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Raising awareness at the grassroots level – community and workplace

Raising awareness at the grassroots level – community and workplace. This slideset was developed in 2007 with support from GlaxoSmithKline. The need for improved global awareness. Healthy diet and exercise could prevent up to 80% of type 2 diabetes . 7 million.

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Raising awareness at the grassroots level – community and workplace

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  1. Raising awareness at the grassroots level –community and workplace This slideset was developed in 2007 with support from GlaxoSmithKline

  2. The need for improved global awareness Healthy diet and exercise could prevent up to 80% of type 2 diabetes 7 million new cases of diabetes each year At least 50% of people with diabetes do not know they are affected Every 10 seconds, a person diesfrom diabetes-related causes International Diabetes Federation. Did You Know?http://www.idf.org/home/index.cfm?unode=3B96906B-C026-2FD3-87B73F80BC22682A

  3. Diabetes has serious implications Stroke Blindness 2 to 4 fold increase in cardiovascular mortality and stroke3 Leading cause of blindness in working age adults1 Heart Disease 8/10 diabetic patients die from cardiovascular events4 Kidney failure Amputations Leading cause of end-stage kidney disease2 Leading cause of non-traumatic lower extremity amputations5 1 Fong DS et al.Diabetes Care 2003; 26 (Suppl. 1):S99–S102. 2Molitch ME et al.Diabetes Care 2003; 26 (Suppl. 1):S94–S98. 3Kannel WB et al. Am Heart J 1990; 120:672–676.4Gray RP & Yudkin JS. In Textbook of Diabetes 1997 Chapter 57. 5Mayfield JA et al.Diabetes Care 2003; 26 (Suppl. 1):S78–S79.

  4. Unite for Diabetes: World Diabetes Day United Nations Resolution on Diabetes General Assembly of the UN • Designated 14 November, the current World Diabetes Day, as a United Nations Day, to be observed every year from 2007 • Invited all member states to observe World Diabetes Day in order to raise public awareness on diabetes care and prevention United Nations. Resolution on Diabetes.http://www.unitefordiabetes.org/assets/files/UN_Resolution.pdf.

  5.      What can communities do? Raise public awareness Create a sense of urgency Communicate the magnitude of the problem Get people involved in improving their health Recognise those who are most at risk Reduce risk to families, friends and wider communities

  6. What examples do we have of successful campaigns?

  7. Case Study Increasing awareness of diabetes, its risk factors and complications Chennai Urban Rural Epidemiology Study, India

  8. Case Study Chennai Urban Rural Epidemiology Study Do you know what diabetes is? • Study in Chennai, largest city in Southern India • Questionnaire completed by ~26,000 individuals • Five questions about diabetes; data collected on: • education • medical history Do you think more people are affected by diabetes nowadays? What factors do you think contribute to diabetes? Do you know that diabetes can cause complications in other organs? Can diabetes be prevented? Mohan D et al. J Assoc Physicians India 2005; 53:283287.

  9. Case Study The need for improved awareness: Chennai Urban Rural Epidemiology Study Individuals (%) Aware of: Diabetes asa condition 0 10 20 30 40 50 60 70 80 90 100 Increasing prevalenceof diabetes Diabetes ispreventable Risk factors: –Family history – Lack of physical activity – Obesity Complications: – Foot problems – Kidney disease – Eye disease – Heart attack – Stroke Adpated from Mohan D et al. J Assoc Physicians India 2005; 53:283287.

  10. Case Study Increase awareness, promote change: Chennai Urban Rural Epidemiology Study • Complementary programme of initiatives including: • Counselling of people with/at risk of diabetes • Public lectures on benefits of regular exercise, tailored to age, gender and cultural background • Educational materials distributed to every household • Short video sequences highlighting serious nature of diabetes and importance of physical activity +313% People exercisingmore than 3 times/week Mohan V et al. J Assoc Physicians India 2006; 54:858862.

  11. Case Study Raising awareness among high risk groups Measure Up Campaign,Diabetes UK

  12. Case Study Measure Up Campaign, Diabetes UK Objective • 25%  in awareness of diabetes and Diabetes UK services in people with undiagnosed type 2 diabetes Strategy • Campaign targeting information to high risk groups, including: • the overweight • people with a family history of diabetes • black and minority ethnic groups • people aged over 40 Diabetes UK. Measure Up – Are You At Risk of Diabetes. http://www.diabetes.org.uk/Measure_Up_-_are_you_at_risk_of_diabetes/.

  13. Case Study Measure Up: Tactics • Roadshows ~20 UK towns/year • Simple 2-minute test to assess risk of diabetes • Advice about diabetes • Advertising • Posters at strategic locations throughout the UK • Adverts in national newspapers and consumer magazines • Online targeting of at risk groups • Lobbying • Extended poster campaign and awareness day at UK Houses of Parliament • Campaigning at conferences of UK political parties Diabetes UK. Measure Up – Are You At Risk of Diabetes. http://www.diabetes.org.uk/Measure_Up_-_are_you_at_risk_of_diabetes/.

  14. Case Study Measure Up: Results Printmedia campaign reaches> 33 millionpeople 4,000 postersat strategic locations 200,000 visitors to Diabetes UK website in first 2 months 870,000 people reached online > 3 million people recall campaign > 150,000 testedfor diabetesby family doctor > 93,000 orders for campaign materials by healthcare professions Diabetes UK. Measure Up – Are You At Risk of Diabetes. http://www.diabetes.org.uk/Measure_Up_-_are_you_at_risk_of_diabetes/.

  15. Case Study Simple steps to prevent diabetes Small Steps, Big RewardsUS National Diabetes Education Program

  16. Case Study Diabetes can be prevented or delayed:Small steps, Big rewards Diabetes can be prevented through small steps: Lose a modest amount of weight (5–7%)… … by building up to 30 mins of physical activity/day… … and following a low-calorie, low-fat eating plan For big rewards: • Healthier and longer life • Avoid serious complications such as heart disease, stroke, blindness, kidney failure and amputations • Peace of mind Campaign run by the US National Diabetes Education Programme National Diabetes Education Program. Small steps. Big Rewards. Prevent Type 2 Diabetes. http://ndep.nih.gov/campaigns/SmallSteps/SmallSteps_index.htm.

  17. Case Study Small steps, Big rewardsCampaign components • Public service advertising • Television, radio and print • Publicity campaign • Events in cities across the US to promote community-based weight loss and lifestyle change • “GAME PLAN” toolkit for health professionals • Latest research on diabetes prevention • Practical tips for counselling patients about weight loss • Educational materials • “GAME PLAN” consumer materials • Provide at-risk individuals with everything needed to start and maintain weight loss • Practical tips tailored for specific audiences, e.g. elderly, ethnic groups National Diabetes Education Program. Small steps. Big Rewards. Prevent Type 2 Diabetes. http://ndep.nih.gov/campaigns/SmallSteps/SmallSteps_index.htm.

  18. Case Study Regular physical activity can make a huge difference Walk Missouri& Tour de Cure

  19. Case Study Community-based initiatives:Walk Missouri • Community-wide media campaign in St. Joseph, Missouri • Billboard, newspaper and radio advertisements • Promoted benefits of walking and moderate physical exercise in reducing: • diabetes • other diseases including heart disease and stroke Wray RJ et al. Prev Chronic Dis 2005: 2:117.

  20. Case Study Encouraging regular physical activity:Walk Missouri – the results Participated insponsored walk +760%* Participated in worksite wellness activities +30% Participated in health fairsponsored by local HCP +100%* Walked ≥ 10 min at a timeduring usual week –1% Days/week walked ≥ 10 min at a time *P < 0.05 +15%* Total minutes walkedon scale of 1–6 +3% Wray RJ et al. Prev Chronic Dis 2005: 2:117.

  21. Case Study American Diabetes Association:Tour de Cure • Series of fund raising cycling events in support of the ADA • In the 2006 series: 32,000 cyclists… took part in 78 events… raising nearly $13 million • Riders champion the search for a cure for diabetes and many have diabetes themselves American Diabetes Association. Tour de Cure.http://tour.diabetes.org/.

  22. Case Study Helping doctor/patient communication Designs on Diabetes

  23. Case Study Designs on Diabetes:Highlighting the emotional impact of diabetes • Art competitions across the Asia-Pacific region • Doctors submit their artwork expressing what they think living with diabetes is like • Intended to build empathy and improve communication between patients and doctors • Artwork will also be used in a number of ways to raise awareness of diabetes

  24. Making a difference What can you do?

  25.   You can make a difference! (1) Recognise risk factors – Family history – Waist circumference – Ethnic groups – Age Recognise that increasing public awareness through simple campaigns can change attitudes and produce results Get involved – organise events to increase exercise levels

  26.    You can make a difference! (2) Understand the need for regular weight and eye tests Encourage communication between patients and healthcare providers Educate on the need for urgency in attaining good glycaemic control Talk to each other and share success stories

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