university of hawaii denise l uehara, phd, hi-dmie...
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UNIVERSITY OF HAWAIIDenise L Uehara, PhD, HI-DMIE Evaluation CoordinatorLandry Fukunaga, Leeanna Kobayashi, Christy M Nishita, PhD, Tammy Tom, MA, MS, Denise L Uehara, PhD, Monica Um
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Potentially Disabling Condition All have Type 2 diabetes (ICD9-CM = 250)
• Diagnosed with diabetes
• Already participating in one arm of the treatment (not eligible for actual HI-DMIE)treatment (not eligible for actual HI-DMIE)
• 18-60 years of age18 60 years of age
• Working at least 40 hours a month g
• (…and the other DMIE requirements)
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In lieu of participants
Use feasibility study period to prepare for participants and improve actual DMIE studyp p p p p y
• Provide life coaches (treatment staff) experience in coaching individuals withexperience in coaching individuals with diabetes
• Find out how recruiting strategies could be improvedimproved
• Find out if the planned intervention of both lifeFind out if the planned intervention of both life coaching and pharmacist services is feasible
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Developmental design
All feasibility participants offered the intervention servicesg
(1) Recruit feasibility participants from an existing diabetes programp g
(2) Enroll interested and willing participants in the feasibility study (baseline data collection)study (baseline data collection)
(3) Offer (expose) these participants to the intervention (life coaching pharmacist services sub services)(life coaching, pharmacist services, sub-services)
(4) Evaluate intervention feasibility by following-up with participants after fo r months of e pos reparticipants after four months of exposure
(5) Use results to improve actual HI-DMIE study
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Developmental design
• Get feedback on administering the treatment• Test out data collection planned for actual HI-DMIE studyg DMIE study
• Baseline data collection Get kinks out of enrollment processGet kinks out of enrollment process(similar to actual study…but no randomization)
H k d• Hours workedTest monthly calendar idea
• Life coaching session recordingsStart assessing treatment fidelity
• Follow-up surveyGet feedback from participants
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~80 individuals invited to Nine (9) individuals enrolled in feasibility studyparticipate
September 2007: Enroll (n=9)
October 2007 to January 2008: Exposure to treatmentExposure to treatment Note: participants will receive treatment services through October 2008services through October 2008
February 2008: Follow-up survey administered
March 2008: Survey results reported
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Treatment i i i
Participants felt it was feasible to provide both life i i i iadministration coaching and pharmacist services simultaneously
D t ll ti
100% response rate on enrollment forms, monthlycalendars, and the follow-up survey
Data collection88% of life coach sessions were successfully recorded
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GenderMajority Male
M l 67%Gender Male 67%Female 33%
P iPrimaryLanguage All nine (100%) speak English as their primary language
M 51
Age
Mean age: 51 years
Range: 43 – 60 years
Note: Only 18-60 year olds eligible
43 to 45 11%46 to 50 44%51 to 55 22%51 to 55 22%56 to 60 22%
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Majority Married
Marital Status
Majority Married
Now Married 67%Widowed --Divorced 11%Separated --Never Married 22%
Housing Situation
Majority Own
Own 78%Housing Situation Rent 11%Other 11%(lives w/ relatives)
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Eth i
• All participants are Native Hawaiian, Chinese, or JapaneseEthnic
Background
C ese, o Japa ese• No Whites or Blacks
participating• No Hispanic/Latinosp
participating
EducationLevel
• All have at least a high school diploma or GEDLevel • 44% are 4-year college graduates
All nine (100%)• Have health insuranceOther • Have health insurance• Are not on, and had not been on, selectgovernment services
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P t ti ll Di bli Potentially Disabling Condition All have Type 2 diabetes (ICD9-CM = 250)
Over half have no Activities of Daily Living
Two-thirds have no Instrumental Activities of
limitations Daily Living limitations
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Most common limitations reported:Most common limitations reported:
ADL: Dressing IADL: Doing heavy housework
Activity of Daily Living (ADL)
% reportinghaving difficulty
Instrumental Activity of Daily Living (IADL)
% reportinghaving difficulty
Bathing or showering --
Dressing 33%
Preparing your own meals --
Shopping for groceries and personal items --
Eating 11%
Getting in/out of bed/chairs 22%
Managing your money 11%
Using the telephone --bed/chairs
Walking 22%
Getting outside
Doing heavy housework 22%
Doing light housework --
G tti t l t id f Getting outside --
Using the toilet, including getting to the toilet 11%
Getting to places outside of walking distance 11%
Managing your medications --
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SF 12 A it SF-12: Average composite scores
Note: General population norms = 50
Range: 40 - 60 41 - 60
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Work Status
Majority work full-time
F ll ti 89%Work Status Full-time 89%Part-time 11%
Average 16 years with current employer
Years w/ currentemployer
Average 16 years with current employer
Less than 5 yrs 22%5 10 yrs 22%employer 5 -10 yrs 22%10+ - 20 yrs 22%20+ yrs 33%
Work Hours
Majority (78%) work 40+ hours a week
Average: 43 hrs/wkg
Range: 30-60 hrs/wk
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Over half (56%) from Trade (retail)-- Natural resources, mining-- Construction
Industries
-- Manufacturing56% Trade, transportation, utilities
-- Information22% Financial activities
-- Professional, business services-- Education, health services
11% Leisure, hospitality11% Public Administration11% Public Administration
Majority (78%) Professional, technical, managerial78% Professional, technical, managerial22% Cl i l l
Job Types
22% Clerical, sales-- Services-- Agricultural, fishery, forestry-- Processing-- Machine trades-- Benchwork-- Structural
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Over half (67%) reported a household income of Household Income
Over half (67%) reported a household income of 50,000 or more
Range: $30,000 to $149,000
Note: UI data not availablefor feasibility participants