Will help the managers with their specified groups. Fitness Instructors: Will lead exercise classes and help participants find activities they enjoy. Volunteers: Help with various tasks such as registration, set up, clean up. Space and Equipment Needed: Classroom space for educational sessions Kitchen space for cooking demonstrations Outdoor space for exercise classes Exercise equipment such as weights, mats, balls Tables and chairs for meetings and educational sessions Computer for presentations Printing materials such as handouts Budget Needed: See budget section for detailed expenses Program Marketing 13 Marketing Strategies: - Flyers posted around community centers, churches, grocery stores - Social media ads

1. EAT WELL
MOVE WELL
Prepared for: The Winningham Foundation
April 2015
Section 005
Anna Pishko
A DIABETES
PREVENTION
PROGRAM

2. Table of Contents
1
Program Rationale 2
Needs Assessment 5
Mission Statement, Goals, & Objectives 10
Implementation & Intervention 11
Program Resources 12
Program Marketing 14
Budget 15
Evaluation 16
References 17

3. Program Rationale
2
What is Diabetes?
Diabetes is a disease in which an individual has an elevated amount of blood
glucose (MedlinePlus, 2015). The three most common types of diabetes are: type I
diabetes, type II diabetes, and gestational diabetes (Center for Disease Control and
Prevention [CDC], 2011). Type I diabetes, commonly known as juvenile diabetes,
occurs when the body is not able to produce an adequate amount of insulin. Type
II diabetes, the most prevalent form of the disease, is when the body has become
insulin resistant (Mayo Clinic, 2014). Gestational diabetes occurs during
pregnancy as a result of high blood glucose levels (American Diabetes
Association, 2014-b).
Insulin is a hormone that is used by the body to help turn glucose into energy
(CDC, 2011).

4. Program Rationale
3
National Data
• Nationally, approximately 29 million Americans, or about 9.3% of the
population, have diabetes, with the number and rate of new cases of
diabetes increasing every year (American Diabetes Association, 2014-
a).
• In 2011, the Center for Disease Control and Prevention, CDC,
estimated that 1 out of every 3 adults will develop diabetes by the
year 2050.
State Data
• In the state of South Carolina alone, approximately 9.9% of the
population has diabetes (CDC, 2012).
Local Data
• At the local level, approximately 11.1% of the population of Richland
County has been diagnosed with diabetes (CDC, 2014).

5. Program Rationale
4
Benefits of the Program
If the program goes as we plan it will; the outcome will be substantial.
The benefit of this program is to change as many lives as we can. We will
not only help people who have developed type II diabetes, but we will also
help others prevent the development of diabetes. We will fight to end and
prevent diabetes the best way we can. Many lives will be changed after

6. Needs Assessment
5
• Overview
o Type 2 diabetes, commonly referred to as adult-onset diabetes, occurs when the body is
unable to produce a sufficient amount of the hormone insulin or when the body becomes
insulin resistant (Mayo Clinic, 2014). Type 2 diabetes accounts for 90-95% of all
diabetes diagnoses with the risk for the development of the disease increasing as age
increases. Additionally, it is estimated that by 2050, one in every three adults will have
diabetes (Centers for Disease Control and Prevention [CDC], 2012). While there is no
cure for type 2 diabetes, it can be controlled through healthy eating habits, regular
exercise, and medication such as insulin (CDC, 2014).
• Populations affected and impact
o Type 2 diabetes affects individuals of all ages and races/ethnicities, however certain age
groups and races are more susceptible to the disease than others. Typically, the disease
has a greater prevalence among those who are 45 years or older and/or are of a minority
race or ethnicity in the United States, such as Hispanics, African-Americans, and
American-Indians (Mayo Clinic, 2014). In addition, those who 65 years or older are
seven times more likely to develop type 2 diabetes (CDC, 2012). Furthermore, those who
are overweight or obese are also more prone to developing the condition (Mayo Clinic,
2014). An individual’s diabetes can have a severe impact on their health if the condition
is not effectively controlled since diabetes can lead to a variety of complications that
include: high blood pressure and cholesterol, heart disease and stroke, eye problems,
kidney disease, and in some cases even amputation of the lower limbs (CDC, 2014). In
addition, diabetes can have an impact on those around due to the genetic predisposition
of the disease. Individuals who have a parent with type two diabetes have a greater
chance of developing the condition than those whose parents do not have type 2 diabetes
(American Diabetes Association, 2014).

7. Needs Assessment
6
• Demographic description of the target population
o Our program seeks to target pre-diabetic African-Americans
ages 45 or older who reside in Richland county.
o An estimated 13.2% of African-Americans have diabetes
nationwide, in addition over 13.4 million Americans between
the ages of 45-64 have been diagnosed with the condition
(CDC, 2014).
o In South Carolina alone, 1 in 6 African-Americans have
diabetes, and the state has the 3rd
highest rate of diabetes among
African-Americans nationwide (South Carolina Department of
Health and Environmental Control [SCDHEC], 2014).
o Individuals with prediabetes have a greater possibility of
developing type 2 diabetes due to their above average blood
glucose levels (CDC, 2014).
o Furthermore, diabetes is also the seventh leading cause of death

8. Needs Assessment
7
• Discussion of risk factors associated with this problem including environmental factors and behaviors
for target pop.
o Risk factors:
▪ Risk factors associated with diabetes include age, being overweight or obese, sedentary
lifestyle, family history/genetics, race, having prediabetes and having gestational
diabetes during pregnancy (Mayo Clinic, 2014). The rate of developing type 2 diabetes
increases with age, particularly after the age of 45 due to a tendency of decreased
exercise in conjunction with other factors. In addition, those with a family history of
the disease, or those who are of minority races have an increased risk of developing the
condition. Also, those who are overweight or obese have an increased risk of
developing diabetes since the more adipose tissue the body contains, the greater the
chance that an individual’s body will become insulin resistant (Mayo Clinic, 2014).
Furthermore, women who develop gestational diabetes during pregnancy have a 35-
60% chance of being diagnosed with type 2 diabetes in the future. Finally, those with
prediabetes have a greater chance of developing the condition due to their higher than
average blood glucose levels, and without proper treatment prediabetes will progress
into type 2 diabetes (CDC, 2012).
o Environmental factors:
▪ Environmental factors associated with type 2 diabetes are living in a food desert, or
living in an area where there is a lack of access to health care. If an individual lives in a
food desert, they will lack access to fresh, non-processed foods, which can worsen an
individuals prediabetes or increase their risk for developing the condition.
o Behaviors:
▪ Behaviors associated with type 2 diabetes are eating an abundance unhealthy or
processed foods, not exercising on a regular basis, and not seeking to lose additional
weight (Mayo Clinic, 2014).

9. Need Assessment
8
Factor Type
Factor
Explanation
Predisposing
1. An individual doesn’t understand how
threatening diabetes is to their health
2. An individual is aware of how much of a
negative impact diabetes can have on their
life
If an individual does not understand the severe impact diabetes
can have on their lives once developed, they will most likely no
be willing to change their lifestyle in order to prevent the
development of type 2 diabetes.
Conversely, if a person is knowledgeable about the
complications that diabetes can cause and will perceive the
condition as a formidable threat to their health, they will be
more likely to learn and develop the appropriate knowledge,
behaviors, and skills that can be learned through our program
needed to stop the progression of type 2 diabetes.
Enabling
1.
Living
in
a
food
desert
2.
Lack
of
appropriate
preventative
health
care
3.
Choosing
to
consume
fast
food
out
of
convenience
4.
Choosing
processed
foods
over
fresh
foods
If
people
live
in
an
area
where
healthy
food
is
hard
to
find,
they
are
going
to
be
more
likely
to
eat
the
available
unhealthy
food.
Having
a
poor
diet
is
a
risk
factor
for
type
II
diabetes.
In
addition,
if
an
individual
is
unable
to
receive
adequate
diabetes
preventative
information
due
to
a
lack
of
access
to
proper
health
care,
they
may
be
unaware
of
the
consequences
of
diabetes
or
may
lack
the
proper
information
needed
to
know
how
to
start
taking
the
appropriate
preventative
steps
Reinforcing
1.
Positive
feedback
from
a
healthcare
provider
2.
Praise
from
peers
also
involved
in
the
program
If an individual receive positive feedback from their doctor,
they will receive a confidence boost, and know that they are on
the right track as well as encouraging them to continue with
their lifestyle changes.
In addition, by receiving feedback and support from their peers,
individuals have a support system that understands the same
struggles , achievements, and goals that are faced. This support
system will greatly help individuals upkeep their behavior
change since they know they have a supportive community
backing them up.

10. Needs Assessment
9
• Obtaining target population input into the planning process
o In order to obtain input from our target population in the planning process, we
will first and foremost have individuals from the target population itself be
implemented as members of our planning committee. In addition, we will hold
a focus group with members of the target population and discuss with them our
objectives and strategies from the program and receive input on ways things
that they believe should be changed or added to our program. Finally, we will
develop surveys which we will send out to the target population in order to
receive their input on which strategies in our program they believe will be
effective and which strategies we need to change or improve.
• Integrating needs found in the epidemiological literature with the target group’s
perceived needs
o We will address the perceived needs of our target group by having members of
the community on the planning committee and have them help us address and
plan out possible solutions to the priority issues of the community before
diabetes is addressed.

11. Mission Statement, Goals, & Objectives
10
Mission Statement:
Our program is committed to bringing people of South Carolina the evidence based knowledge and tools they need to
help put an end to the progression of type II diabetes.
Goals:
1. Promote a healthy lifestyle for those who are pre diabetic.
2. Teach pre diabetics how to eat in a way that will be conducive to their new lifestyle.
3. Help participants discover what type of physical activity works best for them.
Process/Formative/Administrative Objectives
1. By 2016, our program planners will increase the number of Diabetes related educational opportunities for pre-diabetic
African Americans in South Carolina by 25%.
2. By 2016, our program planners will increase the number of people attending information session on physical activity
by 15%.
Learning Objectives
1. By the end of the program, 75% of the participants will be capable of knowing what food to eat in order to lower the
risk of diabetes.
2. Our program’s goal is to have at least 65% of participants living a more active lifestyle within a month of starting the
program.
Behavioral Objectives
1. Thirty days after the completion of the program, 50% of the program participants will report doing thirty minutes of
exercise at least three days a week.
2. Ninety days after the completion of the program, 50% of the program participants will report having lost three to
seven pounds as a result of exercise and better eating habits.
Outcome
Objective
1. By 2020, the amount of African American’s living in South Carolina diagnosed with type II diabetes will decrease by
20%.

12. Implementation & Intervention
11
How to Start the Program: The success of Eat Well Move Well will hinge
on community participation. Team Diabetes will recruit local
organizations to help give the participants of the program resources to
continue a healthy lifestyle once the program ends. Ideally, team Diabetes
will:
• Acquire membership cards to local grocery stores for the
participants.
• Partner with local farms to teach the participants the
importance of locally grown fresh food.
• Use gym equipment from local gyms for our program, attain
a discount for participants who want to join the gym
Kick
off:
To
kick
off
Eat
Well
Move
Well,
team
Diabetes
will
hold
an
interest
party
at
our
space.
The
interest
party
will
allow
team
Diabetes
to
see
how
many
people
within
the
community
will
be
interested
in
coming
to
our
program.
All
of
the
organizations
sponsoring
Eat
Well
Move
Well
will
also
be
invited
to
the
interest
party.
This
allows
the
participants
to
get
more
familiar
with
the
companies
and
the
products
they
provide.

13. Program Resources
12
Personnel Needed
Program Planning team:
Representative from Winningham Foundation
Anna, Carmen, Priya, Abby
Multiple people from target population
Local farmers. Gym owners
Discuss the resources
Representative from the place the program will be held
Managers: Dietitian manager, GP manager, Education manager, fitness
manager and participant manager. Each manager will be in charge of
managing their specified group and have to report back to Team Diabetes
and the program planning team about the successes and struggles of each
group.
Dietitians: Will guide the diet process for the participants, monitor weight
loss.
General Physician: Will monitor vital signs throughout the program to help
ensure the continued safety of participants.
Educators: Will help to educate the participants on the facts of diabetes and
how to properly treat the disease.
Fitness experts: Will help guide the weight loss of the participants, be in
charge of teaching the participants how to properly exercise, participants
will report back to their fitness expert in collaboration with their dietician.
Chefs: Will teach participants healthy alternatives to popular dishes, and
will help participants cook new healthy dishes.
Participants/Program offering
50 participants
Childcare
Access to support services:
Discount to local gym
Free grocery store membership
Necessary Materials
Place of congregation to hold the program
Fitness equipment (in kind from local gym)
Marketing needs

14. Program Resources
13
Month April May June July August Dec. January Feb. March April May
June
Task
Acquire
Funding X
Hire/Train
Personnel
X X
Acquire
space X
Acquire
supplies X
Advertise X X X X
Program
Implementation
X X X X X X
Evaluate
Program X X X X X X
Create
planning
committee
X
Create/dissemina
te
evaluation
report
X X
Recruit
Participants
X X X
Gather
Baseline
info
X
Final
review/check
X
Gantt Chart

15. Program Marketing
141
Program Incentives:
Childcare
Free T-Shirt
Free Water Bottle
Weight Loss Awards
Grocery Store Memberships EAT WELL
MOVE WELL
A DIABETES
PREVENTION
PROGRAM
Program participants will receive gift cards
for milestones during their weightless
journey. The idea is that participants will use
the gift cards to purchase work out clothes
and healthy foods.
EATWELL
MOVEWELL
A
DIABETES
PREVENTIO
N
EAT WELL
MOVE WELL
800.567.8910
WWW.EATWELLMOVEWELL.
COM
Kick start your
journey to
preventing Type
2 Diabetes!

16. Budget
15
ITEM AMOUNT TOTAL PRICE
PERSONNEL
Dietician Manager 1 15,000
GP Manager 1 15,000
Education Manager 1 10,000
Fitness Manager 1 10,000
Participant Manager 1 10,000
Dieticians 3 30,000
General Physicians 2 30,000
Educators 3 15,000
Fitness Specialists 2 10,000
Chefs 2 10,000
MATERIALS
Food 20,000
Healthy Eating Cook Books 60 600
Scales 3 300
Activity Journals 60 600
Program T-Shirts 75 750
Weight Loss Awards 15 7,500
Billboard 1 1,000
OFFICE SPACE
Meeting Room 15,000
Fitness Room 10,000
Kitchen Space 10,000
EQUIPMENT
Exercise Equipment In kind
TOTAL 221,050

17. Evaluation
16
In order to most effectively evaluate our program, we have chosen to use qualitative
evaluation to determine whether our program has successfully achieved our goal of providing
individuals the skills, knowledge, and behavior changes needed to prevent the development of
type 2 Diabetes.
We will develop and distribute pre-program and post-program surveys to both the program
participants and the program staff in order to gather data to learn whether program participants
made progress, learned new skills, and are confident in their ability to maintain the behaviors
learned through the program. In addition, we will mail out surveys both 3 and 6 months after the
program completion to the program participants in order to learn whether the skills they learned
are able to be maintained in their daily lives without the guidance provided by the program.
We will determine if our program has met all of its process objectives by comparing the
amount of diabetes related education opportunities available before our program to the number of
educational opportunities after our program. If the number of educational opportunities has
increased by 25% after the implementation of our program, then we have successfully
accomplished our process objectives.
We will determine if our program has met all of the impact objectives by receiving
information from our program participants through the use of surveys before and during the
program. On these surveys we will ask participants how active their lifestyle is before starting the
program and how active their lifestyle is one month after starting the program. If at least 65% of
program participants are living a more active lifestyle one month into the program , then we have
successfully completed one of our impact objectives.

18. References
17
American Diabetes Association. (2014, May 20). Genetics of Diabetes. Retrieved from http://www.diabetes.org/diabetes-basics/
genetics-of-diabetes.html
American Diabetes Association. (2014, June 20-b). What is Gestational Diabetes? Retrieved from
http://www.diabetes.org/diabetes-basics/gestational/what-is-gestational-diabetes.html
American Diabetes Association. (2014, September 10-a). Statistics about Diabetes. Retrieved from
http://www.diabetes.org/diabetes-basics/statistics/
Center for Disease Control and Prevention. (2011, August 1). Diabetes. Retrieved From
http://www.cdc.gov/chronicdisease/resources/publications/AAG/ddt.htm
Centers for Disease Control and Prevention (2012). Diabetes Report Card 2012 [PDF file). Retrieved from
http://www.cdc.gov/diabets/pubs/ pdf/diabetesreportcard.pdf
Centers for Disease Control and Prevention. (2014). National diabetes statistics Report, 2014. Retrieved from
http://www.cdc.gov/diabetes/pdfs/data/2014-report-estimates-of-diabetes-and-its-burden-in-the-united-states
Centers for Disease Control and Prevention. (2014). National diabetes statistics report, 2014. Retrieved from
http://www.cdc.gov/diabetes/pubs/statsreport14/national-diabetes-report-web.pdf
Mayo Clinic. (2014, July 24). Type 2 diabetes. Retrieved from http://mayoclinic.org/diseases-conditions/type-2
-diabetes/basics/definition/con-20031902
Mayo Clinic. (2014, August 2). Type 1 diabetes. Retrieved from http://www.mayoclinic.org/diseases-conditions/type-1
-diabetes/basics/definition/con-20019573
MedlinePlus.
(2015,
January
20).
Diabetes.
Retrieved
from
http://www.nlm.nih.gov/medlineplus/diabetes.html
South Carolina Department of Health and Environmental Control. (2014, October). Diabetes in South Carolina. Retrieved from
http://www.scdhec.gov/Library/ML-025328.pdf
South Carolina Department of Health and Environmental Control. (2012). Diabetes in Richland County, 2012. Retrieved from
https://www.scdhec.gov/Health/docs/Epi/diabetes/Richland.pdf
Zumaroh. (2014, December 3). Health information 202. [Web log comment]. Retrieved from
http://healthinformation202.blogspot.com/ 2014/12/diabetes-statistics.html