Community Community Supports for Supports for

Diabetes Self-Diabetes Self-managementmanagement

Collaborative program funded by Collaborative program funded by the Robert Wood Johnson the Robert Wood Johnson

FoundationFoundation

History

2002: GCHD plus other HRSA- funded Community Access Program (CAP) agencies collaborated to submit a grant to RWJF

November 2002: RWJF site visit February 1, 2003: Funding begins

($124,757) Awarded 3-month extension (4/1/04)

$25,000 Wrote Phase II proposal- $370,000 for 30-

month period (to 10/31/06)

Strategic Health PlanPriorities

Management of chronic conditionsAccess to care and health disparitiesSenior health issuesBusiness improvementPublic awareness

Key Elements

Community Collaboration Focus on Self- Management Community and Clinical Involvement and

Support Participatory development and continual

assessment and improvement of activities

GCHD

UTMB OCO/ CAP

JesseTree

Connect

C-AHEC

Stark Diabetes

UTMB FM

Senior Centers MMCFaith-based

Community

UTMB ER

St. Vincent's House

Galv Cnty Extension

Service UTMB School of Occupational

Therapy

Parish nurses/ Area Churches

University of Guadalaraja

Texas Medical

Foundation

UTMB School of Medicine Barber shops,

hair salons

Houston Food Bank

Grocery stores

Senior Health Corps

"sister" Projects:RWJ sites, N Carolina, Matagorda Cnty

Key:Grant request period

Pre funding

January 2004

March 2004

March 2005

Future collaborative efforts

Rosenberg Library

Senior Health Advisory Council

UTMB School of Nursing

WIC

Family groups

Focus onFocus onSelf- Self- ManagementManagement

Activities: Keys and Tools

to Self-managementCurrent

Diabetes Education Classes in English and SpanishHealth Coach trainingSupport GroupsGoal Patrol

In Progress/ Development

Cooking ClassesWeight Loss activitiesCreating exercise opportunitiesClass reunionsDiabetes Collaborative

Community and Clinical Community and Clinical Involvement and SupportInvolvement and Support

ClinicClinic

Goal PatrolGoal Patrol

Classes (English and Classes (English and Spanish)Spanish)

Support Groups Support Groups

Community

Faith-based institutions

Public housing

Senior Citizen centers

City-wide Support Groups

Requests for training in other communities

Participatory development and Participatory development and continual assessment and continual assessment and improvement of activitiesimprovement of activities

Pre- program (to Pre- program (to design interventions);design interventions);– Focus groups (4 groups/ Focus groups (4 groups/ – 140 individuals 140 individuals

interviewedinterviewed

Diabetic test strip Diabetic test strip surveysurvey

Coaches and student Coaches and student questionnaires questionnaires

Support group surveySupport group survey

Improvement ActivitiesExample: Health Coaches

Training >>>> 3rd class added Quarterly luncheons for education and

sharing of ideas and solutions to common issues >>>>> improved Coach and Participant Manual

Informal sharing >>>> Future: internet

Future PlansFuture Plans Cooking and nutrition Cooking and nutrition

schools (County schools (County Extension Agent and RWJ Extension Agent and RWJ staff)staff)

Physical activity asset Physical activity asset maps, community surveysmaps, community surveys

Connect with SON and Connect with SON and WIC to address childhood WIC to address childhood obesityobesity

Continued collaboration Continued collaboration with clinics, agencies, with clinics, agencies, RWJ Collaborative, and RWJ Collaborative, and other centersother centers

Any Questions????Any Questions????