Author(s): Rosanne Keathley, PHD1, Judy Sandlin, PHD2, David Ficklen, MD3, Karen Bilsing, BS4

Affiliations: 1Health and Kinesiology, Sam Houston State University, 2 Human Resource and Development, Texas A & M University, 3 Chief Medical Officer, Huntsville Memorial Hospital, 4 Community Relations Manager, Huntsville Memorial Hospital

Purpose: Currently 25.8 million people (8.3%) in the US are living with diabetes. This study assessed the need for a diabetes intervention program through community health screenings. Method: Participants (N=323) completed a diabetes risk questionnaire with health screenings. Ages ranged between 17 and 69 (M = 46.36, S = 15.29) with 80% (N=258) females and 20% (N=65) males comprising the sample. Participants included Non-Hispanic White (64.1%), African-Americans (22.1%), Hispanic/Latino (7.4%), and Other (3.7%) with 93.8% stating English was their primary language. Results: Eleven percent stated they were diabetic. Chi square analyses indicated a significant difference between males and females with diabetes, χ2(1, N = 306) = 8.83, p = .003. A significantly higher number of males indicated they were diabetic. Chi square indicated a significant number of those with diabetes received a check-up during the last year, χ2(1, N = 307) = 8.48, p = .004; and had received a blood sugar test and blood cholesterol test, χ2(1, N = 303) = 45.71, p = .000 and χ2(1, N = 302) = 27.53, p = .000, respectively. A significant number of diabetics had a parent, χ2(1, N = 301) = 6.18, p = .013, grandparent, χ2(1, N = 294) = 7.16, p = .007, or sibling with diabetes, χ2(1, N = 296) = 14.56, p = .000. A significant number considered themselves to be overweight, χ2(1, N = 299) = 5.06, p = .024. Higher numbers of participants with diabetes had high blood pressure (71.9%), high cholesterol levels (55.9%), and high blood sugar levels (50% checked levels daily, 31.3% did not), χ2(1, N = 298) = 33.60, p = .000, χ2(1, N = 297) = 15.56, p = .000, and χ2(1, N = 299) = 160.65, p = .000, respectively. During the last year, 56.7% did not attend a diabetes class; 74.2% received no nutrition education; 71.9% received a dilated eye exam; 67.7% received a flu shot; with 9.1% stating they used tobacco products. Conclusions: Results indicate the need for a comprehensive community diabetes education and intervention program that includes nutrition, exercise, testing, and prevention.

Keywords: Diabetes, Intervention, Screening, Education

Learning Objectives:

  1. Upon completion of the presentation, participants will be able to explain the behavioral, environmental, and predisposing factors associated with diabetes.
  2. Upon completion of the presentation, participants will be able to apply the educational activities, screenings, and the diabetes questionnaire conducted in the Diabetes Intervention and Community Education (D.I.C.E.) Program to fit the need of the at-risk populations in their community.
  3. Upon completion of the presentation, participants will be able to organize community resources for diabetes awareness and screening events in their respective cities and counties.
  4. Upon completion of the presentation, participants will become aware of the medical treatments, testing procedures, nutritional protocols, and exercise regimes currently used for individuals living with diabetes.



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