Creating opportunities for accessible and appropriate exercise for diabetics.

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• Creating opportunities for accessible and
  appropriate exercise for diabetics.

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What is Active Alive?

• Officially began in January, 2005.
• A free resource that provides appropriate
  physical activity.
• Funded by New Mexico Department of Health,
  Diabetes Prevention and Control Program (DPCP).

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History Development

• Partnership
• The principal partners in Active and Alive are
• SWORD (Southwest Outreach for Diabetes)
• Hidalgo Medical Services La VIDA Program (HMS) A
  CDC Reach 2010 partnership
• Gila Regional Medical Center (GRMC)
• New Mexico Department of Health, Diabetes
  Prevention and Control Program (DPCP).

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History Development

• Area, Descriptions Issues
• Hidalgo County
• Grant County
• Diabetes prevalence rate in both counties
  estimated to be near 9.

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History Development

• Extensive social marketing formative research was
  conducted
• People with diabetes, ages 50-75
• Values
• Attitudes
• Perceived benefits and barriers to being
  physically active.

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History Development

• Social Marketing Research Findings
• Barriers to walking include
• Cold temperatures, bad weather
• Physical pain and other health-related problems
• Not having good walking shoes
• Threatening dogs
• Lack of motivation, lack of time
• Not having a safe place to walk

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Program Design

• Keys to overcoming barriers
• Experienced Instructors
• Groups comprised of Similar Others
• A Safe Place for Activity
• Special Events
• Incentives
• Advice from Physicians
• Success stories from Local People

• Breaking down Barriers
• Classes
• Clubs
• Indoor Activity
• Special Events
• Incentives Tools
• Education
• Marketing Plan

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Program Design

• Two Branch Program
• Classes
• Specifically designed activity lead by an
  exercise professional
• Clubs
• Community lead groups designed around participant
  interest with a focus on socialization and
  support.

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Classes

• Grant County
• Silver City Bayard
• Classes designed specifically for the target
  population
• Professional staff from GRMCs Billy Casper
  Wellness Center
• Classes in
• Dance-ability (Line Dancing)
• Meditation in Motion
• Tai Chi
• Band Together (resistance bands training)

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Classes

• Hidalgo County
• Lordsburg
• Classes designed specifically for the target
  population
• Lead by HMSs Physical Activity Specialist
• Classes in
• Resistance Band Training
• General Movement La Marcha
• Stability Ball Training
• Walking Games Activities
• Step Aerobics

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Clubs

• Grant County
• The Wonder Walkers
• Focus on walking
• The Afterburners
• Various activities, such resistance bands and
  walking games
• The Silver Stompers
• Line Dancing
• Hidalgo County
• The Sweet Team
• Various activities, such as osteoflex, line
  dancing, walking games, and resistance bands
• The Hot Steppers
• Step Aerobics team

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Volunteer Leaders

• Community Members acting as peer mentors in
  activity
• Responsibilities include
• Registering new members
• Keeping attendance follow-up on absences
• Leading the club in warm-up and activities
• Encouraging socialization
• Reporting any problems to Active Alive Staff
• Attend a monthly luncheon meeting for updates on
  progress and special events.

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Special Events

• Quarterly Special Events
• Line Dance Workshop
• Nutritional Workshop
• Swing Dance Classes

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Descriptive Statistics

• Total enrollment 188
• 64.4 (n121) Participation Rate
• 32.6 (n60) with diagnosed diabetes
• 61.1 (n113) hypertension, diabetes, or
  hypercholsterolemia
• 18.9 (n35) have all three
• 54.6 (n71) 50-75 years of age
• Missing data 3 (health data), 58 (age)

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Limitations

• Resources
• Communication
• Data
• Boundaries

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Highlights

• In the last six months alone
• Total interactions 2129
• 39.9 of registered clients participate in both
  classes clubs
• Grew from 4 to 86 in Hidalgo County
• 33 people have participated in at least 1
  activity a week for 6 months
• In the last three months
• Overall drop-out rate dropped from 41.8 to 35.6

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Highlights
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Phase 2

• Marketing
• Education
• Outcomes
• Capacity Building
• Other Program Changes