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Bright Spot: Road to Health Toolkit
The Road to Health Toolkit (Kit El camino hacia la buena salud) was developed by the National Diabetes Education Program (NDEP), a partnership of the National Institutes of Health (NIH), the Centers for Disease Control and Prevention (CDC), and more than 200 public and private organizations. NDEP wants to help community health workers (CHWs) share with their communities that type 2 diabetes can be prevented or delayed in people at high risk for the disease. This bi-lingual toolkit is for CHWs in African American/African Ancestry and Hispanic/Latino communities. The Road to Health Toolkit was mainly designed for African American/African Ancestry and Hispanic/Latino communities, but it can appeal to any audience. In the United States, these two communities are at higher risk than the general population for developing type 2 diabetes.
In creating this toolkit, NDEP looked at findings from the Diabetes Prevention Program (DPP) study. The DPP study showed that type 2 diabetes can be prevented or delayed in people at high risk for the disease. The DPP study has three main messages on how to prevent or delay type 2 diabetes.
- Lose 5 to 7 percent of their weight, if they are overweight (10 to 14 pounds /4.5 to 6.3 kg for a 200 pound/90.6 kg person).
- Lose and maintain the weight loss by making healthy food choices by eating a variety of foods that are low in fat and reducing the number of calories they eat per day.
- Get at least 30 minutes of moderate-intensity physical activity five days a week. This could be brisk walking, yard work, and actively playing with children, for example, riding bicycles or playing soccer.
NDEP also asked CHWs who are working in African American/African Ancestry and Hispanic/Latino communities what tools they would need to teach their neighbors about type 2 diabetes prevention. Their answers helped shape The Road to Health Toolkit, which has three types of materials: resources, activities, and teaching aids. The basic toolkit components include: a Flipchart, User's Guide, Activities Guide, Resource Guide, Photo Journal, and The Road to Health Supplemental CD-ROM. Also available are The Road to Health Training Guide and Video, designed for those who offer train-the-trainer workshops.
The Road to Health Toolkit provides community health workers/"promotores de salud", nurses, health educators and dietitians with interactive tools that can be used to counsel and motivate those at high risk for type 2 diabetes. These tools will help reduce risk for type 2 diabetes by encouraging healthy eating, increased physical activity, and moderate weight loss for those who are overweight.
After this training, the participant will have the knowledge, skills, and competency to:
- Define types, symptoms, and complications of diabetes.
- List at least three major findings of the Diabetes Prevention Program (DPP) study.
- Explain how type 2 diabetes can be prevented or delayed.
- Identify at least five risk factors for type 2 diabetes.
- Explain the importance of making small lifestyle changes to prevent or delay the onset of type 2 diabetes.
- Define serving and portion size for common foods.
- Demonstrate how to use the Road to Health Toolkit.
- Conduct a role play activity by using the Road to Health Toolkit Flipchart.
- Identify serving size, total calories, and saturated fat on Nutrition Facts labels.
- Use the National Diabetes Education Program (NDEP) Food and Activity Tracker to record food and drink intake and physical activity.
- Use the NDEP Fat and Calorie Counter to demonstrate how to determine the grams of fat and calories eaten.
- Use the poster Step by Step - The Road to Health to introduce, summarize, and end the training workshop.
- Communicate the three key prevention messages to help prevent or delay the onset of type 2 diabetes - 5 percent to 7 percent weight loss, if overweight by: making healthy food choices and following a low fat, low calorie meal plan and increasing physical activity for a minimum of 30 minutes at least five days a week.
- State the role of CHWs in helping people learn how to prevent or delay type 2 diabetes by explaining the roles CHWs have in the community, learning tips from CHWs.
- Develop and strengthen a partnership with the NDEP.
Evaluation Strategies and Data Collection Tools
The Road to Health Toolkit Evaluation Guide was created to help community health workers (CHWs), diabetes educators and health educators in their evaluation efforts and for those who want to know how the Road to Health Toolkit is making a difference in the lives of their participants who are at risk for type 2 diabetes, and how well they have conducted their own educational activities while using the Road to Health Toolkit.
The key outcome measures are:
- Did the participant change their behavior in order to reduce the risk of type 2 diabetes (i.e., making healthy food choices, increasing physical activity, and losing weight)?
- Participant satisfaction (how well did today's session go?)
The key process measures are:
- Number of sessions conducted
- Length of each session
- Topics covered in each session
- Parts of the toolkit used in each session