Presentation by Joyce Green Pastors, RD, MS, CDE, Diabetes Nutrition Specialist, Virginia Center for Diabetes Professional Education and Assistant Professor of Medical Education in Internal Medicine, University of Virginia School of Medicine

1. Diabetes Tele-Education Programs
Virginia Center for Diabetes Professional Education
University of Virginia Health System
2008 - 2013
J. Terry Saunders, Ph.D.
Joyce Green Pastors, M.S., R.D., C.D.E.

2. Virginia - Percentage of Adults (aged 18 years
or older) with Diagnosed Diabetes, 1994 – 2010

3. Estimated Diabetes Prevalence in Virginia, 2010
Prediabetes
531,366
Gestational
312,568
2,145,074
Children, Adolescents
(<20 yrs)
Undiagnosed Adults
4,868
Diagnosed Adults
11,443

4. 2009 Age-Adjusted Estimates of the Percentage
of Adults† with Diagnosed Diabetes in Virginia

5. Virginia - Percentage of Adults(aged 18 years or older) with Diabetes
Ever Attending a Diabetes Self-Management Class, 2000 – 2010

6. Cities
1.
2.
3.
4.
5.
6.
Mechanicsville
Gloucester
Hopewell
Tappahannock
Kilmarnock
Franklin
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
Arlington
Pulaski
Hot Springs
Luray
Bedford
Lexington
Danville
South Boston
South Hill
Emporia
Tazewell
18.
19.
20.
21.
22.
23.
24.
25.
Lebanon
Marion
Stuart
Norton
Norton
Martinsville
Pennington Gap
Wytheville
West
Virginia
804 (5)
757 (1)
703 (1)
540 (6)
434 (4)
276 (9)
Virginia Hospitals With No ADA
Recognized Programs In Progress
By Telephone Area Code (March 7, 2008)

7. Rationale for Diabetes Tele-Education
• Epidemic of diabetes statewide
• It is estimated that only 60% of those who have diabetes in
Virginia have had ANY education (BRFSS data)
• Shortage of diabetes educators and ADA recognized education
programs in rural and underserved areas of the state
• Lack of adequate reimbursement for diabetes patient education
• Difficulty and expense of providing face-to-face professional
education
• Efficiency of using existing telemedicine equipment for
education

8. Diabetes Tele-education Partners, 2012
• University of Virginia Diabetes Education and
Management Program
• University of Virginia Office of Telemedicine
• Virginia Department of Health, Office of Minority
Health and Health Equity
• Virginia Information Technology Agency (VITA)
• Harry L. Coomes Recreation Center, Abingdon, VA

9. Comparison of Participation by Type of Site, 2008-2012
Total Number of Sites: 43
Number of Sites Participating
16
14
Critical Access/Small Rural
Hospitals
12
Community Health
Centers
10
Health Departments
8
6
Free Clinics
4
Senior Centers
2
Libraries
0
2008
2009
2010
2011
2012

10. Number of Program Participants, 2008-2012
Total Number of Participants = 1610
500
444
450
400
390
369
350
300
228
250
179
200
150
100
50
0
2008
2009
2010
2011
2012

11. Review of Accomplishments for 2012

12. Sites Participating in 2012
Health Districts and Number of Patients Per Site
Frederick
Clarke
Loudoun
Blue Ridge
Medical Center (65)
Warren
Shenandoah
Highland Medical
Center (1)
Page
Rockingham
Central Shenandoah
Fairfax
Fauquier
Rappahannock
Prince
William
Culpeper
Madison
Stafford
Highland
Bath Community
Hospital (1)
Orange
Augusta
Caroline
Albemarle
Louisa
Essex
Thomas Jefferson
Alleghany
Northumberland
Fluvanna
Hanover
King
William
Goochland
Craig
Appomattox
Wise (32)
Giles
Roanoke
Buchanan
Health
Wagon (4)
Dickenson
Campbell
Montgomery
Bland
Tazewell
Franklin
Wythe
Eastern
Shore
Middlesex
Mathews
Charles
City
James
City
Prince
George
Chesterfield
Northampton
Gloucester (7)
York
Surry
Dinwiddie
Lunenburg
Floyd
Onley (140)
Lancaster
New
Kent
Nottoway
Charlotte
Pulaski
Russell
Amelia
Bedford
King
And
Queen
Henrico
Buckingham
Powhatan
Cumberland
Amherst
Botetourt
Richmond &
Tappahannock
Free Clinic (36)
Westmoreland
Spotsylvania
Rockbridge
Three Rivers
King
George
Greene
Hampton
Sussex
Smyth
Scott
Pittsylvania
Carroll
Washington
Grayson
Lee (4)
Patrick
Tri-Area CHC (55)
Halifax
Brunswick
Mecklenburg
Mount Rogers
Piedmont
Virginia
Beach
Chesapeake
Nottoway Public
Library (40)
Henry/Martinsville (20)
West Piedmont
Suffolk
Greensville
Prince Edward
(33)
Lenowisco
Southampton
Petersburg (7)
Crater

13. Total Number of Participants by Site
Wise Co HD
Tri-Area Comm Hlth Cntr
4
Health Wagon (Wise)
1
Highland Med Cntr
Richmond Co HD
Prince Edward Co HD
Nottoway Co HD
4
Lee Co HD
Henry/Martinsville HD
7
Gloucester Co HD
Onley Comm Hlth Cntr
7
Petersburg HD
Blue Ridge Med Cntr
Bath Community Hospital 1
0
32
55
36
33
40
20
140
65
20
40
60
80
100
120
Number of Participants
140
160

14. Number of Participants
Attending Each Broadcast
60
50
40
30
20
10
0
17-Apr
25-Apr
15-May 29-May
19-Jun
26-Jun
17-Jul
24-Jul
21-Aug
28-Aug
18-Sep
25-Sep
16-Oct
23-Oct
20-Nov
27-Nov

15. Summary Attendance Statistics for 2012
• 444 program participants
• 238 individual participants
– Average age: 66.7 y.o.
– 169 females, 69 males
•
•
•
•
•
•
•
1.87 average classes per participant
117 participants (49.2%) took one class
62 participants (26.1%) took 2 classes
36 participants (15.1%) took 3 classes
19 participants (8.0%) took 4 classes
4 participants (1.7%) took 5 classes
21 participants were awarded certificates for attending all 4
classes

16. Participant Reports of Type of Diabetes
Type 1
12%
None
17%
Don't know
2%
Pre-diabetes
8%
Type 2
61%

17. Participant Ratings of Usefulness of Classes
5.00
4.50
4.28
4.32
Living Well
with Diabetes
I Have Diabetes
Now What Do I Eat?
4.43
4.25
Level of Usefulness (1-5)
4.00
3.50
3.00
2.50
2.00
1.50
1.00
Improve Your Blood
Glucose,
Get Active,
Manage Your Stress
Eat Smart

18. 2013 Schedule of Classes *
* All classes scheduled from 1-3 pm

19. Plans for 2013
• Improvement in group facilitation at participating sites;
provided regional facilitator trainings for sites in January
• Addition of libraries and use of health information
specialists; provided training to librarians in Southside
Virginia in February
• Use of recorded sessions in addition to live, interactive
sessions to offer flexibility in timing and to reach more
people
• Additional evaluation data - intent to change behavior;
pilot data for behavior change outcomes