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Acknowledgements
Centers for Disease Control & Prevention (grants #1H76DP002306-01; #5H75DP002306-02; #1U58DP002785-01 National Diabetes Education Program Ohio University Voinovich School (Dr. Lesli Johnson, Laura Milazzo) Center for Appalachian Philanthropy Coalition and community people
Objectives
Provide an overview of the Appalachian region and its risks for type 2 diabetes Describe briefly a program of study & practice to prevent type 2 diabetes Explain promising solutions to address a problem of epidemic proportions
My Family Microsystem
Appalachia
Limited education
Poor living standards Job deficits High unemployment Out-migration Stagnation Decline
Diabetes (2008)
Strengths of Appalachia
Well-connected communities
Can get things done
Type 2 Diabetes
Common and prevalence underestimated
Inadequate education at time of diagnosis (do not know where to get help) Diabetes knowledge lacking Lack confidence in abilities to change Slow to seek medical help & question the value Lack support, healthy environments, & policy Hard to combat local sabotage
Self-care Safety and precautions Mental health behaviors Family care Illness care Member care-taking
Caregiving
Cathexis
Celebration Change
Communication
Connectedness Coordination
Formative Research
Diabetes Care: Provider Disparities in the Appalachian Region (Denham, Wood, & Remsberg, 2010) Diabetes Education in the Appalachian Region: Providers' Views (Denham, Remsberg, & Wood, 2010) Spirituality: Considering Relationships with Health and Illness on those in Appalachia (Diddle & Denham, 2010) The Storied Nature of Health Legacies in the Familial Experience of Type 2 Diabetes (Manoogian, Harter & Denham, 2010) Family Inclusion in Diabetes Education (Denham, Ware, Raffle, & Leach, 2011).
Family Routines Study (13 dyads/26 interviews, 3 focus groups, survey data) Caring for Diabetes: A Family-Based Educational Intervention for Patients with Type 2 Diabetes Living with Diabetes: Photographic Inquiry Living with Diabetes: (14 dyads = 42 interviews) Development of a Dietary Routines Survey
Provide culturally sensitive information about healthy lifestyles and preventing type 2 diabetes & complications to persons living in rural Appalachian communities. Sensitively targeted toolkit focused on diabetes prevention and care management from a family and community point-of-view.
Health professionals can use the toolkit to enlist local volunteers and help community individuals and families. Specifically geared for use in rural places of Appalachia with focus on health literacy
www.diabetesfamily.net
Citizen Action
Provide tools to have ownership (do for vs. do with)
Empower local people Acknowledge local needs & perspectives
Goals
Strengthen coalitions
Products
Toolkit Materials Living with Diabetes (film) Tobaccolachia (film) Regional Films (3)
County Coalitions
STP Different than textbook Partner with lead agencies Small, but powerful groups Receive $5,000 grants/county liaison Town Hall Meetings Diabetes education
Promising Solutions
Healthy for GOoD
Turtle Challenge
8 week physical activity program 150 minutes a week (per person) 5 person teams (provide support & encouragement) Champions for rural communities
I am the Solution
IN IT FOR THE
LONG HAUL
Contact Information