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- March 11, 2010 |
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"Special Diabetes Programs for American Indians" Kelly Moore (biography)
English - 2006-11-14 - 34 minutes
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Summary :
Division of Diabetes Treatment and Prevention, Indian Health Service, USA
Diabetes is a serious problem for American Indians and Alaska Natives. In 1997 Congress provided $150 million over 5 years to IHS for establishment of the Special Diabetes Program for Indians grant program focused on “the prevention and treatment of diabetes.” Congress passed additional legislation authorizing supplemental funding in 2000 ($240 million through 2003) and in 2004 ($750 million through 2008). Methods: Funds were allocated to local programs, tribes, tribal organizations, and urban Indian organizations through a grant process. Grant programs were encouraged to use "best practice" approaches to diabetes prevention and treatment. The IHS Division of Diabetes Treatment and Prevention applied the CDC’s Framework for Public Health Evaluation. Short-term, intermediate and long-term outcomes were included in evaluation. Results: Grants have been awarded to 399 programs within 12 IHS Areas in 35 states. Compared with before grants were awarded: More diabetes prevention efforts now focus on elders (86%), adults (89%), young adults (73%), adolescents (65%), school age (55%), and preschool children (39%). 82% of programs now report availability of diabetes primary prevention programs for youth. 83% of programs report screening for overweight / obesity in youth, and 72% report availability of child and youth weight management programs. 94% and 62% of programs reported availability of nutrition education services and school based healthy eating programs for youth.59% of programs now have school nutrition services including guidance on healthy food choices in vending machines, cafeteria services. 64% and 54% of programs reported availability of running and walking programs for youth, and availability of fitness classes for youth. 69% of programs now conduct activities for school-age youth to encourage moderate to vigorous physical activity on most days. 31% of programs were able to build or improve playgrounds. 67% of programs now provide safe environments for physical activity.63% of programs reported developing traditional food and nutrition activities. 84% of programs offer adult weight management programs. Conclusion: As a result of the Special Diabetes Program for Indians, significant improvements in diabetes treatment and prevention for adults and children have occurred in AI/AN communities. (Acton KJ)
Learning objectives :
After viewing this presentation the participant will be able to discuss:
- Diabetes and Obesity among American Indians/Alaska Natives
- The Special Diabetes Program for Indians (SDPI)
- Primary Prevention in SDPI
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