The document outlines a proposed awareness campaign for early detection and prevention of diabetes among minority residents ages 20 and older who are at risk but not yet diagnosed. It aims to reduce mortality, morbidity, and the economic burden of diabetes. The campaign would use the Health Belief Model to increase perceived susceptibility and risks to motivate behavior change. Objectives include developing an advisory committee, recruiting volunteers, evaluating the process, and collecting data on behavior changes and incidence/prevalence pre- and post-campaign.

1. Imrana Y. Hamdi MD
Graduate Student
MPH Program
Department of Health and
Kinesiology
Purdue University.
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2. Awareness Campaign
for
Early Detection and Prevention of
Diabetes
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3. Target Population
 Minority Residents.
Ages 20 and above.
Not diagnosed with Diabetes.
 Carry risk factors for Diabetes.
• Obesity or overweight.
• Family history of DM.
• Medical conditions predisposing to DM
• Pre-diabetics.
• History of gestational DM
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4. Questions to address:
 How important is the problem perceived to be.
 What are some changeable factors?
 Number of undiagnosed cases in the group.
 How can we encourage public participation.
 Can we reduce the incidence with a reasonable
cost benefit ratio.
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5. Needs Assessment
• New cases diagnosed per year:
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6. Prevalence
• Existing cases
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7. Prevalence in age 20 and >by
Ethnicity
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8. Demographics
• Diabetes is most common in people over
60.
• Aging itself is not responsible for Diabetes.
• The Risk of death with Diabetes is twice
the risk of Non Diabetics.
• By 2050 almost half of the population
other than whites will have diabetes.
• Costs 13,243 $ compared with 2,560 $.
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9. Disparities
• Ethnic disparities.
• Socio-economic disparities.
• Age related disparities
http://www.ahrq.gov/research/diabdisp.htm
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10. Potential Reasons For a Greater Burden
• Greater number of people with Diabetes.
• Greater complications of diabetes.
• Inadequate access to proper programs
• Improper care
• Lack of awareness.
• Personal behaviors
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11. Determinants of Personal behavior
• Westernization
• Decreased Physical activity.
- Increased television watching
- Increased videogames addiction
- Lack of awareness.
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12. CHAMPS.
UCSF.
 CHAMPS 1 and 2.
 Small steps big rewards program.
http://www.ndep.nih.gov/campaigns/SmallSteps/SmallSteps_index.htm
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13. Picture Of Diabetic foot
Diabeticdermopathy.htm
DermAtlas, Johns Hopkins University; 2000-2007
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14. Prediabetes and GTT.
• An abnormal FBS.
• An abnormal GTT.
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15. Goals
Beauty
To
 Reduce Mortality and Morbidity
 Reduce economic burden
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16. Smart Objectives
Are derived towards health and behavior
outcomes and quality of life
Using the HBM to improve Perceived
Susceptibility + P. Risks= Perceived
threat, to bring a behavior change.
Community Organization and Social
Networks
Create an awareness Campaign
Local Health Departments services
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17. Objectives Continued
 Develop an advisory committee
 Recruit and train Volunteers
 Evaluate the Process.
 Collect post campaign data
-Behavior change
-Incidence, Prevalence.
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18. Future
Millions of Cases of Diabetes in 2000
and Projections for 2030, with Projected Percent Changes.
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19. References
• http://www.medscape.com/diabetes-endocrinology
• The International Electronic Journal of Health
Education, 2001; 4:276-282
• The International Electronic Journal of Health
Education 2004; 7:27-37 27
http://www.iejhe.org
• http://www.ahrq.org/
• http://www.ahrq.gov/research/diabdisp.htm
• http://www.cdc.gov/diabetes/pubs/factsheet.htm.
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20. Additional references.
• United States Department of Agriculture (USDA)
www.nutrition.gov
• Food and Drug Administration's (FDA) Nutrition Facts Label
www.cfsan.fda.gov/~dms/foodlab.html
• Weight-Control Information Network
www.win.nih.gov/index.htm
• American Diabetes Association
www.diabetes.org
• American Dietetic Association
www.eatright.org
• © DermAtlas, Johns Hopkins University; 2000-2007
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