Northern California Society of Public Health Educators

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Scholar Corner

Multisystem Approaches Needed to Reduce Diabetes Disparities

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Groundbreaking National Initiative Shows Multisystem Approaches Needed to Reduce Diabetes Disparities
Innovative Changes in Policies and Systems, Guided by Local input, Improves Health Outcomes
Media Contact:  Jeanine Robitaille | (202) 408-9804 This e-mail address is being protected from spambots. You need JavaScript enabled to view it
EMBARGOED FOR RELEASE - October 30, 2014
Washington, DC - Exciting results from an innovative, multicultural, five-year initiative, known as the Alliance to Reduce Disparities in Diabetes (Alliance), have been published in ten peer-reviewed articles in the November 2014 supplemental issue of Health Promotion Practice (HPP).  The findings reveal that a new model of chronic disease management for vulnerable populations with diabetes shows significant promise in strengthening coordination of care, reducing diabetes health disparities and improving health outcomes.
Funded by Merck Foundation, the Alliance aims to help decrease diabetes disparities and enhance the quality of health care by improving prevention and management services. An independent cross-site evaluation of the five-site community-based care initiative involving African Americans, Latinos, and Native Americans showed statistically significant decreases in blood glucose measures, increased quality of life, and decreased health care use and cost for patients with diabetes in the Alliance program.
"A key element of the Alliance model is that it allows the sites freedom to address underlying gaps and weaknesses in its current health care system - a sharp contrast to traditional medical models," says co-guest editor of the supplement Dr. Leonard Jack, Centers for Disease Control and Prevention.
Diabetes affects nearly 26 million people in the United States, with racial/ethnic populations disproportionately affected.  Over the next 25 years, the prevalence of diabetes is expected to double and will require large scale evidence-based approaches to help control the anticipated increases in service needs and costs.
Members of the health care team in each Alliance community helped identify and implement the changes that supported outcomes such as enhanced patient self-management of diabetes, education of health providers in cultural awareness, and delivery of health care services. Three types of changes were identified as especially important for diabetes control: data sharing across care providing organizations; linking clinic services with community assets and resources in support of individual patient self-management; and integrating community health workers (CHWs) into the clinical care team.
HPP supplement co-guest editor Tawara Goode, Director, National Center for Cultural Competence and Associate Director, Georgetown University Center for Child & Human Development notes, "Alliance communities recognized early on that policy and systems changes were more likely to be successful and sustainable when driven by their 'on the ground experience' of the patients and communities served. CHWs helped provide that bridge and support the patient voice."  A few examples of policy and systems changes adopted by the five Alliance sites that helped produce patient and population-health outcomes are:

  • The Camden team spear-headed an effort that led the Governor to enact legislation that created Accountable Care Organizations (ACO) in the state and provide funding for a three-year ACO demonstration project.
  • The Chicago team negotiated a Food Prescription Program agreement with Walgreens and a local farmer's market.
  • The Dallas team established new job codes for CHWs within a health system, formally embedding the CHW role in the clinical care team and securing a Medicaid waiver to fund eight CHWs.
The HPP supplement further describes each of the sites' accomplishments and lessons learned in advocating for policy and systems changes.  All articles in theHPP supplemental issue are provided through open access at  Information on related podcasts and webinars are available at
About the Society for Public Health Education (SOPHE): SOPHE is a non-profit professional organization founded in 1950 to provide global leadership to the profession of health education and health promotion and to promote the health of society. SOPHE's 4,000 international and chapter members work in various public and private organizations to advance health education theory and research, develop disease prevention and health promotion programs, and promote public policies conducive to health. Health Promotion Practice (HPP) is one of three peer-reviewed journals published by SOPHE that is devoted to the practical application of health promotion and education.
About the Alliance to Reduce Disparities in Diabetes (Alliance): Supported by the Merck Foundation, the Alliance aims to help decrease diabetes disparities and enhance the quality of health care by improving prevention and management services. The University of Michigan's Center for Managing Chronic Disease serves as the National Program Office for the Alliance.
About Merck Foundation: The Merck Foundation, a U.S.-based, private charitable foundation, is funded entirely by Merck and is the company's chief source of funding support to qualified nonprofit charitable organizations. The mission of the Foundation is to support organizations and innovative programs that are aligned with our three priority areas: health, education, and community.

Last Updated on Friday, 31 October 2014 04:25

Informal Caregiving for Older Americans

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This report examines the role and experiences of informal caregivers for the older population, using a new resource, the National Survey of Caregiving (NSOC). The NSOC is unique in interviewing all informal caregivers for a nationally representative sample of persons age 65 or older receiving assistance with daily activities. NSOC respondents report on types of assistance they provide beyond traditional household (IADL) and self-care or mobility (ADL) tasks. These tasks range from assisting with transportation to help with health or medical care, including such things as injections or ostomy care. Thus, estimates capture the full range of supports informal caregivers provide and contributions they make in areas other than explicit long-term care. Information collected about positive and negative aspects of caregiving, health, and indicators of subjective well-being allows examination of how gains and burdens differ by caregiver and care recipient characteristics and by the intensity of care provided.

DISCLAIMER: The opinions and views expressed in this report are those of the authors. They do not necessarily reflect the views of the Department of Health and Human Services, the contractor or any other funding organization. The authors thank Patti Andreski and Maureen Skehan for their programming assistance.


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2015 Award and Scholarship Applications Due

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One Week Left:
Nominate a deserving colleague or apply today!

2015 Award & Scholarship Application deadline is October 31, 2014
The Society for Public Health Education (SOPHE) recognizes outstanding contributions to health education and health promotion through its yearly awards program. Award recipients will be recognized at the SOPHE Annual Meeting Awards Ceremony and Gala in Portland, Oregon.
Professional Awards
SOPHE's highest form of recognition for a SOPHE member; recognizes individuals who have made significant and lasting contributions to SOPHE and the profession of health education.

Recognizes individuals who have provided excellence in mentorship to health educators in their preparation, performance, and practice, and who have served to successfully bridge the rift between practice and research.

Recognizes an individual or group who embodies and promotes an Open Society, through research, practice, and/or teaching.

Recognizes individuals who have been health educators in any setting for less than five years and who are believed to have potential to achieve prominence in the health education profession.

Recognizes individuals or groups who use or develop technology to impact the practice of health education in schools, worksites, universities, the community, or health care. 

Recognizes outstanding health education programs (not agencies) in existence for at least three years.
Recognizes and publicizes creative, effective and replicable methods implemented by SOPHE chapters to deliver one or more core member services.
Click here to view award information and applications

Student Awards & Scholarships
Provides support to students in their pursuit of a degree in health education. Up to two awards, in the amount of $1,500 each, will be given each year to students who have demonstrated a commitment to addressing public health through a career in health education.

Fosters quality graduate student research and provides a mechanism by which to recognize outstanding graduate students for creative and innovative research.

Provides conference support to full-time undergraduate and graduate level students to attend the SOPHE Annual Meeting.
Click here to view student award information and applications

Visit the SOPHE Awards and Scholarships page for a complete list of awards offered, applications/ nomination instructions, forms and review criteria.
2012 SOPHE awards
Coming Soon...
Applications for the
Delbert Oberteuffer Scholarship and
Marion B. Pollock Fellowshipwill be opening soon.

2013 Behavioral Risk Factor Surveillance Data Released

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The CDC’s Division of Population Health recently released the most recent BRFSS data. The BRFSS continues to be the largest ongoing telephone-based surveillance system in the world, with more than 491,000 interviews conducted in 2013 across all 50 states, the District of Columbia, Puerto Rico, and Guam. The 2013 data on health risk behaviors, clinical preventive health practices, and health care access (primarily related to chronic disease and injury) come from a representative sample of non-institutionalized adults aged 18 years and older in each state.

Call for Studies: HHS Teen Pregnancy Prevention

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Mathematica Policy Research seeks studies for a systematic review of the evidence base on programs that impact teen pregnancy, sexually transmitted infections (STIs), and associated sexual risk behaviors. The Teen Pregnancy Prevention (TPP) Evidence Review is being conducted for the Office of the Assistant Secretary for Planning and Evaluation (ASPE), the Administration on Children, Youth and Families (ACYF), and the Office of Adolescent Health (OAH) within the U.S. Department of Health and Human Services (HHS). Submissions are due by October 24, 2014.
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