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DIABETES PREVENTION

FY 2011

CATHOLIC CHARITIES OF CORPUS CHRISTI

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Community Partners

Be S.A.F.E. from Diabetes

Community Partners

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Counseling & Education

Clinical Interventions

Long Lasting Protective Interventions

Changing the Context to Make Individuals ‘ Default Decisions

Healthy

Socioeconomic Factors

The Health Impact Pyramid

American Journal of Public Health | April 2010, Vol 100, No. 4

The efforts of UTCO in Nueces County are designed with objectives to make lasting environmental / socioeconomic changes. In order to reach these goals tactics representative of all areas of the pyramid are used. We believe that by

using combinations of the pyramid facets, we will be successful in making well rounded, lasting impressions.

Framework

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Counseling

&

Education

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Lay counseling and education is a facet of every UTCO program and eventin Nueces County

Every class and client consultation serves a teaching moment and a door to our community in gaining trust.

This outreach extends a strong psycho-social support system tothe clients. This is often the missing link for a lasting and positive behavioral change.

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In FY2011, we have formed alliances with Mission of Mercy and CHRISTUS Spohn Health System in addition to private physicians to implement a direct referral process.

As the Community Health Workers are linking clients to medical homes and proactive care, health providers are referring clients back to UTCO for their diabetes education. Clients have free access to services at the Healthy Living Center in addition to the added support of the various programs at Catholic Charities of Corpus Christi.

Clinical Interventions

In a community-based program

http://utco.org/wp-content/uploads/2010/12/Referral-Form4.pdf

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Working with clients to empower them to incorporate healthy eating and increased physical activity into their daily routines, diabetic clients are learning to control their glucose levels. Non-diabetics are learning that diabetes can be prevented.

For all Nueces County clients enrolled in the self-management program, UTCO is correlating data on interventions with diagnostic outcomes at months 1, 3, 6 and 12.

Long Lasting Protective

Interventions

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Promoting and providing access to opportunities to learn, exercise and share experiences, the UTCO Healthy Living Center has made a significant change in Nueces County.

Every service is focused around making healthy choices and behavioral changes for a healthy lifestyle.

There have been 39 class series offered to the community, free of charge, including nutrition/cooking, exercise and health awareness.

Changing the Context to Make Individuals’ Default

Decisions Healthy

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UTCO sponsored community garden projects at a local shelter, in the town of Banquete and at a local Corpus Christi elementary school promote farming, eating fresh produce and appreciation for the earth.

Working with clients who are currently homeless and/or disabled and teaching and supporting healthy choices has lead to clients going from homelessness to living independently, working on GED’s, and becoming gainfully employed.

Assisting clients who are underserved and/or underinsured and linking them to medical coverage and a medical home AND teaching them disease self-management and/or prevention results in cost avoidance from decreased emergency room visits and avoidable hospital admissions.

Socioeconomic Factors

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ACTIVITY TOTALS…

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*10,465= the number of participants assisted by the Diabetes Intervention & Prevention

Program in Nueces County.

FY2010 = 4318FY2011 = 6147

.

Total Outreach

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Psychosocial Physical Activity Nutrition

856 Events (38%)

2123 Participants (35%)

113 Events (5%)

1016 Participants (17%)

1307 Events (57%)

3008 Participants (48%)

Activities for FY2011

2276 Events / 6147 Participants

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UPDATES…

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UTCO & Catholic Charities of Corpus Christi was awarded a learning / education kiosk by the Morris L. Lichtenstein Jr.

Medical Research Foundation.

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It was another successful year working with the medical and allied healthstudents from UT Medical Branch. Community Health Worker and studentsvisited clients’ homes throughout Nueces County, held health living events and sponsored a street side outreach event at an area badly affected by the flooding in the Fall of 2010. The interdisciplinary teamwork was amazing!

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Diabetes intervention and prevention services continue at the Mother Teresa Homeless Day Shelter. Services include:

Glucose screenings Education on self-management skills Connections to medical homesPrescription assistanceBackpack Traveling Food

Serving the Homeless

The Journey for Control Conversation Maps will be used to for diabetes education at the shelter. Questions, answers, peer support and Lessons applicable to the homeless will offered on a weekly schedule.

Catholic Charities of Corpus Christi was awarded a grant by the Coastal Bend Diabetes Initiative to continue this innovative work with the homeless population in Corpus Christi. This project involving intensive case management is in the implementation phase and will be completed in the summer of 2012.

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DIABETES SELF-MANAGEMENTIN FY2011…

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47diabetic clients continue to be active in the diabetes prevention and self-management programming.

In FY2011, clients continued to lower their HbA1c’s. Every quarter reflected a overall percent decrease in the average HbA1c’s.

Additionally, at the 9 month marker, the clients’ overall average body mass index decreased by 16%.

Diabetes Self-Management

673 home visits were made by the Community Health Workers in FY2011.

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Program Metrics*For Diabetic Clients at 3, 6, 9 & 12 Month Markers

# of Clientsw/ 3 Month

Marker

BaselineAverageHbA1c

3 MonthAverage HbA1c

AveragePercent +/-

47 8.6 7.8 -9.3%# of Clientsw/6 Month

Marker

BaselineAverageHbA1c

6 MonthAverage HbA1c

AveragePercent +/-

33 8.7 8.1 -6.9%

# of Clientsw/9 Month

Marker

BaselineAverageHbA1c

9 MonthAverage HbA1c

AveragePercent +/-

19 8.7 8.2 -5.8%# of Clientsw/12 Month

Marker

BaselineAverageHbA1c

12 MonthAverageHbA1c

AveragePercent +/-

10 9.0 8.4 -6.7%

Diabetes Self-Management

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DiabetesEducation

In FY2011, 146 diabetes classes werefacilitated by the Community Health Workers.

703 participants were served.

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Nutrition& Cooking

In FY2011, 1016 clients participated in thenutrition and cooking classes.

There were 116 cooking demonstrations/nutrition classes held this past year.

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Nutrition& Cooking

In FY2011 we joined forces with the local team from the Department of Rehabilitation Services [DARS] and offered diabetes education and cooking/nutrition classes to clients who are visually impaired. 75% of the clients had lost their vision to diabetes.

Clients were deeply engaged in the classes and thanks to DARS, they were able to take the recipes home in Braille. Additionally, they learned how to modify a kitchen to make it safer and functional.

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Physical Activity

In FY2011, 1307 exercise classes were sponsored by UTCO & Catholic Charities of Corpus Christi.

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Physical Activity

3008 =the number of people who attended the exercise classes in FY2011.

168 =record for attendance at a Zumba class held at the Holy Family

Parish in Corpus Christi. This was a partnership with theCorpus Christi Independent School District.

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Thank you!

A Client’s Testimony

A letter of support from Roland S…

The Power of Prevention…

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Thank you!

How wonderful it is that nobody need wait a single moment before

starting to improve the world.  ~Anne Frank

 

…and we did not wait!