native american participant perspectives gale marshall consultant ihs division of diabetes treatment...

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

Gale Marshall

Choctaw@prodigy.net

Mary Hoskin

mhoskin@phx.niddk.nih.gov