implementing dpp lessons we are learning from the diabetes prevention program
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Implementing DPP
Lessons we are learning from The Diabetes Prevention
Program
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Presented byNIDDK DPP/DPPOS staff:
Mary HoskinShandiin Begay
Julie Nelson
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Two Main Topics
• Key to Lifestyle Success• Coaching Model
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Keys to Lifestyle Success
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Keys to success• Clearly defined and achievable goals and
expectations• Case management approach• Frequent contact• Relationships- staff and family• Intensive, ongoing intervention• Individualization• Materials and strategies that addressed the
needs of an ethnically diverse population• Keeping track• Provide tools to achieve goals
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Defined and Achievable Goals
• Individualized fat and calorie goals for weight loss
• Individual weight loss goal (7%)• Physical Activity goal of 150 min per
wk• Time frame to meet stated goals• Participant contracts
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Case Management
• Consistent relationships• Work with the participant as a
team• Hang in there- reinforcement• Be supportive• Utilize multidisciplinary approach
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Frequent Contact
• Weekly• Monthly• Campaigns/Maintenance• Most chose to come in more often
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Relationships
• Consistency • Supportive• Honest• Believe in you• Family
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Intensive, Ongoing Intervention
• Continued self-monitoring and other Continued self-monitoring and other behavioral strategiesbehavioral strategies
• Frequent contactFrequent contact
• Group classes and motivational Group classes and motivational
campaignscampaigns
• Tool box strategiesTool box strategies
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Individualization
• Goals individualized to starting weight and what makes them successfully lose weight
• Recipes and menus• Interpersonal and individual needs
like jobs, literacy and language• Team approach they choose how to
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Targeting for population
• Use local examples to reinforce points– 3 ways to eat less fat
• Recipes and Foods• Designed for use in many different
ethnic groups• Physical Activity
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Tools
• Curriculum• Keeping Track
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Keeping Track Book
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Coaching Model
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Health Coaching Model
The health coaching model uses a team of health professionals to assist patients in making behavior changes to improve their health.
An assigned health coach works with the patient and multi-disciplinary team to work collaboratively with the patient to create a health plan by helping them to identify barriers and establish goals to change health related behaviors.
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Characteristics of a Health Coach and Participant
Relationship Building Trust Facilitating Change Valuing Diversity Communication Gaining Commitment Problem Solving Revisiting and Adjusting Building on Success
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Who can be a coach?
Professionals were used in the DPP Paraprofessional helped support Implementation in American Indian
communities have used both The coach needs to be supported by
a team
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What to look for in a Coach
professional or paraprofessional
Be friendly and accepting Be optimistic Model healthy behaviors Follow through with what you say you’ll do Hold accountable in a non-threatening way Be able to work with a team Be willing to persevere and endure Believe people can lose weight Believe that those you work with can
change
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Planning your time
One-on-One contact with coach DPP Research generally a 1:20
ratio Groups: estimate 8-10 hours per
class Travel time not included
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