Partnerships Reaching Diverse Populations with Evidence-Based Programs

1. 11th Annual Arthritis Grantees Meeting Strength in Numbers - Partnering for Arthritis PartnershipsReaching Diverse Populations withEvidence-Based Programs

2. WHY is arthritis a barrier to effective diabetes management?

3. Root Cause Analysis DEVEN asks: “Mama, why do I have to go to bed?”

5. WHY is arthritis a barrier to effective diabetes management?

6. Arthritis and DiabetesIn Utah FACTS: During the combined years 2003, 2005, 2007 and 2009 • 22.0 percent of Utahns reported arthritis. • Native Hawaiians/Pacific Islanders (14.0 percent) • Hispanics/Latinos (18.8 percent) • 6.4 percent of Utahns reported diabetes. • Prevalence rate of diabetes higher among special populations • Native Hawaiians/Pacific Islanders (7.0 percent) • Hispanics/Latinos (9.7 percent) • Among Utahns who reported diabetes, 50.1 percent alsoreported having arthritis.

7. UTAH Causal Analysis Why do they have Diabetes? OBESITY!!! Diabetes

8. FACT: • Among Utahns who were obese during the combined years 2003, 2005, 2007 and 2009, 31.2 percent also reported having arthritis.

9. UTAH Causal Analysis Diabetes Why are they obese? PHYSICAL INACTIVITY!!! Obesity .

10. FACT: • Among Utahns who were physically inactive during the combined years 2003, 2005, 2007 and 2009, 30.7 percent alsoreported having arthritis.

11. UTAH Causal Analysis Obesity Diabetes Physical Inactivity Why are they not active? PAIN!!! .

12. UTAH Causal Analysis Obesity Diabetes Physical Inactivity Pain Pain from arthritis may be a barrier to engaging in the recommended amount of physical activity. --CDC MMWR (2008), . Arthritis

13. Arthritis ImpactSpecial Populations in Utah – Pacific Islander and Hispanics Arthritis Prevalence • 22.0 percent of Utahns report arthritis. • Hispanic (18.8 percent) Arthritis Impact • Work Limitation (44.5% vs. 29.2%) • Pain (43.2% vs. 23.2%) • Activity Limitation (22.3% vs. 12.4%)

14. EBI • Evidence-Based Interventions • Self- Management • Physical Activity

15. A Successful PartnershipReaching Pacific Islanders • National Tongan American Society (NTAS) • Utah has the largest Tongan population outside the Kingdom of Tonga • Organization with a focus exclusively on the Pacific Islander population (primarily Tongans, Samoans and Hawaiians) • NTAS has been serving Pacific Islanders since 1995

18. A Successful PartnershipReaching Pacific Islanders • National Tongan American Society (NTAS) • Responsible for CDSMP delivery to the Pacific Islanders of Utah • Consistent delivery and coordination of workshops, sites, leaders and participants • Successful partnership due to ability to directly access and reach the Pacific Islander population, as well as average workshop participant number of 13

19. A Successful PartnershipReaching Hispanics • Alliance Community Services (ACS) • Hispanics account for 10% of the population over 20 years of age, which makes it the largest minority group in Utah • Subsequently, Spanish is the second most common language in Utah • Organization with a focus exclusively on the Hispanic/Latino population • ACS has been serving Hispanics since 2002

22. A Successful PartnershipReaching Hispanics • Alliance Community Services (ACS) • Since 2009, ACS has been the lead agency responsible for reaching and connecting Hispanic-serving organizations with Tomando Control, and increasing delivery to these groups • Conducts Spanish Leader Trainings and Tomando Control workshops, as well as assisting in the identification of new delivery system partners

23. Causal Analysis in Review Obesity Diabetes Physical Inactivity Pain . Arthritis

25. Questions and Action PlanningMake your game plan!

26. Utah Source: Utah Population Estimates Committee and the Governor’s Office of Planning and Budget, 2008 Baseline Economic and Demographic Projections (Revised 7-23-2008)