Post on 21-Jan-2016
description
PartnershipsReaching Diverse Populations with
Evidence-Based Programs
11th Annual Arthritis Grantees MeetingStrength in Numbers - Partnering for Arthritis
WHY is arthritis a barrier to effective diabetes
management?
Root Cause Analysis
DEVEN asks:
“Mama, why do I have to go to bed?”
WHY is arthritis a barrier to effective diabetes
management?
Arthritis and DiabetesIn Utah
FACTS:During the combined years 2003, 2005, 2007 and 2009
22.0 percent of Utahns reported arthritis.• Native Hawaiians/Pacific Islanders (14.0 percent) • Hispanics/Latinos (18.8 percent)
6.4 percent of Utahns reported diabetes. • Prevalence rate of diabetes higher among special populations
• Native Hawaiians/Pacific Islanders (7.0 percent) • Hispanics/Latinos (9.7 percent)
Among Utahns who reported diabetes, 50.1 percent also reported having arthritis.
UTAH Causal Analysis
Diabetes
Why do they have Diabetes?
OBESITY!!!
FACT:
Among Utahns who were obese during the combined years 2003, 2005, 2007 and 2009,
31.2 percent also reported having arthritis.
UTAH Causal Analysis
Diabetes
.
Why are they obese?
PHYSICAL INACTIVITY!!!
Obesity
FACT:
Among Utahns who were physically inactive during the combined years 2003, 2005, 2007 and 2009, 30.7 percent also reported having arthritis.
UTAH Causal Analysis
Diabetes
.
Obesity
Physical Inactivity
Why are they not active?
PAIN!!!
UTAH Causal Analysis
Diabetes
.
Obesity
Pain from arthritis may be a barrier to engaging in the recommended amount of physical activity.
--CDC MMWR (2008),
Physical Inactivity
Pain
Arthritis
Arthritis Impact Special Populations in Utah – Pacific Islander and Hispanics
Arthritis Prevalence• 22.0 percent of Utahns report arthritis.
• Hispanic (18.8 percent)
Arthritis Impact• Work Limitation (44.5% vs. 29.2%) • Pain (43.2% vs. 23.2%)• Activity Limitation (22.3% vs. 12.4%)
Evidence-Based Interventions
• Self- Management
• Physical Activity
EBI
A Successful PartnershipReaching Pacific Islanders
National Tongan American Society (NTAS)
Utah has the largest Tongan population outside the Kingdom of Tonga
Organization with a focus exclusively on the Pacific Islander population (primarily Tongans, Samoans and Hawaiians)
NTAS has been serving Pacific Islanders since 1995
A Successful PartnershipReaching Pacific Islanders
National Tongan American Society (NTAS)
Responsible for CDSMP delivery to the Pacific Islanders of Utah
Consistent delivery and coordination of workshops, sites, leaders and participants
Successful partnership due to ability to directly access and reach the Pacific Islander population, as well as average workshop participant number of 13
A Successful PartnershipReaching Hispanics
Alliance Community Services (ACS)
Hispanics account for 10% of the population over 20 years of age, which makes it the largest minority group in Utah
Subsequently, Spanish is the second most common language in Utah
Organization with a focus exclusively on the Hispanic/Latino population
ACS has been serving Hispanics since 2002
A Successful PartnershipReaching Hispanics
Alliance Community Services (ACS)
Since 2009, ACS has been the lead agency responsible for reaching and connecting Hispanic-serving organizations with Tomando Control, and increasing delivery to these groups
Conducts Spanish Leader Trainings and Tomando Control workshops, as well as assisting in the identification of new delivery system partners
Causal Analysis in Review
Diabetes
.
Obesity
Physical Inactivity
Pain
Arthritis
Questions and Action PlanningMake your game plan!
Source: Utah Population Estimates Committee and the Governor’s Office of Planning and Budget, 2008 Baseline Economic and Demographic Projections (Revised 7-23-2008)
Utah