Raising awareness at the grassroots level community and workplace

1
Raising awareness at the grassroots level
community and workplace
The Global Partnership for Effective Diabetes
Management, including the development of this
slide set, is supported by GlaxoSmithKline
2
The need for improved global awareness
7 million
new cases of diabetes each year
At least 50 of people with diabetes do not know
they are affected

• Healthy diet and exercise could prevent up to
  80 of type 2 diabetes

Every 10 seconds, a person diesfrom
diabetes-related causes
International Diabetes Federation. Did You
Know?http//www.idf.org/home/index.cfm?unode3B96
906B-C026-2FD3-87B73F80BC22682A
3
Diabetes has serious implications
Stroke
Blindness
2 to 4 fold increase in cardiovascular mortality
and stroke3
Leading cause of blindness in working age adults1
Heart Disease
8/10 diabetic patients die from cardiovascular
events4
Kidney failure
Amputations
Leading cause of end-stage kidney disease2
Leading cause of non-traumatic lower extremity
amputations5
1 Fong DS et al. Diabetes Care 2003 26 (Suppl.
1)S99S102. 2Molitch ME et al. Diabetes Care
2003 26 (Suppl. 1)S94S98. 3 Kannel WB et al.
Am Heart J 1990 120672676. 4Gray RP Yudkin
JS. In Textbook of Diabetes 1997 Chapter
57. 5Mayfield JA et al. Diabetes Care 2003 26
(Suppl. 1)S78S79.
4
Unite for Diabetes World Diabetes Day

• United Nations Resolution on Diabetes
• General Assembly of the UN
• Designated 14 November, the current World
  Diabetes Day, as a United Nations Day, to be
  observed every year from 2007
• Invited all member states to observe World
  Diabetes Day in order to raise public awareness
  on diabetes care and prevention

United Nations. Resolution on Diabetes.
http//www.unitefordiabetes.org/assets/files/UN_R
esolution.pdf.
5
What can communities do?

• Raise public awareness
• Create a sense of urgency
• Communicate the magnitude of the problem
• Get people involved in improving their health
• Recognise those who are most at risk
• Reduce risk to families, friends and wider
  communities

6
What examples do we have of successful campaigns?
7
Increasing awareness of diabetes, its risk
factors and complications

• Chennai Urban Rural Epidemiology Study, India

8
Chennai Urban Rural Epidemiology Study
Do you know what diabetes is?

• Study in Chennai, largest city in Southern India
• Questionnaire completed by 26,000 individuals
• Five questions about diabetes data collected on
• education
• medical history

Do you think more people are affected by diabetes
nowadays?
What factors do you think contribute to diabetes?
Do you know that diabetes can cause complications
in other organs?
Can diabetes be prevented?
Mohan D et al. J Assoc Physicians India 2005
53283?287.
9
The need for improved awareness Chennai Urban
Rural Epidemiology Study
Individuals ()
Aware of
0
100
10
20
30
40
50
60
70
80
90

• Diabetes asa condition

Increasing prevalenceof diabetes
Diabetes ispreventable
Risk factors
Family history
Lack of physical activity
Obesity
Complications
Foot problems
Kidney disease
Eye disease
Heart attack
Stroke
Adpated from Mohan D et al. J Assoc Physicians
India 2005 53283?287.
10
Increase awareness, promote change Chennai
Urban Rural Epidemiology Study

• Complementary programme of initiatives including
• Counselling of people with/at risk of diabetes
• Public lectures on benefits of regular exercise,
  tailored to age, gender and cultural background
• Educational materials distributed to every
  household
• Short video sequences highlighting serious nature
  of diabetes and importance of physical activity

313
People exercisingmore than 3 times/week
Mohan V et al. J Assoc Physicians India 2006
54858?862.
11
Raising awareness among high risk groups

• Measure Up Campaign,Diabetes UK

12
Measure Up Campaign, Diabetes UK

• Objective
• 25 ? in awareness of diabetes and Diabetes UK
  services in people with undiagnosed type 2
  diabetes
• Strategy
• Campaign targeting information to high risk
  groups, including
• the overweight
• people with a family history of diabetes
• black and minority ethnic groups
• people aged over 40

Diabetes UK. Measure Up Are You At Risk of
Diabetes. http//www.diabetes.org.uk/Measure_Up_-
_are_you_at_risk_of_diabetes/.
13
Measure Up Tactics

• Roadshows 20 UK towns/year
• Simple 2-minute test to assess risk of diabetes
• Advice about diabetes
• Advertising
• Posters at strategic locations throughout the UK
• Adverts in national newspapers and consumer
  magazines
• Online targeting of at risk groups
• Lobbying
• Extended poster campaign and awareness day at UK
  Houses of Parliament
• Campaigning at conferences of UK political
  parties

Diabetes UK. Measure Up Are You At Risk of
Diabetes. http//www.diabetes.org.uk/Measure_Up_-
_are_you_at_risk_of_diabetes/.
14
Measure Up Results
Print media campaign reachesgt 33 million people
4,000 posters at strategic locations
200,000 visitors to Diabetes UK website in first
2 months
870,000 people reached online
gt 3 million people recall campaign
gt 150,000 tested for diabetesby family doctor
gt 93,000 orders for campaign materials by
healthcare professions
Diabetes UK. Measure Up Are You At Risk of
Diabetes. http//www.diabetes.org.uk/Measure_Up_-
_are_you_at_risk_of_diabetes/.
15
Simple steps to prevent diabetes

• Small Steps, Big RewardsUS National Diabetes
  Education Program

16
Diabetes can be prevented or delayedSmall
steps, Big rewards

• Diabetes can be prevented through small steps
• Lose a modest amount of weight (57)
• by building up to 30 mins of physical
  activity/day
• and following a low-calorie, low-fat
  eating plan
• For big rewards
• Healthier and longer life
• Avoid serious complications such as heart
  disease, stroke, blindness, kidney failure and
  amputations
• Peace of mind
• Campaign run by the US National Diabetes
  Education Programme

National Diabetes Education Program. Small steps.
Big Rewards. Prevent Type 2 Diabetes.
http//ndep.nih.gov/campaigns/SmallSteps/SmallSte
ps_index.htm.
17
Small steps, Big rewardsCampaign components

• Public service advertising
• Television, radio and print
• Publicity campaign
• Events in cities across the US to promote
  community-based weight loss and lifestyle change
• GAME PLAN toolkit for health professionals
• Latest research on diabetes prevention
• Practical tips for counselling patients about
  weight loss
• Educational materials
• GAME PLAN consumer materials
• Provide at-risk individuals with everything
  needed to start and maintain weight loss
• Practical tips tailored for specific audiences,
  e.g. elderly, ethnic groups

National Diabetes Education Program. Small steps.
Big Rewards. Prevent Type 2 Diabetes.
http//ndep.nih.gov/campaigns/SmallSteps/SmallSte
ps_index.htm.
18
Regular physical activity can make a huge
difference

• Walk Missouri
• Tour de Cure

19
Community-based initiativesWalk Missouri

• Community-wide media campaign in St. Joseph,
  Missouri
• Billboard, newspaper and radio advertisements
• Promoted benefits of walking and moderate
  physical exercise in reducing
• diabetes
• other diseases including heart disease and stroke

Wray RJ et al. Prev Chronic Dis 2005 21?17.
20
Encouraging regular physical activityWalk
Missouri the results
Participated insponsored walk
760
Participated in worksite wellness activities
30
Participated in health fairsponsored by local HCP
100
Walked 10 min at a timeduring usual week
1
Days/week walked 10 min at a time
P lt 0.05
15
Total minutes walkedon scale of 16
3
Wray RJ et al. Prev Chronic Dis 2005 21?17.
21
American Diabetes AssociationTour de Cure

• Series of fund raising cycling events in support
  of the ADA
• In the 2006 series
• 32,000 cyclists
• took part in 78 events
• raising nearly 13 million
• Riders champion the search for a cure for
  diabetes and many have diabetes themselves

American Diabetes Association. Tour de
Cure.http//tour.diabetes.org/.
22
Helping doctor/patient communication

• Designs on Diabetes

23
Designs on DiabetesHighlighting the emotional
impact of diabetes

• Art competitions across the Asia-Pacific region
• Doctors submit their artwork expressing what they
  think living with diabetes is like
• Intended to build empathy and improve
  communication between patients and doctors
• Artwork will also be used in a number of ways to
  raise awareness of diabetes

24
Making a difference

• What can you do?

25
You can make a difference! (1)

• Recognise risk factors
• Family history
• Waist circumference
• Ethnic groups
• Age
• Recognise that increasing public awareness
  through simple campaigns can change attitudes and
  produce results
• Get involved organise events to increase
  exercise levels

26
You can make a difference! (2)

• Understand the need for regular weight and eye
  tests
• Encourage communication between patients and
  healthcare providers
• Educate on the need for urgency in attaining good
  glycaemic control
• Talk to each other and share success stories