The physical and emotional health of an entire generation and the economic health and security of our nation is at stake. ~ First Lady Michelle Obama ~ At the Let s Move launch on February 10, 2010
Trends Project 2013: Adolescent Education on Type 2 Diabetes P R ES E N T E D BY CHRISTINA ALEYNIKOV, CAROL DOYLE, KIM HICKS, PATTY NACAMULI & CHRISTINA NERGER
The Problem: Adolescent Type 2 Diabetes
Assessment Presentation of statistical evidence. About 215,000 people younger than 20 years have diabetes (type 1 or type 2). This represents 0.26% of all people in this age group. Newly diagnosed diabetes more than tripled from 493,000 in 1980 to over 1.7 million in 2010. Poor nutritional choices. Mind set of indestructibility of this population. Cultural shift to reliance of technology & sedentary lifestyle.
Assessment Information from Carol s school nurse observation Research and review of statistical evidence Expression of need from pharmacology company per Lori Moog Meeting with VHS school nurses to determine target population Meeting with VHS health teachers to determine target population Article
Diagnosis Identification of readiness for enhanced knowledge of the adolescent population. Influence of peers due to Erikson s developmental stage of identity vs. role confusion.
Diagnosis Deficient knowledge of Type 2 Diabetes as evidenced in meetings with school nurses, health teachers and peer survey Readiness for enhanced knowledge related to development stage of identity vs role confusion evidenced by increased level of independence of making personal lifestyle choices
Planning Collaborate with VHS Junior, Tori Terribile, to cofacilitate Trends project and her community service project Meet with school nurses and gain permission from health department chair to gain access to students during health class Set presentation dates and time with health teachers Develop survey tool to identify baseline knowledge of target population Create multimedia lesson to present to junior health classes, focusing on health promotion
Collaborating with School Nurses
Planning Develop Tori s role in peer-to-peer administration of survey and co-facilitation of presentation Collaborate with health teachers to establish date of presentation Determine that program will be directed at knowledge deficits identified by pre-survey Determine dissemination of information to include interactive small-group activities Assign 3 teams of 2 to cover modifiable risk behaviors to discuss in small group activities; Each team determined their own activity to present
Implementation Peer to peer dissemination of survey tool Develop brochure to distribute Develop multimedia aspects of curriculum such as: Food board, eat this not that Type 2 Diabetes fact board Diabetes card game Exercise Apps Links, resources, Facebook page
Start: 0745!
First Class of the Day
Implementation Present awareness program to 5 health classes at VHS Tori began each class with an overview of Type 2 Diabetes, including definition, statistics and facts Three roundtables: Nutrition, physical activity, and Q & A fact game; 10 minutes per table Concluded each class with post-survey to assess effectiveness of educational program. Developed Facebook page: https://www.facebook.com/stopt2d
Peer Facilitator: Teaching
Christina & Christina: Teaching
Sugar Content in Popular Drinks
Choose My Plate
Kim & Patty: Teaching
Carol & Tori: Teaching
Deckabetes Prizes
Handouts & Resources
Long Day!
Evaluation Conduct post survey to be distributed by peer facilitator Debrief with health teachers and school nurses Determine if goal of increased awareness and knowledge of Type 2 Diabetes was met
Evaluation Results from post-survey were compiled and analyzed. Increase in students knowledge regarding modifiable risk factors was quantified. Positive verbal feedback was received by the health teachers Positive written feedback was received from health teachers.
Pre- and Post-Teaching Evaluation 120 100 80 60 40 Pre-Teaching Post-Teaching 20 0 Being Overweight Causes T2D TRUE People are Born with T2D FALSE T2D is Not Serious FALSE Eating Too Much Sugar Causes T2D FALSE T2D is Contagious FALSE T2D is Preventable TRUE
Comments from Health Teachers Program objectives were clearly stated: Met Not Met Breakout sessions supported program objectives: Met Not Met Break out groups were an effective learning method: Agree Do Not Agree
Comments from Health Teachers (cont.) Visual aids and handouts were helpful in conveying program objectives: Agree Do Not Agree Interactive activities were age appropriate: Agree Do Not Agree Interactive activities aided in conveying the educational material: Agree Overall, was the program effective? Yes Do Not Agree No
Feedback from Health Teachers Thank you for coming into our classes. The program was awesome. The students were engaged the entire time, having fun and learning at the same time. I am planning on incorporating this into our lesson plans. The group was very knowledgeable, well prepared and relaxed as they gave their presentation. It was a great experience for our students and staff as well. Donna Exley
Feedback from Health Teachers Thank you for coming in and spending time with the Junior Health classes. The students certainly got a lot out of the information given on Type 2 Diabetes. The breakout sessions (good amount of time for each) kept their interest and gave them information that they will talk about for time to come. The visual aids makes it more realistic for them. If they don t stop drinking some of the drinks shown (with their sugar content) they will certainly think twice when reaching for it. They now have a background on what to do to help prevent diabetes and hopefully help others to make the right choices as well. Heidi
References Childhood Obesity Facts. (n.d.). Retrieved March 15, 2013, from Centers for Disease Control website: http://www.cdc.gov/healthyyouth/obesity/facts.htm Childhood Obesity Facts. (n.d.). Retrieved March 15, 2013, from Centers for Disease Control website: http://www.cdc.gov/healthyyouth/obesity/facts.htm Childhood Obesity Facts. (n.d.). Retrieved March 15, 2013, from Centers for Disease Control website: http://www.cdc.gov/healthyyouth/obesity/facts.htm Children and Diabetes - More Information. (2012, April 3). Retrieved March 23, 2013, from http://www.cdc.gov/diabetes/projects/cda2.htm Diabetes Statistics. (n.d.). Retrieved March 18, 2013, from Centers for Disease Control website: http://www.cdc.gov/diabetes/statistics/incidence/fig1.htm Diabetes Tools and Resources. (n.d.). Retrieved March 15, 2013, from American Heart Association website: http://www.heart.org/heartorg/conditions/ Diabetes/DiabetesToolsResources/Diabetes-Tools- Resources_ UCM_002037_Article.jsp
References (cont.) Diabetes Tools and Resources. (n.d.). Retrieved March 15, 2013, from American Heart Association website: http://www.heart.org/heartorg/conditions/ Diabetes/DiabetesToolsResources/Diabetes-Tools-Resources_UCM_002037_Article.jsp Five things you should know about Diabetes. (n.d.). Retrieved April 9, 2013, from http://www.diabetes.org/diabetes-basics/prevention/pre-diabetes/ pre-diabetes-faqs.html How much physical activity do children need? (2011, November 9). Retrieved March 23, 2013, from http://www.cdc.gov/physicalactivity/everyone/guidelines/ children.html It's about eating right. (n.d.). Retrieved March 15, 2013, from Academy of Nutrition and Dietetics website: http://www.eatright.org/public/ list.aspx?taxid=6442452078 Let's eat for the health of it. (n.d.). Retrieved from http://www.choosemyplate.gov/print-materials-ordering/dietary-guidelines.html
References (cont.) School nurses and childhood obesity: an investigation of knowledge and practice among school nurses as they relate to childhood obesity. (2009, March). Issues in Comprehensive Pediatric Nursing, 32(1), 16-30. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=hch&an=368011.56 Steele, R. G., WU, Y. P., Jensen, C. D., Pankey, S., Davis, A. M., & Aylward, B. S. (2011). School nurses' perceived barriers to discussing weight with their families: a qualitative approach. Journal of School Health, 81(3), 128-137. Retrieved from http://search.ebscohost.com/ login.aspx?direct=true&db=hch&an=58509508 Tips for Teens: lower your risk for Type 2 Diabetes. (2012, November 1). Retrieved March 4, 2012, from http://ndep.nih.gov/teens/loweryourrisk.aspx