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Native American ParticipantPerspectives
Gale MarshallConsultant IHS Division of Diabetes Treatment and Prevention
DPP OverviewLifestyle Balance Program
Why did you join the DPP?
• I wanted to help find a cure!• It wasn’t a contract. I could quit.• I found out I was at risk and said… Okay I need
to do this for my family.• I wanted to be in the lifestyle group. I didn’t want
to take medicine. I wanted to be in the lifestyle arm but would have stayed in if I had been put on medication.
TO CONTRIBUTE TO THEIR COMMUNITY AND
TO THE GREATER INDIAN COMMUNITY
What Did You Do?
• Exercised! I didn’t think I could!
• I started with food on a scale. It showed me portion sizes.
• Logging in what I ate and keeping track of activity.
• Having accountability, I had to answer to someone.
What were the highlights?
• Meeting different people (Met tons of people!)• Cooking class• The group• The cups, T-shirts, bookmarks, magnets,
postcards, shoelaces, reminders• Still write letters to one of the Salt River Sisters!• I FELT BETTER the first week
Highlights (cont’d)
• Health Coaches
• Health Coaches
• Health Coaches
• Health Coaches
• Health Coaches
THE CURRICULUM
IS NOT “MAGIC”
HEALTH COACHING
IS THE “MAGIC”
What was the KEY to your success?
• “This may not be related to the program but just being able to talk to someone. They were a sounding board.”
• “Being able to talk to someone who cared. They NEVER gave up on me.”
• “No matter what, I never heard the word fail.”• “My coach always tried to find ways to motivate
me. Exercise videos, recipes, walking tapes, but she was NEVER PUSHY.”
Lifestyle Coaching
• Consistent relationships• Work with the participant as a team• Hang in there- reinforcement• Be Supportive• Utilize multidisciplinary approach• Frequent Contact
Case Management Secrets
Structured and Flexible
Involved and Detached
Lifestyle Core Session #9:Problem Solving
The five steps to solving a problem:
1. Describe the problem in detail.2. Brainstorm your options.3. Pick one option to try.4. Make a positive action plan.
5. Try it. See how it goes.
EXPECT SUCCESS!
Retention
After 10 years for some:
• 30% regular attendance
• 98%+ attending data visits
• 70% below their baseline weight (Lifestyle)
• 2005 “Amnesty Class” 100%!!
QuickTime™ and aSorenson Video 3 decompressorare needed to see this picture.
Native Life
Website Resources
• http:///www.bsc.gwu.edu.dppDiabetes Prevention Program Website
• http://www.americaonthemove.org
Pedometer at group rate (start 24.95) 888.954.6666• www.fastfoodfacts.com
Nutrition in the Fast Lane booklets (5.95 plus 2.50 S&H)May be able to et condensed version from Eli & Lilly Company
• http://www.ndep.nih.gov/diabetesOrder or download “Small Steps Big Rewards” materials.Game Plan Food and Activity Tracker/Fat and Calorie Counter, Health Care Provider Game Plan Packet, Game Plan Overview (for most handouts you get one free and can order 3 more for $4-$5.
Website Resources (cont’d)
• http://www.smallstep.govDHHS Website-great information. Links to the ad council to view new weight loss messages.
• www.adcouncil.org/campaigns/healthylifestyles New PSA’s New PSA’s produced by HHS and the ad council on ‘losing’ things like pot bellies and double chins, etc.
• http://www.ihs.govIndian Health Service- Medical Programs to Diabetes select browse catalog and Order Health for Native Life-DPP Edition.
• http://hin.nhlbi.nih.gov/menuplanner/menu.cgi“Aim for a Healthy Weight”
• http://hin.nhlbi.nih.gov/index.htmlTake the portion distortion test
• NDEP Game Plan-Food & Activity Trackerhttp://www.ndep.nih.gov/diabetes/pubs/GP_Booklet.pdf
