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October Partner Spotlight

Wisconsin DPCP Develops Table Tents for Corporate Lunchrooms Using NDEP Materials

Table Top Promo

The Wisconsin Diabetes Advisory Group (DAG), convened by the Wisconsin Diabetes Prevention and Control Program (WI DPCP), includes representatives from more than 80 key organizations involved in diabetes in throughout the state. Its mission is to reduce the economic, social, physical, and psychological impact of diabetes in Wisconsin by enhancing the quality of services.

The Community Focus DAG work group (WG) created table tents for corporate lunchrooms to increase workforce knowledge of the signs, symptoms, and risks of type 2 diabetes, as well as prevention strategies. The goal of this project was to increase traffic to the www.WisconsinDiabetesInfo.org web portal during the 2009 National Diabetes Awareness Month.

Under the leadership of NDEP’s Business Health Strategies WG vice chair Pam Geis, WI DPCP staff designed a prototype for the DAG WG’s approval using information from NDEP’s bilingual Prevent Type 2 Diabetes. Step by Step. (Prevengamos la diabetes tipo 2. Paso a Paso) tip sheet. The 9-inch tall, three-sided, full-color educational piece included the NDEP website and featured panels on the following topics:

  • What is diabetes?
  • Who is at risk for type 2 diabetes?
  • Signs and symptoms of type 2 diabetes, and
  • Preventing type 2 diabetes

As this was a pilot and necessary quantities were unknown, the WI DPCP made online ordering available from October 5 through 13 to their corporate wellness database, WI DAG members, HMO Collaborative, and regional mail groups for both the northern and western regions of the Wisconsin Department of Health Services. Organizations that ordered the table tents were asked to participate in an evaluation. Of the 302 total orders, 118 (or 39 percent) participated in the evaluation process. Highlights include:

  • 90 percent were very satisfied with the quality of the table tents; 85 percent were very satisfied with the content
  • 40 percent said that the table tents were effective in promoting awareness of diabetes within their organization
  • 74 percent said the table tents facilitated discussion about diabetes within their organization and/or between employees
  • While 84 percent used the table tents in lunchrooms, 31 percent specified other areas not listed in the survey, such as waiting and patient exam rooms, wellness and fitness centers, churches, blood pressure screenings, etc.

Overall, the table tents increased traffic to www.WisconsinDiabetesInfo.org. The largest spike in visits occurred during the first two weeks of October 2009, which coincided with the e-mail announcing the availability for ordering. To learn more about this promotion, contact Pam Geis at Pam.Geis@sbcglobal.net.


Trish Herrmann of the Arizona DPCP Promotes NDEP Messages on CBS Radio Stations

Arizona Department of Health Services logo

In May of 2010, Trish Herrmann, diabetes program manager, Arizona Diabetes Prevention and Control Program (DPCP), participated in an interview to discuss managing and preventing type 2 diabetes in adults. The 11-minute interview aired during the “Sunday Sunrise” show on the following CBS affiliate radio stations:

  • KMLE 107.9 FM
  • KOOL 94.5 FM, and
  • KZON 101.5 FM

During the interview, Trish provided a brief overview of the different types of diabetes, discussed risk factors and how to prevent the disease, highlighted NDEP’s Small Steps. Big Rewards. Prevent Type 2 Diabetes and Managing Diabetes, It’s Not Easy But It’s Worth It campaign messages. Throughout the interview, Trish encouraged listeners to contact NDEP to order free resources and to learn more about diabetes.

To listen to the interview in its entirety, click here. To read interview script, click here. For more information about this promotion, contact Trish Herrmann at herrmap@azdhs.gov.


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NDEP Attending NACHC Conference

National Association of Community Health Centers

NDEP will be exhibiting at the National Association of Community Health Centers' (NACHC) Community Health Institute and Expo in Dallas, Texas September 12-14, 2010. Stop by booth 215 to see us!

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September Partner Spotlight

Hispanic/Latino Work Group Members Use NDEP’s Road to Health Tool Kit to Reduce Diabetes Risk in U.S.-Mexico Border Region

NDEP’s Road to Health Tool Kit

The U.S.-Mexico Border Diabetes Prevention and Control Project, the first study to consider the whole U.S.-Mexico border as one epidemiological unit, aims to reduce the burden of diabetes among people with type 2 diabetes living in the region by developing and implementing strategies in collaboration with the 10 Border States, and conducting activities in two related and chronological phases:

  1. Development of a prevalence study and identification of risk factors, and
  2. Implementation an intervention for diabetes prevention and control.

NDEP’s Hispanic/Latino Work Group (H/L WG) chair Rosalba Ruiz-Holguin, M.D. is the program director. For the past year, Rosalba and Martha Londoño – an NDEP Road to Health (RTH) tool kit co-author – have been providing trainings using the tool kit to community health workers (CHWs)/promotores in the region. The CHWs/promotores will implement a family-based intervention to provide diabetes primary prevention education classes to families at risk for type 2 diabetes. Inspired by the photo journal component of the RTH tool kit, the trained CHWs/promotores are currently developing their own photo journal to capture their testimonies and lessons learned while being trained. In addition, the Mexico Health Secretariat, represented by Agustín Lara, M.D., also an H/L WG member, is adapting the tool kit to address the needs of the Mexican population.

For more information visit the U.S.-Mexico Border Diabetes Prevention and Control Project website or contact Rosalba Ruiz-Holguin.


AmerisourceBergen Develops Diabetes Kits and Includes Co-Branded NDEP Resources

Amerisource Bergen and the Diabetes Shoppe

Since November 2009, AmerisourceBergen Corporation has incorporated NDEP resources in its Diabetes Shoppe® program for pharmacists serving patients with diabetes and their families. AmerisourceBergen Corporation, one of the world's largest pharmaceutical services companies, created its Diabetes Shoppe program to help independent pharmacies better serve their patients with diabetes. Diabetes Shoppe provides specialized training to pharmacists and staff to ensure that they have the knowledge and expertise about diabetes supplies and products, medications and lifestyle issues that affect patients every day. Located in 1,400 community pharmacies throughout the country that are locally owned and operated, Diabetes Shoppe provides simple diabetes information, quality products and individualized support to help patients manage their diabetes.

Diabetes Shoppe provides its member pharmacies with promotional packages that include diabetes resources both for the pharmacist and his or her patients. AmerisourceBergen has co-branded three NDEP resources in the first year of this partnership: Diabetes Numbers At-a-Glance, included in a special kit created for National Diabetes Month in November; a diabetes risk test, timed to coincide with Diabetes Alert Day in March but designed for use throughout the year; and the foot-care brochure, Take Care of Your Feet for a Lifetime, included in a package for new Diabetes Shoppe members and promoted to existing members. The NDEP and AmerisourceBergen teams continue to explore opportunities for NDEP resources to support the Diabetes Shoppe outreach.

For more information about AmerisourceBergen’s Diabetes Shoppe program, contact Ceci Zeigler L.P.N., National Director, In Store Pharmacy Solutions, in Chesterbrook, Pennsylvania at (610) 727-7344.


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NDEP Attending AADE Conference

AADE 37th Annual Meeting

NDEP will be attending the American Association of Diabetes Educators 37th Annual Meeting in San Antonio, Texas August 4-7, 2010 to make several presentations. Stop by to see us!

  • Betsy Rodriguez M.S.N, C.D.E. and Judith A. McDivitt, Ph.D. will launch the promotion of the Road to Health Tool Kit at a session at the AADE Bookstore called “Show and Tell of the Road to Health Tool Kit” on August 5 from 12:00 to 1:00 p.m.
  • Marti Funnell, M.S., R.N., C.D.E. will present a session entitled, “NDEP: Supporting Behavior Change and Quality of Life” on August 5 from 1:30 to 3:00 p.m.
  • Joanne Gallivan, M.S., R.D. and Diane Tuncer will present a session entitled, “Translating New Research into a Public Health Campaign” on August 7 from 8:30 to 10:00 a.m.
  • Betsy Rodriguez, M.S.N., C.D.E. and Alexis Williams, M.P.H., C.H.E.S. will present a session entitled, “NDEP Tool Kits: Facilitating Resource Implementation in Organizations Serving Ethnic Minority Populations” on August 7 from 8:30 to 10:00 a.m.

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2010 Frankie Awards

Frankie Awards

CDC’s annual Division of Diabetes Translation (DDT) Frankie Awards, named in honor of Frank Vinicor, M.D., former director of CDC’s DDT and a founder of NDEP, recognize exemplary promotion and use of NDEP materials and messages in the past calendar year (2009). Awardees were honored during the DDT meeting on April 13, 2010 in Kansas City, Missouri. This year, the Frankies were competitively judged and awarded in five categories: Use of Media to Promote NDEP, Implementation of an NDEP Program through Interpersonal Channels, Promotion of NDEP Resources to Address Disparities, Collaborative Partnership Using NDEP Resources, and the Frank Vinicor Award of Excellence For Exemplary Use or Adaptation of NDEP Resources in a Comprehensive, Multifaceted Campaign to Address Behavior Change.


Award Winners

California Diabetes Program 
Building Awareness of Diabetes Prevention through NDEP’s Paso a Paso Radio Public Service Announcements (PSAs) 
Use of Media to Promote NDEP

The California Diabetes Program leveraged an existing partnership with Radio Bilingüe, a Latino public radio network which broadcasts in the U.S., throughout the U.S.-Mexico border region, and Puerto Rico. During the hour-long Linea Abierta (Open Line) Spanish-language broadcast, the topics of diabetes, how to prevent the disease, and strategies for overcoming healthy eating and physical activity barriers were discussed. The live broadcasts were combined with 58 airings of NDEP’s 30- and 60-second Paso a Paso radio PSAs and promotion of NDEP’s toll-free number. Dean Schillinger, M.D., Chief of the California Diabetes Program, Health Promotion Specialists Javier Carrillo, M.P.H., and Roger Chene, M.P.H., R.D. served as experts for the call-in shows. Additionally, two people with diabetes, as well as the founder of Radio Bilingüe shared their personal experiences with making lifestyle changes to prevent diabetes. The Linea Abierta program is broadcast on 52 stations in 19 states, in addition to Puerto Rico and Mexico. This promotion reached an estimated 120,000 listeners.

North Carolina DPCP
Diabetes Education Recognition Program
Implementation of an NDEP Program through Interpersonal Channels

The North Carolina DPCP developed the NC Diabetes Education Recognition Program (DERP) to address inadequate diabetes self-management education throughout the state. The purpose of this program is to increase access to self-management training for people with diabetes, while providing reimbursement to local health departments. The program also addresses elimination of racial and ethnic health disparities, encourages linkages with statewide and community partners, and facilitates evaluation of its efforts. As an American Diabetes Association recognized “umbrella” program, the NC DERP partnered with local health departments to implement multi-sites across the state. They also utilized several NDEP resources in program curriculum and patient education manuals including, Working Together to Manage Diabetes: A Guide for Pharmacists, Podiatrists, Optometrists, and Dental Professionals and Working Together to Manage Diabetes: Diabetes Medications Supplement. Clinicians are trained annually using these resources as well.

Virginia Center for Diabetes Professional Education, University of Virginia Health System 
Diabetes Telehealth Prevention Program 
Promotion of NDEP Resources to Address Disparities

The primary purpose of the Diabetes Telehealth Prevention Program is to reduce risk factors for pre-diabetes and diabetes among people at risk in three diverse health care facilities in rural areas of Virginia. These areas have a high prevalence of diabetes and diabetes-related risk factors and limited access to diabetes education. A secondary purpose is to test the feasibility and effectiveness of using telehealth technology to deliver the educational component of the program and using a train-the-trainer model to provide on-site group facilitation and support for behavior change. Program content and activities were modeled after the Diabetes Prevention Program and utilized NDEP’s Power to Prevent: A Family Lifestyle Approach to Diabetes Preventioncurriculum as a teaching resource. A year-long curriculum was developed based on group education, individual goal setting for behavior change, and tracking of behavior change. Personal experiences and resources in the area of lifestyle change were also integrated. Diabetes prevention measures include body mass index, waist circumference, blood pressure, and A1C levels. Questionnaires, surveys, and self-tracking of behavior change will be scored and summarized. In addition, outcome measures will be collected and reported later this year.

Virginia Diabetes Council Education and Empowerment Work Group 
Virginia Diabetes School Medical Management Plan and Protocol 
Collaborative Partnership Using NDEP Resources

A few years ago, the Virginia Diabetes Council (VDC) was approached to take the lead in creating a Diabetes Medical Management Plan and Protocol (DMMPP) for all school districts and providers in the state. The Hampton Roads area health care providers and school nurses implemented a pilot DMMPP from 2008 to 2009 and offered to share materials with the VDC to broaden the use of their work. Later, a subcommittee – including the Virginia DPCP coordinator and VDC members – was convened and tasked with developing statewide consensus on a DMMPP and revising the Hampton Roads protocols. Input was gathered from the Hampton Roads group on the use, benefits, challenges, and overall efficacy of their pilot DMMPP. Representatives were identified from across the state to improve the forms and protocols. In addition, the subcommittee utilized NDEP’s Helping the Student with Diabetes Succeed: A Guide for School Personnel for background information, guidance, direction, and to create the protocol piece of the DMMPP. More than 200 parents, health care providers, and school nurses helped develop the DMMPP that was implemented statewide during the 2009-2010 school year. To date, school nurses from 70 of the 135 Virginia school districts have attended trainings on the DMMPP.

Indian Health Center of Santa Clara Valley (California) 
Diabetes Prevention Program 
Frank Vinicor Award of Excellence

The Indian Health Center’s (IHC) Diabetes Prevention Program (DPP) has developed a 17-week multigenerational lifestyle change program focusing on healthy eating and physical activity. IHC’s DPP is grounded in American Indian traditions such as storytelling, drumming, dancing, and ceremonies. The goal is for participants to lose at least 3 percent of their body weight at the conclusion of the program through increased physical activity and healthier eating. The program is taught by a team of culturally competent professionals including a registered dietician, a certified diabetes educator, a marriage and family therapist, a public health nurse, a kinesiologist, and health education specialists. The evidence-based curriculum includes topics on healthy eating, fitness, stress management, and building support for lifestyle changes. In addition, IHC’s DPP adapted NDEP’s Small Steps. Big Rewards. Your GAME PLAN to Prevent Type 2 Diabetes: Information for Patients Food and Activity tracker. The tracker was provided to participants at the end of weekly sessions and reviewed at the start of weekly sessions. The most successful program participants have indicated that the tracker has had the greatest impact on their success.

Lab results and metrics are being collected on all participants. At follow-up, 71 percent of participants were meeting the goal of 150 minutes or more of physical activity per week. At the end of six months, 33 percent met the goal of less than 100 on a Fasting Blood Glucose Test and no longer had pre-diabetes. Data indicate significant decreases in body mass index, significant increases in fruit and vegetable intake, and increased awareness in knowledge, attitudes, beliefs, and motivation toward lifestyle interventions. Success in IHC’s DPP can be attributed largely in part to the integration of NDEP’s Food and Activity tracker.


Honorable Mentions

Use of Media to Promote NDEP:

  • Colorado DPCPDPCP e-Bulletin, Michelle Hansen
    In an effort to streamline outgoing diabetes communications and to create processes to maximize efficiencies, rather than having key messages lost in blast emails, the Colorado DPCP incorporated NDEP messages in an e-bulletin. This e-bulletin provided eye-catching headlines and linked individuals to the full NDEP information and sources. With this new process in place, the program easily communicated the latest NDEP news to more than 800 subscribers around the state on a bi-monthly basis. In addition, the Colorado DPCP’s creation of an e-bulletin template inspired the Colorado Heart Disease and Stroke Prevention program to use a similar format, which helped communicate and provide information statewide.
  • Washington State DPCPThe Washington State Diabetes Connection, Marcelle Thurston, Francisco Arias-Reyes, Jeanne Harmon, and Laura Pennington
    The Diabetes Connection is the web portal for the Washington State Diabetes Network, a member organization of over 500 health professionals in Washington. The portal serves as a clearinghouse of activities, ideas, best practices, links, and resources relating to the Washington State Diabetes Plan. The portal also fosters collaboration and communication within the network and provides useful, credible information to people and organizations working to prevent and control diabetes among Washington residents. The NDEP website and resources are regularly promoted within the portal. When the revamped NDEP site was launched, it was highlighted in a feature article posted to the Connection’s homepage. Additionally, new NDEP resources and campaigns are often promoted in their monthly e-newsletters to network members. Also, when a new member joins their network, they are provided with a link to the NDEP’s News & Notes e-newsletter and are encouraged to sign up.
  • Idaho DPCPSmall Steps, Big Rewards: Prevent Type 2 Diabetes commercial, Mimi Hartman-Cunningham and Nicole Runner
    The Idaho DPCP purchased air time to promote the NDEP’s Small Steps, Big Rewards Prevent Type 2 Diabetes public service announcement (PSA) on television in major media markets. PSAs were aired in Treasure Valley, Magic Valley, and Eastern Idaho in May and June of 2009. The tagline and call to action was, “If you want more information about preventing diabetes and a free pedometer, call 211 the Idaho CareLine.” The informational packets were mailed to callers and included a pedometer with a walking log and other relevant diabetes resources. The CareLine received 170 requests for additional information.

Implementation of an NDEP Program through Interpersonal Channels:

  • Michigan DPCPCaring for Children With Diabetes – Helping the Student With Diabetes Succeed: A Guide for School Personnel, Jean Chickering, Ann Constance, Paula Ackerman, Dan Diepenhorst, and Anne Esdale
    The Upper Peninsula Diabetes Outreach Network (UPDON) developed a program to provide support and education for parents of children with diabetes living across the Upper Peninsula of Michigan. Parents were identified through affiliation and attendance at a children’s diabetes camp that UPDON helped establish. School issues have been a recurring concern for several parents. Therefore, UPDON offers resources to assist parents of youth with diabetes in working with schools. Recently, UPDON scheduled a parent session followed by a family barbeque. A health psychologist was invited to help parents learn how to deal with inappropriate self-care behaviors. More than 60 parents attended, and some parents shared ways that they have been successful in helping their children manage diabetes. As part of this session, NDEP’s Helping the Student with Diabetes Succeed: A Guide for School Personnel was referenced. In addition, parents received copies of the guide’s sample Diabetes Medical Management Plan and Quick Reference Emergency Plan.
  • Florida DPCPA Healthy Start and A Healthy Finish – A Partnership Between the Florida DPCP and the Capital Area Healthy Start Coalition, Catherine Howard
    The Florida DPCP provided Florida’s Healthy Start Program support workers with Road to Health (RTH) toolkits. The initial train-the-trainer session was held in November of 2009. The Florida DPCP continues to work with Healthy Start Coalitions and the state to promote the toolkit and other NDEP materials. Evaluation efforts are in progress and the Florida DPCP is working closely with NDEP on their evaluation plan to capture process and outcome measures. They found that incentivizing RTH trainers by offering free toolkits and materials for the first three people to schedule a local training effectively motivated the trainers.
  • Washington State DPCPThe YMCA Plan Forward: Diabetes Prevention Program, Laura Pennington
    The Washington State DPCP partnered with four local YMCAs to implement the Diabetes Prevention Program (DPP) in community settings. Participants in the 16-week program learned strategies for eating healthier and being physically active, managing stress, and staying motivated. Each participant received Small Steps. Big Rewards. Your GAME PLAN to Prevent Type 2 Diabetes at the beginning of the program, and printed copies of the food and activity tracker for each week.

Promotion of NDEP Resources to Address Disparities:

  • Washington State DPCPUsing NDEP’s Prevention Toolkit to Promote Diabetes Awareness in Worksites, Laura Pennington
    The Washington State DPCP partnered with their Worksite Health and Productivity Coordinator to spread diabetes prevention messages in counties at high risk and employing low wage earners during National Diabetes Awareness Month. The goal was to raise awareness about diabetes risk factors and promote prevention strategies to a broad audience. Folders were developed containing sample NDEP prevention materials for specific populations, tips on how to display the materials, flyers, ADA’s hardcopy risk test, sample NDEP prevention articles, an introduction letter with diabetes statistics in Washington, and a link to the NDEP website. The packets were mailed to businesses, distributed at the Pierce County Worksite Health and Productivity networking group meeting, and packets were provided during the annual Washington State Healthy Worksite Summit. Overall the feedback was positive and the materials were well received, especially since there was a national “monthly” campaign to coincide with the posting of the materials. Numerous employers requested additional packets and information.
  • NY DPCP, A Tale of Two Cities
    The NY DPCP developed a program that provided culturally appropriate materials for Hispanic/Latino and African American audiences. Two communities were selected as representative of these populations in New York State. Materials were field-tested using NDEP messages among the target populations with groups like faith-based organizations. Materials created for African American audiences were developed using NDEP’s The Power to Control Diabetes Is in Your Hands campaign materials. Materials developed for Hispanic/Latino populations were created using NDEP’s Paso a Paso campaign materials.

Collaborative Partnership Using NDEP Resources:

  • NJ DPCP and the South Jersey Family Medical Centers, Inc., Diabetes Outreach and Education System (DOES), Nuris Rodriguez and Carol Mallette 
    The New Jersey Department of Health and Senior Services (NJDHSS) Diabetes Prevention and Control Program (DPCP), in partnership with the Southern Jersey Family Medical Center, Inc. (SJFMC) used NDEP’s ABCs of Diabetes PSAsPower to Prevent billboards, and Managing Diabetes PSAs for the 2009 World Series and PSA/video announcement in over 200 partner supermarkets. The campaign gained the support of the then New Jersey DHSS Commissioner of Health, Heather Howard, by engaging in NDEP PSA taping sessions and appearances in partnership with SJFMC and CBS Radio. The campaign increased community access to SJFMC services for people with diabetes and encouraged the community to learn more about diabetes prevention and complications.
  • Wisconsin DPCPType 2 Diabetes Prevention and Awareness Table Tents, Pam Geis 
    The Wisconsin DPCP created a 9-inch tall, three-sided, full-color table tent with information on what diabetes is, who is at risk for type 2 diabetes, the signs and symptoms of type 2 diabetes, and how to prevent the disease. Corporations displayed the table tents in cafeterias, break rooms, reception areas, bathrooms, etc. They found that table tents are an effective way to communicate public health messages, encourage discussion among employees, and increase website traffic.
  • Kentucky DPCPControl/Manage Your Diabetes, Know Your ABCs, Linda Leber 
    In November 2009 for National Diabetes Awareness Month and World Diabetes Day, the Kentucky Diabetes Prevention and Control Program (KDPCP) partnered with local health departments, local diabetes coalitions, the Kentucky Diabetes Network, KY’s AADE Chapters, the Personnel Cabinet, and the DPH Department of Communications. Partners promoted NDEP’s messages Know Your Diabetes ABCs and Managing your diabetes isn’t easy, but it’s worth it using billboards, health fairs/displays, professional education activities, articles in local newspapers and newsletters, community marquees, theater ads, partner websites, television and radio ads, paycheck stubs, and presentations to public and professional groups. All participants were asked to report on their activities. Total exposure to the November messages was approximately 1,236,872, including about 675,068 in the Appalachian population.
  • Utah DPCPUtah DPCP Gets Magnetic, Darin Larson, The Utah Health Plan Partnership, Utah Medicaid Office, HealthInsight, and Utah Women’s Health Information Network (UWIN)
    The Utah Health Plan Partnership, comprised of eight Utah health plans, recognized that people with diabetes needed an easy way to track and record their test results and decided that erasable refrigerator magnets would be ideal. The Partnership organized a work group to develop the content for the magnets. The work group agreed to emphasize A1C, blood pressure, and cholesterol and adapted NDEP’s Tips to Help You Stay Healthy tip sheet. An electronic version of information on the magnet was placed on the Utah DPCP’s website. In addition, an announcement and link were promoted in health plan newsletters and the Utah Medical Association newsletter, as well as via the Utah DPCP listserv. Magnets were printed in English and Spanish, mailed to over 10,000 health plan members, and provided to diabetes educators and physicians to give to patients with diabetes. Physicians at community health centers, who typically treat uninsured patients, found them to be an especially valuable resource.

Frank Vinicor Award of Excellence for Exemplary Use or Adaptation of NDEP Resources in a Comprehensive, Multifaceted Campaign to Address Behavior Change:

  • South Carolina Division of Diabetes Prevention and ControlSouth Carolina Division of Diabetes Prevention and Control Multimedia Campaign, Rhonda Hill
    The South Carolina Division of Diabetes Prevention and Control has used non-recurring state diabetes dollars to launch a multi-media campaign and is implementing NDEP messages. They are implementing the Get Real, Small Steps. Big Rewards, and Control Your Diabetes. For Life. campaigns. They are promoting these campaigns through voiceover radio spots with heavy rotations on African American and Hispanic/Latino stations. Each of the five NDEP TV commercials have been featured on the “IMARA Woman” TV show and the Get Real andControl Your Diabetes. For Life. television commercials have been in rotation on various major TV stations across the state. NDEP print ads and articles have been published in the Statenewspaper, community weekly newspapers, daily newspapers, Home and Garden magazine (South Carolina only), and IMARA Woman magazine. NDEP posters have also been disseminated to local health departments and community health centers. Evaluation of the campaign, including media tracking, is ongoing.

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