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Healthy Living with DiabetesPresented by the
Wisconsin Institute for Healthy Aging, Wisconsin Department of Health
Services and their partners
12/2013
Why is Healthy Living with Diabetes Needed?
• 1 in 12 Americans affected by diabetes• By 2050 there will be 40 million Americans
with type 2 diabetes• WI: 475,000 adults with diabetes and 1.45
million adults with pre-diabetes• Even higher incidence in communities of
color• 25% of Wis. Medicare beneficiaries have type 2 diabetes
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Consequences of Diabetes• Mortality is twice that of people without
diabetes of similar age• Leading cause of blindness, heart disease, and
stroke – and lower extremity amputations• Very expensive to treat - 2009 Wisconsin data– $4.07 billion in direct health costs– $2.7 billion in indirect costs
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The Healthy Livingwith Diabetes Program
• Community workshop• For individuals with type 2 diabetes, pre-
diabetes or either who live with or care for or about someone who does
• 2.5 hours/week for 6 weeks• Led by 2 trained co-leaders, 1 with diabetes or
has a connection to someone with diabetes (e.g., caregiver, CDE, etc.)
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The Healthy Living with Diabetes Program
• Evidence-based• Meets AoA’s highest standard• Developed by Stanford University’s Patient Education
Research Center with CDEs• Developed over years of:
– pilot-testing– refinement– evaluative researchhttp://patienteducation.stanford.edu/
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Program’s Underlying Assumptions
• People with diabetes have similar concerns and problems
• They must deal with both physical symptoms and impact on lives/emotions
• Lay people can teach program as effectively, if not more effectively, than health care professionals
• The program process is as important, if not more, than substance
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Researched and ProvenStudy Results show:
• improved diabetes self-management self-efficacy • decreased symptoms of hypo and hyperglycemia • improved HbA1C• decreased health distress• improved communication with physicians• improved self-rated health• decreased emergency room visits
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Works well with Existing Diabetes Education Programs and Certified
Diabetes Educators• Group problem-solving compared to expert and
student approach• No individualized medical advice = more
discussion time for daily living with diabetes• Some similar topics; approach very different• Peer-led education very motivating• Health team prescribes “what” needs to be done;
workshop gives peer support to “how”
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Target Population
• Adults with type 2 diabetes or pre-diabetes• Adults who live with or care for or about
someone who has type 2 diabetes or pre-diabetes
• Regardless of how long the person has been living with diabetes
• Cognitively able to participate in process
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Topics
• Techniques to deal with physical symptoms of diabetes
• Dealing with difficult emotions• Appropriate exercise • Meal planning for people with diabetes• Appropriate use of medication• Working more effectively with health care
professionals
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Dissemination in Wisconsin
• Began in 2013• Diverse agencies offer the workshop• Diverse sites host the workshops• Diverse professionals or lay individuals
who serve as leaders
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Leader Qualifications & Characteristics• Health care, aging or disability network
professionals, or lay volunteers• At least one Leader has diabetes or close
connection• Experience with diabetes – personal or
professional• Comfortable leading groups of adults• Comfortable following a script• Past participants encouraged!
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Leader Expectations• Attend all four* days of Leader trainings• Work with a sponsoring organization• Lead workshops in pairs, both trained• Lead two workshops each year• Follow program script• Use required books and charts• Follow WIHA administrative protocols* There is a separate two-day cross training for current Living Well Leaders
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Are You Ready?• Identify the local sponsoring organization AND• Identify your co-leader AND• Communicate with local aging unit AND• Together, review the Planning Guide (see next slides)
* One or both Leaders must have diabetes or close connection
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Healthy Living with DiabetesLeader & Local Partner Organization
Planning Guide
• Identify local sponsoring organization, e.g., county/tribal aging unit or hospital-based coordinator
• Obtain supervisor support from your place of employment (if applicable)
• Connect with a health care provider and any CDE• Identify two Leaders – already trained or need training?• Select dates and times for first workshop• Decide whether workshop will be free or a fee• Select and reserve site, room, room arrangement• Who will submit workshop notification to WIHA?• What agency will receive workshop registrations?
Continued...
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Healthy Living with DiabetesPlanning Guide, cont’d
• Outreach and Marketing– See WIHA website materials– Presentations – Where? Who will present?– Health Care providers, including CDEs– Individual recommendations – Who?
• Supplies needed– Copies of Living a Healthy Life with Chronic Conditions– Required charts– Easels, blank flipchart pads, tape, and markers– Participant handouts– Refreshments
• Data Collection• Funding Needed?
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Website for Leaders
www.wihealthyaging.org–Click on FOR LEADERS ONLY–Click on Healthy Living with Diabetes– username: [email protected] password: wihaleaders
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Support for Leaders• Listserv• WIHA Leader Newsletter• Regular Leader conference calls or
meeting where available• Technical assistance• Leader Coaching• Healthy Aging Summit
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Leader Training• Come in pairs, or solo if county already has a
trained Leader• Four* full days – must attend all to learn:– basics on diabetes– curriculum of Healthy Living with Diabetes
program– group facilitation, including practice
• Learn WIHA protocols and support available• During first workshop, may have coaching
session*Two days if cross-training
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Leader Training – to apply• Leader Application – link on WIHA website• Complete application; pay fee• Commit to requirements• Attend in pairs, unless already a Leader in
county• With Sponsoring Organization, complete
Planning Guide• 20-person limit
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? ? ? QUESTIONS ? ? ?
• Betsy Abramson 608-243-5691 [email protected]
• Sherri Ohly 414-687-1223 [email protected]
• Anne Hvizdak 715-677-3037 [email protected]
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THANK YOU!
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