Raising awareness at the grassroots level – community and workplace This slideset was developed in...
-
Upload
neal-reynard-haynes -
Category
Documents
-
view
218 -
download
0
Transcript of Raising awareness at the grassroots level – community and workplace This slideset was developed in...
Raising awareness at the grassroots level –
community and workplace
This slideset was developed in 2007 with support from GlaxoSmithKline
The need for improved global awareness
Healthy diet and exercise could prevent up to 80% of type 2 diabetes
7 million new cases of diabetes each year
At least 50% of people with diabetes do not know they are affected
Every 10 seconds, a person diesfrom diabetes-related causes
International Diabetes Federation. Did You Know?http://www.idf.org/home/index.cfm?unode=3B96906B-C026-2FD3-87B73F80BC22682A
Diabetes has serious implications
Blindness
Leading causeof blindnessin working ageadults1
Kidney failure
Leading cause of end-stage kidney disease2
Heart Disease
Stroke
2 to 4 fold increase in cardiovascular mortality and stroke3
Amputations
Leading cause of non-traumatic lower extremity amputations5
8/10 diabetic patients die from cardiovascular events4
1 Fong DS et al. Diabetes Care 2003; 26 (Suppl. 1):S99–S102. 2Molitch ME et al. Diabetes Care 2003; 26 (Suppl. 1):S94–S98. 3 Kannel WB et al. Am Heart J 1990; 120:672–676. 4Gray RP & Yudkin JS. In Textbook of Diabetes 1997 Chapter 57.
5Mayfield JA et al. Diabetes Care 2003; 26 (Suppl. 1):S78–S79.
Unite for Diabetes: World Diabetes Day
United Nations Resolution on DiabetesGeneral 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_Resolution.pdf.
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
What examples do we have of successful campaigns?
Increasing awareness of diabetes, its risk factors and complications
Chennai Urban Rural Epidemiology Study, India
Chennai Urban Rural Epidemiology Study
• 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 know what diabetes is?
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; 53:283287.
Diabetes as
a conditionIncreasing prevalenceof diabetes
Complications:
Adpated from Mohan D et al. J Assoc Physicians India 2005; 53:283287.
The need for improved awareness: Chennai Urban Rural Epidemiology Study
Diabetes ispreventable
Risk factors:– Family history– Lack of physical activity– Obesity
– Foot problems– Kidney disease– Eye disease– Heart attack– Stroke
Individuals (%)
0 100Aware of:
10 20 30 40 50 60 70 80 90
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; 54:858862.
Raising awareness among high risk groups
Measure Up Campaign,Diabetes UK
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/.
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/.
Measure Up: Results
Print media campaign reaches
> 33 million people4,000 posters at strategic locations
870,000 people
reached online
200,000 visitors to Diabetes UK website in first 2 months
> 3 million people
recall campaign
> 150,000 tested for diabetesby family doctor
> 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/.
Simple steps to prevent diabetes
Small Steps, Big RewardsUS National Diabetes Education Program
Diabetes can be prevented or delayed:Small steps, Big rewards
Diabetes can be prevented through small steps:Lose a modest amount of weight (5–7%)…
… 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/SmallSteps_index.htm.
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/SmallSteps_index.htm.
Regular physical activity can make a huge difference
Walk Missouri&
Tour de Cure
Community-based initiatives:Walk 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: 2:117.
Encouraging regular physical activity:Walk Missouri – the results
Participated insponsored walk
Participated in worksite wellness activities
Participated in health fairsponsored by local HCP
Walked ≥ 10 min at a timeduring usual week
Days/week walked ≥ 10 min at a time
Total minutes walkedon scale of 1–6
Wray RJ et al. Prev Chronic Dis 2005: 2:117.
+760%*
*P < 0.05
+100%*
+30%
–1%
+15%*
+3%
American Diabetes Association:Tour 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/.
Helping doctor/patient communication
Designs on Diabetes
Designs on Diabetes:Highlighting 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
Making a difference
What can you do?
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 resultsGet involved – organise events to increase exercise levels
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