Montana Cardiovascular Disease and Diabetes Prevention Program

Submission Date: December 2013

Entry Type: Case Study

State/Territory Submitted on the Behalf of: Montana

States/Territories Involved: Montana

Funding Source: CDC

CDC Funding:

Yes

CDC Funding (Specified):

Other CDC Funding

Domain Addressed:

Community-Clinical Linkages

Public Health Issue:

• Lifestyle change programs that help participants lose weight, quit smoking, be more active and control their blood pressure and blood sugar can help prevent and control a number of chronic diseases, including heart disease and diabetes.
• Increasing the use of lifestyle change programs that have achieved CDC recognition is a core intervention for state diabetes prevention and control programs.

Project Objectives:

-Raise awareness (among people at high risk) of prediabetes risk factors, of the location of lifestyle change program sites and of the steps for enrolling in these programs.
-Increase use of CDC-recognized lifestyle change programs.
-Raise awareness (among health care providers) of how to recognize and treat prediabetes and  implement systems for referral of people at risk of diabetes to sites offering lifestyle change programs.

Program Action:

• The Montana Diabetes Prevention and Control Program (DPCP) initiated the implementation of a statewide evidence-based lifestyle change program adapted from the DPP and the Healthy Native Community Partnership’s adaptation of the DPP curriculum.
• 15 sites deliver the program in person. Following a successful pilot using a telehealth delivery model, telehealth delivery expanded to six rural and frontier locations.
• The DPCP designed the program and secured the original funding, recruited and provided funds to the sites, provided training and technical assistance to the lifestyle coaches, and conducts evaluation of the program.
• Staff from all sites convenes on a monthly conference call to network and share challenges and solutions.
• Twelve sites have pending recognition under the CDC Diabetes Prevention Recognition Program.

Data/Other Information Collected:

The DPCP collected evaluation data from each site using the Primary Prevention Software (PPS) to standardize data collection. They also generated data reports for sites and provided feedback about their outcomes. The DPCP will provide the data collection software to other programs free of charge.

Impact/Accomplishments:

• Among 1,830 program completers:

• 66% achieved the goal of at least 150 minutes per week of physical activity with a mean of 205 minutes of physical activity per week
• Average weight loss was 6.9 kg (approximately 15 lbs)
• 47% achieved the weight loss goal of 7%

• Approximately 60 lifestyle coaches were trained
• Among 14 adults enrolled in the pilot telehealth intervention (compared with 13 enrolled in an onsite program): There was similar achievement of the 7% weight loss goal

Challenges/Lessons Learned:

Challenges:
– Locating sites for weekly structured physical activity events, especially in the winter in rural areas
– Avoiding drop-off in participation and retention rates during the monthly sessions following the core sessions
Lessons Learned:
– Use registered nurses, registered dieticians, exercise specialists, and other health care professionals as lifestyle coaches.
– Use the standardized, evidence-based Diabates Prevention Program  curriculum to ensure consistent program delivery.
– Physician champions were the most valuable partners for referrals

Next Steps:

Citations for published articles related to this effort are included in the publication linked below – one example:
Butcher, M. K., Vanderwood, K. K., Hall, T. O., Gohdes, D., Helgerson, S. D., & Harwell, T. S. (2011). Capacity of diabetes education programs to provide both Diabetes Self-Management Education and to implement diabetes prevention services. Journal of Public Health Management Practice, 17(3), 242–247. http://www.ncbi.nlm.nih.gov/pubmed/21464686

Program Areas:

Diabetes, Heart Disease and Stroke

State Contact Information:

MT
Sarah Brokaw
Montana Diabetes Prevention and Control Program
406-444-9154
sbrokaw@mt.gov

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