Coaches Forms
- Risk Screening-Referral Form
- Consent Form
- Coaches Weekly Data Collection Form
- Participant Enrollment Questionnaire
- Participant Week 16 Questionnaire
- Food & Activity Log
Curriculum from CDC Website for the National Diabetes Prevention Program
The content of the I CAN Prevent Diabetes Program is based on the National Diabetes Prevention Program and the Lifestyle Intervention curriculum.
The complete Lifestyle Intervention curriculum for 16 weekly core sessions, 15 options for monthly post-core sessions and other resources and tools can be found at the Centers for Disease Control and Prevention’s Division of Diabetes Translation enhanced website for the National Diabetes Prevention Program.
For example, CDC has developed a widget that can appear on your organization’s website or blog that can serve as a screening tool for prediabetes. In addition to raising awareness, the widget can be used as a first step towards referring individuals to Lifestyle Intervention programs in your area. Find the prediabetes screening widget here and click “share” to find out how to add the widget to your website. The website also has a video that you might use to recruit patients with prediabetes for your program.
Minnesota Regional Lifestyle Coach Training
Co-sponsored by the Minnesota Department of Health Diabetes Program and the Diabetes Training and Technical Assistance Center
The Minnesota Department of Health periodically partners with the Diabetes Training and Technical Assistance Center (DTTAC) at Emory University to bring National Diabetes Prevention Program Lifestyle Coach Training to Minnesota . Organizations may contact the Minnesota Diabetes Program to coordinate training or to learn about upcoming Minnesota trainings. Once a training date is established, each participant will register on-line with DTTAC for the two day training. For more information about the Minnesota Regional lifestyle coach training contact the Minnesota Department of Health Diabetes Program .
I CAN Prevent Diabetes Technical Assistance:
The Minnesota Diabetes Program provides technical assistance and consultation on strategies for promotion, recruitment, referral and implementation of the National Diabetes Prevention Program (NDPP). Staff will provide support on increasing community and provider awareness of prediabetes and prevention of type 2 diabetes, recruiting participants into the NDPP and obtaining referrals from clinics and providers.
Contact the Minnesota Department of Health Diabetes Program .
How to Recruit Partners
- “Bending the Curve on Diabetes“ Minnesota Physician magazine article 76 kb PDF
- I Can Prevent Diabetes Recruitment presentation 253 kb PowerPoint
- Algorithm to Identify People with Pre-diabetes and Type 2 Diabetes 203 kb PDF
How to Recruit Participants
- “Prediabetes… A Family Affair” Minnesota Healthcare News article 141Kb PDF
- CDC’s National Diabetes Prevention Program
- CDC Take the Test- Know Your Score Are You at Risk for Type 2 Diabetes?
- ADA Type 2 Diabetes Risk Test
- Sample Letter to Invite Patients to Register in Blue Earth 13Kb PDF
- Sample Flyer in Blue Earth 158Kb PDF
- Sample I CAN PD Brochure in Blue Earth 299Kb PDF
- Recruitment Flyer Rochester, MN 114 kb PDF
- Recruitment Brochure Rochester, MN 296 kb PDF
- I CAN Advertisement 189 Kb
- Sample Recruitment and Referral to Community Program in Minneapolis 2011 (spanish) 118Kb PDF
- Sample Recruitment and Referral to Community Program in Minneapolis 2011 (english) 147Kb PDF
- Sample Community Education posting in Minneapolis 49Kb PDF
Patient Enrollment
- I CAN Prevent Diabetes Risk Assessment and Provider Referral 240 Kb (Updated 12/13/2012)
- CDC’s National Diabetes Prevention Program
Outcomes and Forms
- CDC’s National Diabetes Prevention Program
- Food and Activity Tracker for Participants 56 kb PDF
- Weekly Report for Instructors 49 kb PDF
- Food and Activity Tracker for Participants, Spanish 209 KB
- Weekly Report for Instructors, Spanish 147 KB
Retention
- Recruitment and Retention of Hmong, Latina/o, and Somali Participants 423KB
Successes and Challenges
The I CAN Prevent Diabetes program was piloted in 4 communities from and is currently expanding statewide to other sites. Evaluation results from those classes will help inform planning efforts for future programs.
I CAN Prevent Diabetes (Individuals and Communities Acting Now to Prevent Diabetes): Strategies to Help Prevent Type 2 Diabetes in Minnesota by Rita A. Mays. Posted with permission from the Diabetes Care and Education Dietetic Practice Group of the Academy of Nutrition and Dietetics:
Reference: Mays RA. I CAN Prevent Diabetes (Individuals and Communities Acting Now to Prevent Diabetes): Strategies to Help Prevent Type 2 Diabetes in Minnesota. On the Cutting Edge. 2012;33(4):12-15.
Logo
This logo has a copyright and can only be used for approved National Diabetes Prevention Programs in the state of Minnesota. For permission to use this logo in your materials, contact the Minnesota Department of Health Diabetes Program. .