CBPR Approaches to Diabetes SelfManagement Programs in Rural and Underserved Populations in Texas Us

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CBPR Approaches to Diabetes Self-Management
Programs in Rural and Underserved Populations in
Texas Using Computer-based Education
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Acknowledgements

• The Center for Community Health Development is a
  member of the Prevention Research Centers
  Program, supported by the Centers for Disease
  Control and Prevention cooperative agreement
  number 5U48 DP000045.
• Dr. Kenneth McLeroy, Principal Investigator, CCHD
• Dr. Marcia Ory, Principal Investigator, Diabetes
  Self-management Research Project
  mory_at_srph.tamhsc.edu
• Dr. Jane Bolin, Co-PI, Diabetes Self-management
  Research Project jbolin_at_srph.tamhsc.edu

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OBJECTIVES

• Our objectives are to use CBPR in implementing
  diabetes self-management education through
  computer-based touch screen education programs in
  rural and underserved populations targeting
  low-literacy populations.

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METHODS

• Utilizing a community-based participatory
  research (CBPR) approach, the TAMHSC-SRPH Center
  for Community Health Developments (CCHD)
  Diabetes management and Prevention (DMP) Core
  Project worked with community partners to
  identify currently accepted, evidence-based best
  practices within the community to aid in type 2
  diabetes (T2DM) prevention and management
  efforts.
• Clinical partners targeted the need for education
  about diabetes for low-literacy patients through
  developing a multi-media informational kiosk that
  could be placed in clinical settings within the
  region.

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THE BRAZOS VALLEY
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Diabetes Kiosk

• Supported by CDC/PRC grant and Dell Foundation
• Addresses need to provide diabetes information to
  low literacy populations.
• Helps identify specific goals and simple action
  steps.
• Currently pilot testing in English at Family
  Residency Clinic
• Nearly done producing Spanish version

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Results

• T2DM computer-based self-management kiosk is
  consistent with evidenced-based best practices
  for diabetes self management established by
  national standards. (ADA, 2007 TDC, 2007).
• Touch screen modules will be available in English
  and Spanish and will include (1) causes of
  diabetes (2) risk factors (3) signs and
  symptoms (4) diagnosis, testing, treatments (5)
  complications (6) prevention strategies,
  including behavior change and goal setting.

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• NEXT STEPS FOR THE DIABETES KIOSK PROJECT?

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Examine Factors that Encourage Patients to Use
Kiosk While in Clinic

• Continue to pilot test Kiosk in other clinic
  sites
• Seek funding for Kiosk cabinets or more
  noticeable format
• Examine whether reluctance to use kiosk is
  cultural, or
• Whether reluctance to use kiosk is associated
  with appearance.
• Examine whether hand-held devices may be used
  used
• more often.
• 6. Encourage physicians, nurses and staff to make
  referrals to Kiosk.
• 7. Investigate other settings for Kiosk such as
  county/city
• libraries, grocery stores.

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Importance of this study in Central Texas

• This CBPR study has included both community and
  clinical partners.
• Pilot testing has included local clinics.
• Demonstrations have included our Texas Diabetes
  Council members who have provided feedback and
  suggestions.
• Local providers and healthcare educators are
  optimistic the diabetes kiosk will provide needed
  support in education and dissemination of
  information to populations at risk.

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CONCLUSIONS

• Conducted within the overall framework of CBPR,
  the design and development of a computer-assisted
  low-literacy diabetes video kiosk has provided
  several opportunities for disseminating
  evidence-based best practices for diabetes
  self-management and prevention in poor, rural
  communities.

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QUESTIONS?

• You may contact us at
• jbolin_at_srph.tamhsc.edu
• mory_at_srph.tamhsc.edu