Everyone with diabetes should go through this course”

Identifying the signs and warnings that mean I should get medical help

Knowing enough about diabetes to make choices that are good/right for me

Knowing how to manage personal health Feeling motivated to do what’s necessary to

manage diabetes Can count on family members, friends or

neighbors to help with diabetes care.