Presented at the Association of Ontario Health Centres' conference on June 10 2010 in Niagara Falls, Ontario - Canada.

2. A Journey behind the program! By: Heba Sadek and Neil Stephens

3. Introductions

5. Who are you? 1. Name 2. Organization 3. Role

6. EXPECTATIONS

8. Program Overview

13. Outreach

14. FHC’s Catchment Area Demographic Source: FHC Catchment Area Census Study 2006

15. Demographics within a demographic

16. Bangladeshi Bengali East Indian Goan Gujarati Hindu Ismaili Kashmiri Nepali Tibetan Pakistani Punjabi Sikh Sinhalese Tamil Sunni Shia Zoroastrian So, who makes up the South Asian demographic? And, many, many more language and cultural groups!...

17. How we outreach to the SA community

18. But, why focus on the South Asian population?

19. The South Asians are at High Risk! Genetic predisposition lifestyle risk factors stresses associated with migration The literature on diabetes in the South Asian population clearly states the high-risk status of this group

22. Secondary Triad: Environmental

23. Program Delivery

25. First Session: Screening and workshop

30. SECOND SESSION: Diabetes Prevention Workshop Question: How to Prevent Diabetes?

31. Healthy Eating Physical Activity Mental Health Diabetes Prevention Answer: Healthy Lifestyle Modifications

33. THIRD SESSION: Workshops delivered by our collaborative partners

34. South Asian community groups are continually looking to connect with programs and open to host services at their locations Programs are facing challenges gaining access to South Asian communities Final Encounter with any screened group THE SOLUTION!

36. Innovation

40. Secondary Triad: Environmental

45. SADPP’s Database Registration Screen

46. SADPP’s Database Toolkit: Questionnaire

47. SADPP’s Database Toolkit: Clinical

48. SADPP’s Database Toolkit: Anonymous Data

49. Evaluation

50. Participants screened for since February 2009 Participants determined to be at risk of prediabetes 880 660 132 Screening sessions conducted 37 Follow Up workshops conducted 28 Groups/ centers to which SADP has been introduced 41 Our Successes so far...

51. Performance indicator Measure Baseline Target Results Prevent onset of diabetes Number of people screened 88 by March 31, 2009 660 by March 2010 880 (33.3%) Number of workshop attendees 70 by March 31, 2009 660 by March 31 2010 774 (17.27%) Number of identified pre-diabetics 25 by March 31, 2009 145 by March 31, 2010 132 (Incidence of prediabetes among SA: 12-15%) Reduce incidence of diabetes related complications Number of referrals and intake to the Mid Toronto Diabetes Education Program 41 by March 31, 2009 220 by March 31, 2010 369 (67.73%) Number of referrals to primary care doctor 7 by March 31, 2009 66 by March 31, 2010 67 (1.52%)

53. Tool Revision

57. New Developments

63. Wrap up Final thoughts and questions

64. Thank you!