Oneida Diabetes PreventionProgram

Tina Jacobsen, RD, CDOneida Health Promotion/Disease Prevention

Program informationOneida Tribe of Indians of Wisconsin

Team Members

• DPP Director• DPP Coordinator• Primary Care Provider(s)• Administrative Assistant III/Data

Collector• Health Educators• Wellness Coaches• Dietitian• Fitness Specialist(s)

Lifestyle Goals for Individuals

• Weight loss – at least 7% loss and maintenance

• Physical activity – at least 150 minutes/week

• Nutritional goals– Dietary fat goal: <25% of calories

from fat– Calorie intake goal: 1200-1800

calories/day

Elements of the Program

• Intensive Activities– Recruitment/Screening Eligibility– Diabetes Prevention Program (DPP)

Curriculum– Coaching– Retention

• Less Intensive Activities– Just Move It-Oneida

• After-Core– Quarterly Events

INTENSIVE ACTIVITIESCore Element

Recruitment/Screening Eligibility

• Goal: 48/year• Screening at monthly Just Move It-Oneida events• Pre-diabetes diagnosis

– Not eligible: pregnant women, active alcohol/substance abuse, End Stage Renal Disease on dialysis, cancer

• OCHC Medical Referral• Assessment/Data Collection• Readiness Assessment• Wellness Vision

Assessments

• Medical clearance• Clinical measures (weight, height,

waist circumference, and blood pressure)

• Lab tests (lipid profile, glycemic measurement– A1C, urine albumin:creatinine ratio)

• Clinical history• Prescribed medications

Diabetes Prevention Program Curriculum

• 16-week sessions with emphasis on:– Self monitoring techniques– Problem solving– Individualizing programs– Empowerment and social support– Frequent contact with coach and DPP support

staff

DPP Core Class Sessions

• Welcome & Getting Started Losing Weight

• Be a Fat and Calorie Detective

• Three Ways to Eat Less Fat• Healthy Eating• Move Those Muscles• Being Active: A Way of Life• Tip the Calorie Balance• Take Charge of What’s

Around You

• Problem Solving• Four Keys to Healthy Eating

Out• Talk Back to Negative Thoughts• The Slippery Slope of

Lifestyle Change• Jump Start Your Activity Plan• Make Social Cues Work for

You• You Can Manage Stress• Ways to Stay Motivated

Individual Coaching Sessions

• Wellness Vision/Baseline Assessment• Meet biweekly or monthly during curriculum

and quarterly thereafter• Assessment of patient needs, goals,

problem solving skills• Individualized nutrition and/or physical

activity as needed• Motivational support

Retention

• Personal Training• Incentive Plan

– Points system for participation in all components of the program

– Points value: For every 25 points = $5.00 Oneida Retail Card

LESS INTENSIVE ACTIVITIES

Core Element

Just Move It - Oneida

• September '11: Oneida Diabetes Walk. 09/17/11 at 10 am (NHC)• October '11: JMI "Spooktacular" Walk. 10/29/11 at 10 am• November '11: JMI Fall Walk 11/12/11 at 10 am• December '11: JMI Jingle Walk 12/28/11 at 10 am• January '12: New Year Walk 01/14/12 at 10 am• February '12: Healthy Heart Walk 02/11/12 at 10 am• March '12: Family Fun Night 02/29/12 at 4:30 pm (ONES)• April '12: Spring into Action 04/14/12 at 10 am• May '12: Nat'l Employee Health & Fitness 05/16/12 at 6 pm• June '12: Family Frenzy Walk 06/13/12 at 6 pm• July '12: JMI Summer Walk. 07/11/12 at 6 pm• August '12: Beat the Heat Walk 08/08/12 at 6 pm• September '12: Oneida Diabetes Walk 09/15/12 at 10 am• October '12: Spooktacular Walk 10/27/12 at 10 am• November '12: Fall Walk 11/10/12 at 10 am• December '12: Jingle Walk 12/15/12 at 10 am

AFTER CORE ACTIVITIESCore Element

Quarterly Events

• All participants AND family members welcome

Food Demonstrations

Group Fitness Classes

Program Details

• Recruitment– July/August 2011– Ongoing at monthly Just Move It-Oneida events

• Curriculum/Coaching– September 5, 2011– New program starts 1st week of every month

Questions?

Contact Information: Tina Jacobsen, RD,

CDOneida Health Promotion/Disease

Prevention tjacobs1@oneidanation.org(920) 490-3927