December Partner Spotlight
Nov 24, 2010MOMS Orange County Conducts Diabetes Trainings Using NDEP’s Road to Health Toolkit
- Martha Londono, M.P.H., Ph.D., Diabetes Coordinator
- Yvette Bojorquez, B.A., R.N., Director of Client Services
The MOMS Orange County utilized NDEP’s Road to Health Toolkit (RTH) to train maternal child health coordinators and clinicians for its Pregnancy and Diabetes Prevention Program in Orange County, California. Staff was introduced to the RTH curriculum through engaging activities, personal self-assessments and group discussions. In addition, they were encouraged to apply strategies learned to home visits.
MOMS Orange County is a uniquely-qualified, community-based organization that provides access to prenatal care, health screenings, infant development screenings, health education and referral services through monthly home visits and group classes. Its mission is to help mothers and their families have healthy babies by providing health coordination, education and access to community services.
The MOMS Orange County's model utilizes in-home health coordination and education to raise awareness of diabetes and to promote healthy habits through lifestyle change. Through screenings of pregnant women, those identified as having diabetes or at risk and in need of specialized coordination are automatically enrolled in the program. Each case is reviewed by registered nurse case managers and a diabetes care plan is developed with a focus on nutrition, exercise, and maintaining blood glucose. For high-risk cases, a registered dietician supports the case managers. Program participants are encouraged to maintain blood glucose in their target range through proper nutrition and exercise, access appropriate medical care to promote healthy birth outcomes, and breastfeed their baby. The objectives of the program are to:
- Reduce the risk of developing gestational diabetes in women who are identified as high risk
- Improve birth and maternal outcomes for women with gestational diabetes and their babies
- Reduce the risk of women developing type 2 diabetes after pregnancy
- Lower the infant’s risk of developing diabetes, obesity and serious health problems later in life
Currently, MOMS Orange County is enhancing the program to include access to prenatal and postpartum classes and support groups focused on prevention, self-management and lifestyle change facilitated by a bilingual diabetes coordinator.
“I really liked the aspect of the training in which we were challenged to think of ways to help our clients incorporate exercise into their daily routine. It is often very hard for a mother to take time away from her children or responsibilities to leave the house for a walk outside. For example, clients often share that they will relax at the end of their busy day for an hour watching novelas (Spanish-language soap operas). We can suggest that perhaps they can do stretching exercises or some activity during commercial breaks. This helped me to think of ways to make fitness and nutrition reasonable and relevant to clients.” –Maria
“The training really reminded me of how crucially important diet and exercise is for the health of everyone—even if you’re not diabetic. I really reflected on this truth, for both myself and clients.” –Monique
“I really took away that even if you are at risk for diabetes, there are a lot of things you CAN do to prevent the onset of diabetes. Just because it is in your genes does not mean you are doomed. It was really helpful to come to that understanding and know that we can help clients to pass on that information not only for themselves but for their families as well.” –Miriam
“The training really emphasized for me that even if you’re not obese or grossly overweight, you can still be at risk for developing diabetes. But you are able to make changes in your activity and eating habits. It was helpful to learn about portion sizes so now I am more conscious of what I eat (more fiber, less sugar). Also, I can share what I’ve learned and how I learned it through the training with clients.” –Martha
The U.S.-Mexico Border DPCP Project Gets Inspired by NDEP’s Road to Health Photo Journal
The U.S.-Mexico Border Diabetes Prevention and Control (DPCP) project strongly believes that community health workers or promotores de salud are an important part of the diabetes health care team. From 2009 to 2010, the project delivered nine strategic diabetes trainings across the border among this group and promotores showed not only their enthusiasm for the trainings, but also, true commitment and loyalty to NDEP products.
These unique trainings integrated the Diabetes Education Modules developed by the International Diabetes Federation and NDEP’s Road to Health Toolkit. On the first day of training, health care professionals and community health workers received the information side by side. Later, they were split up and trained with similar information, but tailored to their specific needs. On the last day of the training, they came together to develop an action plan for their markets or regions.
The trainings were very successful. Evaluation and follow up were outstanding. Inspired by the toolkit’s Photo Journal, the project developed its own Binational Photo Journal including the history of the U.S.-Mexico Border DPCP project, NDEP, and the community health workers. As homage to the work of community health workers, the Photo Journal captures promotores’ experiences in the trainings and in the field. The Photo Journal can be found on the Pan American Health Organization’s website at www.paho.org/fep/diabetes.
Ohio DPCP Tailors NDEP’s November GDM Posters Using Real Employees and Their Children
The Ohio Diabetes Prevention and Control Program (DPCP) is participating in a national gestational diabetes project sponsored by the Association of Maternal and Child Health Programs (AMCHP), the National Association of Chronic Disease Directors’ (NACDD) Women’s Health Council and the Centers for Disease Control and Prevention. The goals of the project are to:
- Foster collaboration between AMCHP and NACDD
- Utilize traditional social marketing techniques to increase public awareness of gestational diabetes and identify the link concerning healthy lifestyles and development of type 2 diabetes
During the 2010 National Diabetes Awareness Month, the Ohio DPCP partnered with NDEP to tailor and co-brand the “Family Health History: Gestational Diabetes” poster. An African American and Hispanic/Latina employee of the Ohio DPCP, along with their children, were photographed to reach populations disproportionately affected by diabetes in Ohio. In addition, the Ohio DPCP worked with the Ohio Hispanic Coalition to translate one of the posters into Spanish. Plans are underway to develop and disseminate a similar poster with a Caucasian employee to reach the Appalachian region.
Promotion and Dissemination:
In November 2010, the posters were distributed with the Ohio DPCP’s quarterly newsletter to more than 1,500 diabetes care partners including, hospitals; Federally Qualified Health Centers; local health departments; Women, Infants and Children clinics; endocrinologists; primary care physicians; certified diabetes educators; registered dietitians; and selected OB/GYN practices. Information was also posted on the Healthy Ohio website and Facebook page.
To learn more about this promotion, contact Nancy D. Schaefer at Nancy.Schaefer@odh.ohio.gov or call (614) 728-3775.