partnerships reaching diverse populations with evidence-based programs

PartnershipsReaching Diverse Populations with

Evidence-Based Programs

11th Annual Arthritis Grantees MeetingStrength in Numbers - Partnering for Arthritis

WHY is arthritis a barrier to effective diabetes

management?

Root Cause Analysis

DEVEN asks:

“Mama, why do I have to go to bed?”

WHY is arthritis a barrier to effective diabetes

management?

Arthritis and DiabetesIn Utah

FACTS:During the combined years 2003, 2005, 2007 and 2009

22.0 percent of Utahns reported arthritis.• Native Hawaiians/Pacific Islanders (14.0 percent) • Hispanics/Latinos (18.8 percent)

6.4 percent of Utahns reported diabetes. • Prevalence rate of diabetes higher among special populations

• Native Hawaiians/Pacific Islanders (7.0 percent) • Hispanics/Latinos (9.7 percent)

Among Utahns who reported diabetes, 50.1 percent also reported having arthritis.

UTAH Causal Analysis

Diabetes

Why do they have Diabetes?

OBESITY!!!

FACT:

Among Utahns who were obese during the combined years 2003, 2005, 2007 and 2009,

31.2 percent also reported having arthritis.

UTAH Causal Analysis

Diabetes

.

Why are they obese?

PHYSICAL INACTIVITY!!!

Obesity

FACT:

Among Utahns who were physically inactive during the combined years 2003, 2005, 2007 and 2009, 30.7 percent also reported having arthritis.

UTAH Causal Analysis

Diabetes

.

Obesity

Physical Inactivity

Why are they not active?

PAIN!!!

UTAH Causal Analysis

Diabetes

.

Obesity

Pain from arthritis may be a barrier to engaging in the recommended amount of physical activity.

--CDC MMWR (2008),

Physical Inactivity

Pain

Arthritis

Arthritis Impact Special Populations in Utah – Pacific Islander and Hispanics

Arthritis Prevalence• 22.0 percent of Utahns report arthritis.

• Hispanic (18.8 percent)

Arthritis Impact• Work Limitation (44.5% vs. 29.2%) • Pain (43.2% vs. 23.2%)• Activity Limitation (22.3% vs. 12.4%)

Evidence-Based Interventions

• Self- Management

• Physical Activity

EBI

A Successful PartnershipReaching Pacific Islanders

National Tongan American Society (NTAS)

Utah has the largest Tongan population outside the Kingdom of Tonga

Organization with a focus exclusively on the Pacific Islander population (primarily Tongans, Samoans and Hawaiians)

NTAS has been serving Pacific Islanders since 1995

A Successful PartnershipReaching Pacific Islanders

National Tongan American Society (NTAS)

Responsible for CDSMP delivery to the Pacific Islanders of Utah

Consistent delivery and coordination of workshops, sites, leaders and participants

Successful partnership due to ability to directly access and reach the Pacific Islander population, as well as average workshop participant number of 13

A Successful PartnershipReaching Hispanics

Alliance Community Services (ACS)

Hispanics account for 10% of the population over 20 years of age, which makes it the largest minority group in Utah

Subsequently, Spanish is the second most common language in Utah

Organization with a focus exclusively on the Hispanic/Latino population

ACS has been serving Hispanics since 2002

A Successful PartnershipReaching Hispanics

Alliance Community Services (ACS)

Since 2009, ACS has been the lead agency responsible for reaching and connecting Hispanic-serving organizations with Tomando Control, and increasing delivery to these groups

Conducts Spanish Leader Trainings and Tomando Control workshops, as well as assisting in the identification of new delivery system partners

Causal Analysis in Review

Diabetes

.

Obesity

Physical Inactivity

Pain

Arthritis

Questions and Action PlanningMake your game plan!

Source: Utah Population Estimates Committee and the Governor’s Office of Planning and Budget, 2008 Baseline Economic and Demographic Projections (Revised 7-23-2008)

Utah