0
Diabetes Tele-Education Programs
Virginia Center for Diabetes Professional Education
University of Virginia Health System
...
Virginia - Percentage of Adults (aged 18 years
or older) with Diagnosed Diabetes, 1994 – 2010
Estimated Diabetes Prevalence in Virginia, 2010

Prediabetes

531,366
Gestational

312,568
2,145,074

Children, Adolescent...
2009 Age-Adjusted Estimates of the Percentage
of Adults† with Diagnosed Diabetes in Virginia
Virginia - Percentage of Adults(aged 18 years or older) with Diabetes
Ever Attending a Diabetes Self-Management Class, 200...
Cities
1.
2.
3.
4.
5.
6.

Mechanicsville
Gloucester
Hopewell
Tappahannock
Kilmarnock
Franklin

7.
8.
9.
10.
11.
12.
13.
14...
Rationale for Diabetes Tele-Education
• Epidemic of diabetes statewide
• It is estimated that only 60% of those who have d...
Diabetes Tele-education Partners, 2012
• University of Virginia Diabetes Education and
Management Program
• University of ...
Comparison of Participation by Type of Site, 2008-2012
Total Number of Sites: 43

Number of Sites Participating

16

14

C...
Number of Program Participants, 2008-2012
Total Number of Participants = 1610
500
444

450
400

390

369

350
300
228

250...
Review of Accomplishments for 2012
Sites Participating in 2012
Health Districts and Number of Patients Per Site
Frederick
Clarke
Loudoun

Blue Ridge
Medical ...
Total Number of Participants by Site
Wise Co HD
Tri-Area Comm Hlth Cntr
4
Health Wagon (Wise)
1
Highland Med Cntr
Richmond...
Number of Participants
Attending Each Broadcast
60

50

40

30

20

10

0
17-Apr

25-Apr

15-May 29-May

19-Jun

26-Jun

1...
Summary Attendance Statistics for 2012
• 444 program participants
• 238 individual participants
– Average age: 66.7 y.o.
–...
Participant Reports of Type of Diabetes

Type 1
12%
None
17%

Don't know
2%
Pre-diabetes
8%

Type 2
61%
Participant Ratings of Usefulness of Classes
5.00

4.50

4.28

4.32

Living Well
with Diabetes

I Have Diabetes
Now What D...
2013 Schedule of Classes *

* All classes scheduled from 1-3 pm
Plans for 2013
• Improvement in group facilitation at participating sites;
provided regional facilitator trainings for sit...
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Diabetes Tele-Education Programs

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Presentation by Joyce Green Pastors, RD, MS, CDE, Diabetes Nutrition Specialist, Virginia Center for Diabetes Professional Education and Assistant Professor of Medical Education in Internal Medicine, University of Virginia School of Medicine

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Transcript of "Diabetes Tele-Education Programs"

  1. 1. Diabetes Tele-Education Programs Virginia Center for Diabetes Professional Education University of Virginia Health System 2008 - 2013 J. Terry Saunders, Ph.D. Joyce Green Pastors, M.S., R.D., C.D.E.
  2. 2. Virginia - Percentage of Adults (aged 18 years or older) with Diagnosed Diabetes, 1994 – 2010
  3. 3. Estimated Diabetes Prevalence in Virginia, 2010 Prediabetes 531,366 Gestational 312,568 2,145,074 Children, Adolescents (<20 yrs) Undiagnosed Adults 4,868 Diagnosed Adults 11,443
  4. 4. 2009 Age-Adjusted Estimates of the Percentage of Adults† with Diagnosed Diabetes in Virginia
  5. 5. Virginia - Percentage of Adults(aged 18 years or older) with Diabetes Ever Attending a Diabetes Self-Management Class, 2000 – 2010
  6. 6. Cities 1. 2. 3. 4. 5. 6. Mechanicsville Gloucester Hopewell Tappahannock Kilmarnock Franklin 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. Arlington Pulaski Hot Springs Luray Bedford Lexington Danville South Boston South Hill Emporia Tazewell 18. 19. 20. 21. 22. 23. 24. 25. Lebanon Marion Stuart Norton Norton Martinsville Pennington Gap Wytheville West Virginia 804 (5) 757 (1) 703 (1) 540 (6) 434 (4) 276 (9) Virginia Hospitals With No ADA Recognized Programs In Progress By Telephone Area Code (March 7, 2008)
  7. 7. Rationale for Diabetes Tele-Education • Epidemic of diabetes statewide • It is estimated that only 60% of those who have diabetes in Virginia have had ANY education (BRFSS data) • Shortage of diabetes educators and ADA recognized education programs in rural and underserved areas of the state • Lack of adequate reimbursement for diabetes patient education • Difficulty and expense of providing face-to-face professional education • Efficiency of using existing telemedicine equipment for education
  8. 8. Diabetes Tele-education Partners, 2012 • University of Virginia Diabetes Education and Management Program • University of Virginia Office of Telemedicine • Virginia Department of Health, Office of Minority Health and Health Equity • Virginia Information Technology Agency (VITA) • Harry L. Coomes Recreation Center, Abingdon, VA
  9. 9. Comparison of Participation by Type of Site, 2008-2012 Total Number of Sites: 43 Number of Sites Participating 16 14 Critical Access/Small Rural Hospitals 12 Community Health Centers 10 Health Departments 8 6 Free Clinics 4 Senior Centers 2 Libraries 0 2008 2009 2010 2011 2012
  10. 10. Number of Program Participants, 2008-2012 Total Number of Participants = 1610 500 444 450 400 390 369 350 300 228 250 179 200 150 100 50 0 2008 2009 2010 2011 2012
  11. 11. Review of Accomplishments for 2012
  12. 12. Sites Participating in 2012 Health Districts and Number of Patients Per Site Frederick Clarke Loudoun Blue Ridge Medical Center (65) Warren Shenandoah Highland Medical Center (1) Page Rockingham Central Shenandoah Fairfax Fauquier Rappahannock Prince William Culpeper Madison Stafford Highland Bath Community Hospital (1) Orange Augusta Caroline Albemarle Louisa Essex Thomas Jefferson Alleghany Northumberland Fluvanna Hanover King William Goochland Craig Appomattox Wise (32) Giles Roanoke Buchanan Health Wagon (4) Dickenson Campbell Montgomery Bland Tazewell Franklin Wythe Eastern Shore Middlesex Mathews Charles City James City Prince George Chesterfield Northampton Gloucester (7) York Surry Dinwiddie Lunenburg Floyd Onley (140) Lancaster New Kent Nottoway Charlotte Pulaski Russell Amelia Bedford King And Queen Henrico Buckingham Powhatan Cumberland Amherst Botetourt Richmond & Tappahannock Free Clinic (36) Westmoreland Spotsylvania Rockbridge Three Rivers King George Greene Hampton Sussex Smyth Scott Pittsylvania Carroll Washington Grayson Lee (4) Patrick Tri-Area CHC (55) Halifax Brunswick Mecklenburg Mount Rogers Piedmont Virginia Beach Chesapeake Nottoway Public Library (40) Henry/Martinsville (20) West Piedmont Suffolk Greensville Prince Edward (33) Lenowisco Southampton Petersburg (7) Crater
  13. 13. Total Number of Participants by Site Wise Co HD Tri-Area Comm Hlth Cntr 4 Health Wagon (Wise) 1 Highland Med Cntr Richmond Co HD Prince Edward Co HD Nottoway Co HD 4 Lee Co HD Henry/Martinsville HD 7 Gloucester Co HD Onley Comm Hlth Cntr 7 Petersburg HD Blue Ridge Med Cntr Bath Community Hospital 1 0 32 55 36 33 40 20 140 65 20 40 60 80 100 120 Number of Participants 140 160
  14. 14. Number of Participants Attending Each Broadcast 60 50 40 30 20 10 0 17-Apr 25-Apr 15-May 29-May 19-Jun 26-Jun 17-Jul 24-Jul 21-Aug 28-Aug 18-Sep 25-Sep 16-Oct 23-Oct 20-Nov 27-Nov
  15. 15. Summary Attendance Statistics for 2012 • 444 program participants • 238 individual participants – Average age: 66.7 y.o. – 169 females, 69 males • • • • • • • 1.87 average classes per participant 117 participants (49.2%) took one class 62 participants (26.1%) took 2 classes 36 participants (15.1%) took 3 classes 19 participants (8.0%) took 4 classes 4 participants (1.7%) took 5 classes 21 participants were awarded certificates for attending all 4 classes
  16. 16. Participant Reports of Type of Diabetes Type 1 12% None 17% Don't know 2% Pre-diabetes 8% Type 2 61%
  17. 17. Participant Ratings of Usefulness of Classes 5.00 4.50 4.28 4.32 Living Well with Diabetes I Have Diabetes Now What Do I Eat? 4.43 4.25 Level of Usefulness (1-5) 4.00 3.50 3.00 2.50 2.00 1.50 1.00 Improve Your Blood Glucose, Get Active, Manage Your Stress Eat Smart
  18. 18. 2013 Schedule of Classes * * All classes scheduled from 1-3 pm
  19. 19. Plans for 2013 • Improvement in group facilitation at participating sites; provided regional facilitator trainings for sites in January • Addition of libraries and use of health information specialists; provided training to librarians in Southside Virginia in February • Use of recorded sessions in addition to live, interactive sessions to offer flexibility in timing and to reach more people • Additional evaluation data - intent to change behavior; pilot data for behavior change outcomes
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