Power to Prevent - National Diabetes Education Program - National ...

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Foreword Diabetes and African Americans Sometimes it seems as if everyone knows someone who is affected by diabetes. More than in 9 African American adults have diabetes. African Americans are .8 times as likely to have diabetes as non-Hispanic whites of the same age . Researchers estimate that if diabetes continues to increase at its current rate, in 3 children born in the year 2000 will develop diabetes in their lifetime—unless something changes. Diabetes can cause heart disease, stroke, kidney failure, lower-limb amputations, and blindness, but it doesn’t have to. In many cases it is possible to prevent or delay type 2 diabetes in people at high risk. Scientists who conducted the Diabetes Prevention Program (DPP) study 2 found that people can prevent or delay type 2 diabetes by losing some weight (5–7 percent of their weight), eating a healthy diet (low fat, lower calorie), and increasing their physical activity. High-risk adults who participated in the study’s “lifestyle modifcation” activities reduced their risk of developing type 2 diabetes by 58 percent; they lost 5 to 7 percent of their body weight ( 0– 5 pounds for a person weighing 200 pounds) by eating a lower fat diet and having a modest, consistent increase in physical activity (e.g., walking 5 days per week, 30 minutes per day). Dr. James R. Gavin III, past chair of the National Diabetes Education Program (NDEP) and former president of the American Diabetes Association, understands the burden diabetes has placed on the African American community. “Diabetes is a growing epidemic in our communities,” notes Dr. Gavin. “If we are going to make a difference, we need to reach people where they live, work, and play.” This new NDEP curriculum, Power to Prevent: A Family Lifestyle Approach to Diabetes Prevention was developed to help bring diabetes prevention and control to African American communities. The Power to Prevent curriculum is composed of 2 sessions that are designed to help people bring healthier habits into their lives to prevent diabetes. These same skills—eating more healthily and increasing physical activity— can also help people who have diabetes control the disease. This curriculum is a companion piece to the NDEP Small Steps. Big Rewards. Prevent Type 2 Diabetes campaign to help the African American community take steps to prevent or delay diabetes. Small Steps. Big Rewards includes tip sheets and booklets such as the GAME PLAN toolkit for diabetes prevention. The aim of the Power to Prevent: A Family Lifestyle Approach to Diabetes Prevention curriculum is to guide people in the use of these NDEP tools and to help them support one another in making changes toward a healthier lifestyle. By taking small steps to implement healthy lifestyle behaviors, African Americans can reap big rewards, such as delaying or preventing type 2 diabetes and its complications. 2 Dr. James R. Gavin III Centers for Disease Control and Prevention. National Diabetes Fact Sheet: General Information and National Estimates on Diabetes in the United States, 2004. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2005. Diabetes Prevention Program Research Group. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. New England Journal of Medicine 2002 Feb; 346(6);393-403. http://content.nejm.org/cgi/content/ abstract/346/6/393. NDEP Power to Prevent Forward/Introduction
Credits and Acknowledgments NDEP African American/African Ancestry Work Group James Black, D.D.S. 00 Black Men of America Janet O. Brown-Friday (Vice-Chair), R.N., M.S.N., M.P.H. Albert Einstein College of Medicine Mary Clarke, M.Ed (Immediate Past Chair) The Links, Incorporated Elvan Catherine Daniels, M.D. National Center for Primary Care Morehouse School of Medicine Caswell Evans, D.D.S., M.P.H. University of Illinois at Chicago Thomas Joyce, M.A. Ohio Department of Health Sandra Goodridge, M.S., M.A. National Urban League Clifton Mitchell Center for Substance Abuse Treatment Magon M. Mbadugha, M.S., R.D., L.D. Diabetes Prevention and Control Program Sara Lomax Reese, M.S. Health Quest Magazine Victor Sutton, M.P.P.A Mississippi State Department of Health Gladys Gary Vaughn, Ph.D. (Chair) U.S. Department of Agriculture NDEP Staff Jane Kelly, M.D., Director Sabrina Harper, M.S. Shirl Ellis, B.H.S. Michelle Owens, Ph.D. Quanza Brooks-Griffn National Diabetes Education Program Division of Diabetes Translation Centers for Disease Control and Prevention Joanne Gallivan, M.S., R.D., Director TaWanna Berry, M.A Rachel Weinstein, M.Ed. National Diabetes Education Program National Institute of Diabetes and Digestive and Kidney Diseases National Institutes of Health Roberto Noriega, M.S. Barbara Murray, M.Ed. Meeka Jackson, M.A. American Institutes for Research Mike Greenwell Angie Ryan Lisa Douglas Lisa Lake Fleishman-Hillard Shari Curtis, B.A. Jasmine Henderson Hager Sharp Nicola Dawkins, Ph.D. ORC Macro NDEP Power to Prevent Forward/Introduction 2
Page 1: Power to Prevent A Family Lifestyle
Page 5 and 6: Table of Contents Foreword. . . . .
Page 7 and 8: Appendix Materials and Resources Th
Page 9 and 10: Additional Resources for Program Le
Page 11 and 12: Organizations Black Women’s Healt
Page 13 and 14: in the Forward/Introduction section
Page 15 and 16: NDEP GAME PLAN Food and Activity Tr
Page 17 and 18: Session No. and Title Session 10 Pa
Page 19 and 20: Session Duration Each session is de
Page 21 and 22: Session Preparation As program lead
Page 23 and 24: Refreshments and healthful snacks,
Page 25 and 26: Conducting the Session NOTE: Times
Page 27 and 28: Say: “Let’s fll in our Individu
Page 29 and 30: The program leader ends the session
Page 31 and 32: NOTE: You could choose other sticke
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Page 35 and 36: Getting Started Getting started wit
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Page 39 and 40: Key to Icons Used in Power To Preve
Page 41 and 42: At least two helpers to assist peop
Page 43 and 44: Say: “The objectives for today’
Page 45 and 46: What are some of the Complications
Page 47 and 48: Pledge Possible Improvements I’ll
Page 49 and 50: NDEP Power to Prevent Session 0
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Discussion Points Say: “Small Ste
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Preparation and Reminders for the N
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Advance Preparation NOTE: The NDEP
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Discussion Points Say: “Healthy e
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Activity Take a 5- to 0-minute brea
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Tips for Inviting a Registered Diet
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NDEP Power to Prevent Session 3 0
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Appendix U: Why Physical Activity I
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in silence. Suggest that if partici
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Ask participants to name ways that
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Optional Activities 4.1 Visit an At
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also be downloaded from the NDEP We
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Say: “Cooking can be a fun activi
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Brochure 7 Principles for Controlli
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Conducting the Session Welcome Welc
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List answers on a fipchart, and mak
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Conducting the Session Welcome Welc
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Activity Take a 5- to 0-minute brea
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Advance Preparation In addition to
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Further Information on Diabetes Pre
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Obtain copies of Appendix Q: Energi
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Review of Discussion Points Say:
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My Pyramid Some people in your grou
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Bring copies of menus from several
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Example of better “I statement”
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If you plan do to the Optional Acti
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It is recommended that people with
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Optional Activities 1.1 Review the
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Discussion Points Say: “Making ch
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Pledge Have participants make an in
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Advance Preparation for Session 12
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Make photocopies of the Post-progra
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Review of Discussion Points Say:
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NDEP Power to Prevent Appendices 2
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Sample Letter to Potential Partners
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Black Women’s Health Imperative w
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Community newspaper organizations S
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Selecting and Securing a Regular Me
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Reward participants for fnishing th
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People bring their children to the
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“I can accept failure. Everyone f
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Session Questionnaire Intent 1 Pre-
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Where Am I Right Now? Thinking abou
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The next questionnaire is an option
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Feelings About Having Diabetes Plea
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Pre-Session 3 Questionnaire (Fill o
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Post-Session 3 Questionnaire (Fill
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Pre-Session 4 Questionnaire (Fill o
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Please answer the following. (Check
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Check Ups Please check “Yes” or
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How confdent are you now? Please ci
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Where Am I Right Now? Thinking abou
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1 Start Here 2 Check Calories 3 Lim
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The Plate Method The Plate Method c
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Spotting Denial Denial has a few ca
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If you have three or more of these
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Let Anger Be Your Ally The goal is
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Learning to Relax There are many wa
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Si Usted Tiene Diabetes, ¡Sepa los
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Small Steps. Big Rewards. Prevent T
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Publications and Resources for Chil
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Team Care: Comprehensive Lifetime M
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Team Care: Comprehensive Lifetime M
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New Beginnings: A Discussion Guide
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