PowerPoint Presentation

Diabetes Prevention ProgramsOresteban CarabeoKaplan University

Notes: Greetings, everyone. My name is Oresteban Carabeo, and I will be presenting a Diabetes Prevention Program.1

Introduction Overview YMCA of Greater Charlotte Diabetes Prevention Program Identify Social Marketing, Media and Public Relations Reach Target AudienceCultural CompetencyHealth DisparitiesMulticulturalismStakeholders CollaborationHealth Policy RecommendationsProgram Challenges

Notes: The PowerPoint introduction will provide an overview of the YMCA of Greater Charlotte organization for Diabetes Prevention Programs along with social marketing, media, and public relations to reach the target audience. This presentation also will explain cultural competency, health disparities, multiculturalism, stakeholders collaboration, health policy recommendations, and challenges with Diabetes Prevention Program.

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YMCA of Greater Charlotte OverviewYMCA MissionVisionValuesFocus (YMCA of Greater Charlotte, n.d.)

Notes: According to the YMCA of Greater Charlotte (n.d.), the mission of the organization is to implement Christian principles into practice through community programs to build healthy spirit, mind, and body for all participants. Similarly, the YMCA organization provides the vision by connecting, engaging, enhancing, and building the lives of all people throughout the community. YMCA values represent caring, honesty, respect, responsibility, faith, and their primary focus adhere for young development by nurturing the potential of all child and teen. For healthy living, the YMCA improve the nations health, well-being, and social responsibility that provides support to all neighbors (YMCA of Greater Charlotte, n.d.).

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About The YMCA OrganizationYMCA Services YMCA locationsYMCA Year EstablishmentCommunity Relationships (YMCA of Greater Charlotte, n.d.)

YMCA of Greater Charlotte

Notes: The YMCA of Greater Charlotte (n.d.) services around 300,000 individuals including men, women, children regardless of their age, background, and income. The YMCA is a non-profit organization that helps the community by creating programs, such as healthy eating, physical exercise, and diabetes prevention regimens for people. The YMCA has 19 locations along with two resident camps, such as Thunderbird and Harrison. Since 1874, the YMCA has provided an excellent relationship to the community by making not just promises, but physical, personal, and social change for individuals (YMCA of Greater Charlotte, n.d.).

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Diabetes DiseaseDiabetes Common Condition (WHO, 2004)Diabetes Type 2PrediabetesComplications (YMCA of Greater Charlotte, n.d.)

Diabetes Disease

Notes: According to the World Health Organization (WHO, 2004), at least 171 million people have diabetes in the world, and it has become a common condition with population aging along and growth that contributes to the overall trend increments of the disease, which lead individuals towards obesity, unhealthy diets, and sedentary lifestyles. YMCA of Greater Charlotte (n.d.) stresses that Type 2 diabetes is more frequent in humans that affect more than 26 million in the United States including up to one million in Charlotte, North Carolina. Another health condition is prediabetes, which is the primary precursor for Type 2 diabetes development in individuals. The metabolic disorder, such as Type 2 diabetes lead people to have stroke, heart disease, kidney failure, and blindness (YMCA of Greater Charlotte, n.d.)5

YMCA Diabetes Prevention ProgramDiabetes Prevention Program OutcomesHow the Program WorksProgram GoalsParticipation (YMCA of Greater Charlotte, n.d.)

Diabetes Prevention Program

Notes: The YMCA of Greater Charlotte (n.d.) reveals that Diabetes Prevention Programs help people who are at high risk of Type 2 diabetes development by adopting and maintaining a healthy lifestyle, eating healthy, increasing physical activity, and maintaining a healthy weight. The diabetes prevention program works through classroom settings of over 25 sessions combined with trained lifestyle coaches who teach participants about eating healthy, physical activity, and other changes in behavior. Diabetes Prevention Programs can be taken for a year at the YMCA, which consists of 16 weekly sessions combined with three sessions every other week for the first six months. Then, the second half is followed by six monthly sessions. The program goals are to reduce body weight in individuals by 7% along with increased physical activity for at least 150 minutes per week (YMCA of Greater Charlotte, n.d.). One of the purposes of the Diabetes Prevention Programs is to know who can participate. One of the requirements to participate in the program is that individuals have to be 18 years old. An overweight person with a body mass index above 25 is another requirement for participation along with being at high risk of developing Type 2 diabetes; YMCAs Diabetes Prevention Program reduces the new number of type 2 diabetes cases by 58% and 71% of adults over 60 (YMCA of Greater Charlotte, n.d.).6

Social Marketing/Media and Public Relations

Social Media Effective CommunicationSocial Media SourcesSocial Media Worldwide Social Media Helps Diabetics to Make Safer Decisions (CDC, 2016)

YMCA Diabetes Prevention

Notes: Social media can help the YMCA Diabetes Prevention Programs by informing the public about the importance of preventing diabetes within the community. According to the Centers for Disease Control and Prevention (CDC, 2016), social media, such as Facebook, YouTube, and Twitter can help disseminate diabetes prevention messages about the program and how it works across the world to provide knowledge for individuals. Similarly, the use of social media provides a connection with millions of people who are diabetics and non-diabetics through the use of developing communication technologies. The application of social media can help minimize the potential impact of health and safety about diabetes prevention by shortening the dissemination time for people. Social media can reach larger and diverse audiences through the use of personalized information by reinforcing health messages about diabetes around the world for diabetics. Individuals could benefit by communicating through social media and attending public engagements, which can help diabetics by making safer decisions about their health management and prevention of diabetes (CDC, 2016).7

Social Media Elements to Reach the Target Audience

Communication Health CampaignsSocial Network ParticipationThe Importance of the InternetButtons and Badges (CDC, 2016)

Social Media Elements

Notes: The CDC (2016) stresses that social media incorporation into health communication health campaigns, such as Diabetes Prevention Programs allow health communicators to encourage social dynamics, network participation in the community, and influence individuals with decision making. Notably, the internet has become the door for many health professionals to address health concerns through online sources, seek peers advice, and obtain significant health information about Diabetes Prevention Programs. Social media tools can be downloadable products of buttons and badges, and they can be applied to resources, such as social network sites. Buttons are graphic elements that can include an image, such as the Diabetes Prevention Programs at the YMCA of Greater Charlotte. These visual elements can be used in social media to call individuals for an action to combat diabetes with prevention programs, and they can be posted on a website. Similarly, badges are small graphic images that link a message, such as diabetes prevention to a web page, and they can be displayed on an individuals social network. This social network can support the cause of the action taken to combat the disease. Social media tools can be used to reinforce personalized messages that reach new audiences and build communication infrastructure (CDC, 2016).8

Social Media Elements

Social Media Elements to Reach the Target Audience (Continued)

Image SharingContent CreationMobile DevicesPodcast Social Media (CDC, 2016)

Social Media Elements

Notes: The CDC (2016) reveals that social media elements, such as image sharing of the Diabetes Prevention Programs can be used by individuals to post on public websites where can be seen, marked, and categorized. Image sharing is a valid way to encourage health communication activities for individuals, such as public health images related to eating healthy and exercising regularly to prevent Type 2 diabetes. Similarly, content creation improves social media channels through the internet by mobile phones cameras, which are widely used to take photos by those participating in social networks like Facebook and Twitter. Mobile devices can be utilized for the YMCA of Greater Charlotte campaign of Diabetes Prevention Programs to distribute photos through social networks. Also, the use of podcast social media digital audio and video files can deliver Diabetes Prevention Programs information conveniently for individuals. The podcast can be can be played on the go from an iPod, mobile device, and portable player. The podcast can increase access to health messages, such as diabetes prevention program, participation, eligibility, and health benefits for individuals. Health professionals utilized the library podcast to revise numerous topics related to health, including diabetes prevention (CDC, 2016). 9

YMCA Cultural Competency and Health Disparities

YMCA Inclusive Organizational CultureYMCA Access by All IndividualsDiversity ImplementationOrganizational Commitment (YMCA of the USA, 2011)

DIABETES

Notes: According to the YMCA of the USA (2011), the YMCA organization provides all individuals with the possibility to join the diabetes prevention program to learn, grow, and prosper. The YMCA is formed by staff and volunteers that promote and inclusive organizational culture, which values diversity, strengthens inclusion, and builds a global community in the United States, and Charlotte. The YMCA seeks to ensure that all individuals access to the organization and feel welcome, such as participants, members, staff, and volunteers by prioritizing diversity along with inclusion. The YMCA engages with the whole structure, such as staff, policy volunteers, and program volunteers that develop the implementation of diversity, inclusion, and global efforts. This approach by the YMCA creates a positive environment that results in members feeling appreciated and welcomed. The YMCA recruits a diverse pool of candidates and promotes current staff along with policy volunteers and program volunteers. Leadership development can be seen in the YMCA by staff, policy volunteers, and program volunteers who are trained to be inclusive leaders through cultural competencies development and participation of professional opportunities. YMCA organizational commitment provides strategies to drive diversity and inclusion that promotes all access to the community program regardless of individuals race or ethnicity, age, level of income, sexual orientation, and immigration status (YMCA of the USA, 2011).

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YMCA Diversity and Inclusion StrengthsDiversity People in the YMCAIndividuals ValuesDiversity and Inclusion PracticesSupplier Diversity Program (YMCA of the USA, 2016a)

DIABETES

Notes: According to the YMCA of the USA (2016a), the YMCA organization is made of people of all ages who focus on the individual values, honesty, respect, and responsibility regardless of any cultural background. The YMCA of the USA (2016a) stresses that the organization have a diverse array of staff and has been working in 10,000 U.S groups and 120 countries around the world, which promotes diversity and inclusion practices for the entity. Diversity and inclusion practices provide people with a high-performing learning environment for staff and volunteers to generate ideas and contribute to the community of Charlotte. The YMCA has a supplier diversity program for talented minority, such as women who are owner contractors and service providers (YMCA of the USA, 2016a).

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Cultural Competency to Reduce Health DisparitiesCultural CompetencyCultural Competent CareCultural Competence ConfusionTraining for Healthcare Providers About Cultural Competency (AHRQ, 2014)

DIABETES

Notes: According to the Agency for Healthcare Research and Quality (AHRQ, 2014), cultural competency can help reduce health disparities in the health care industry for cultural sensitivity and unbiased quality of attention. Cultural competent care respects diversity through patient population along with cultural factors, such as language, communication, beliefs, attitudes, and some behaviors. Lack of concept clarity persists in the areas around cultural competency through the research community. Confusion about cultural competency creates disagreements in the topic areas and practices for people, such as what providers should train to attain cultural competency. Racial and ethnic differences are seen only through cultural competency by omitting other marginalized population groups just because they are similar ethnically and racially to a provider. Cultural competency training for healthcare providers are the most effective forms of intervention to improve knowledge for group-specific and approaches to teach providers about their attitudes, values, and beliefs of these specific cultural groups (AHRQ, 2014).

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Stakeholders Collaboration Success Stakeholders DonorsDonors CommitmentNew Donors (YMCA of the USA, 2011)

Notes: The YMCA of the USA (2011) reveals that the collaboration between stakeholders through the YMCA provides a connection within extensive community stakeholders within all ages, backgrounds, and community needs to provide an opportunity to learn for everyone, grow, and thrive. The YMCA has various donors, such as members, individuals, businesses, governments, and foundations that represent numerous stakeholders in the community. These donors have the commitment to support the YMCA to be open for everyone. The new donors are employed by the YMCA from a diversity pool of potential donors. These donors that represent the YMCA are responsive and relevant to the community needs through the full engagement of all stakeholders, such as participants, members, staff, policy and program volunteers, local communities, and vendors (YMCA of the USA, 2011). 13

Carolinas HealthCare System Stakeholders CollaborationReverse Diabetes (CHS, 2013)Prediabetes ScreeningOnline TestingFree Diabetes TestingCarolinas HealthCare System Detail Services (CHS, 2016a)

Notes: According to the Carolinas HealthCare System (CHS, 2013), the CHS hospital is partnering with the YMCA of Greater Charlotte to reverse diabetes and reduce the prevalence of disease through the region. Prediabetes is a precursor of type 2 diabetes development for individuals that lead to stroke, cardiometabolic diseases, kidney failure, blindness, and other profound complications. The CHS will provide for the Diabetes Prevention Programs an initial online risk assessment to identify individuals at risk of Type 2 diabetes. The YMCA is offering free diabetes testing at the designated locations in the community of Mecklenburg County in Charlotte. Carolinas HealthCare System (2016a) reveals that the CHS organization is one of the leading entities in the Southeast with more than 900 care locations, such as academic medical centers, hospitals, free stand emergency departments, healthcare pavilions, physician practices, outpatient surgical centers, and laboratories(para. 2). The institution is a not-for-profit system. The hospital organization system has more than 7,500 licensed beds where 60,000 people are employed by the organization, which accounts for 12 million patients interaction per year (CHS, 2016a).

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Carolinas HealthCare System Diabetes Prevention ProgramDiabetes Prevention OverallDiabetes Prevention GoalsDiabetes Type 2 Education (CHS, 2016b)

Diabetes Prevention Program

Notes: The Carolinas HealthCare System (2016b) notes that the Diabetes Prevention Programs is nationally recognized with primary care physicians, endocrinologists, certified nurses, health certifies diabetes educators and registered dieticians. The goal of the Diabetes Prevention Program is to help individuals by fighting and living healthy with diabetes. The CHS provides professional expertise to offer personalized care and complications support for individuals. The Type 2 diabetes program care generate patients education about advanced meal planning with medication management, monitor blood glucose regularly, injection techniques for insulin administration, insulin pump therapy, and diabetes prevention of complications (CHS, 2016b)

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Health Policy RecommendationsHealth Policy for Healthy Eating and Physical ActivityHealthy Community ChangesLifestyle Innovation Program Behavior Changes (YMCA of the USA, 2014)

Notes: The YMCA of the USA (2014) discloses that the YMCA and the Robert Wood Johnson Foundation (RWJF) are working to enhance the health and well-being of all Americans by providing a health policy recommendation, which builds a healthier America, and support Diabetes Prevention Programs. These recommendations furnished by the YMCA and RWJF will help adopt healthy eating and physical activity standards for early child care along with afterschool programs through healthy communities initiatives. Healthier communities efforts combined with the YMCA are helping revitalize neighborhoods, facilitate policy changes, such as creating community gardens, and make cities more walkable by individuals. The YMCA through the implementation of these community changes will improve the nations health for individuals. Notably, the YMCAs Diabetes Prevention Program, such as lifestyle innovation program is making notable changes by helping adults with prediabetes. Making behavior changes will reduce the risk of developing diabetes type 2 for individuals drastically. The YMCA is collaborating with RWJF to implement these recommendations that will provide diabetes preventive measures, vigorous neighbors, and strength for the community of Charlotte (YMCA of the USA, 2014).

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Diabetes Prevention Program ChallengesHow to Reduce the Risks of DiabetesDiabetes Prevention ProgramsPrediabetes and FundingControlling Glycemic Levels Daily Social Marketing (YMCA of the USA, 2016b)

Notes: The YMCA of the USA (2016b) discloses that Diabetes Prevention Programs have different challenges, such as how to diminish the risk of developing diabetes among individuals. The YMCA Diabetes Prevention Programs provide help with a trained lifestyle coach to support small groups and encourage healthy eating, physical exercise, behavior changes, and weight loss to reduce the risks among participants. This is one of the most problematic challenges in the program for individuals. Making changes for people requires an affirmative decision, perseverance, and behavior changes. The YMCA Diabetes program uses a Centers for Disease Control and Prevention approved curriculum, and it is part of the National Diabetes Prevention Program. Other challenges with the Diabetes Prevention Programs are how to address prediabetes in time because they require sufficient funding to reach all diabetics and non-diabetics through the use of social marketing. Controlling individuals glycemic levels daily is another challenge within the Diabetes Prevention Programs that require multinational approach by health professionals combined with diabetics and non-diabetics to combat the disease. The target audience, such as diabetics and non-diabetics can contact a participating location in Charlotte, or they can locate the map on the YMCAs website to start the Diabetes Prevention Programs. Reaching out for diabetics in the world is easy by the use of social media networks that can help connect with the overall population at risk immediately (YMCA of the USA, 2016b). 17

SuggestionsSecondary Prevention for Cardiovascular DiseasesRisk FactorsMyocardial Infarction PreventionSecondary Preventive Strategies (NCBI, 2007)

Notes: According to the National Center for Biotechnology Information (NCBI, 2007), cardiovascular diseases are the results of a combination of type 2 diabetes and prediabetes within the general population. The increased risk of heart disease adheres to the risk factors of insulin resistance, hyperglycemia, diabetic dyslipidemia, hypertension, and systemic inflammation among individuals. These risk factors are responsible for life expectancy reduction within individuals. Type 2 diabetes patients are subject to sustain cardiovascular disease events that may lead them to have fatal results. Primary prevention should be applied to determine if a patient has prediabetes by using screening test for individuals daily. Then, secondary prevention methods should address cardiovascular diseases for prediabetes and diabetes to help them reduce complications. NCBI (2007) stresses that patients who suffer an acute myocardial infarction may benefit from secondary prevention to address recurrent cardiovascular disease events in type 2 diabetes patients. Secondary preventive strategies will help prevent recurrent heart disease events in patients with type 2 diabetes and prediabetes.

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ConclusionOverview YMCA of Greater Charlotte Diabetes Prevention Program Identify Social Marketing, Media and Public Relations Reach Target AudienceCultural CompetencyHealth DisparitiesMulticulturalismStakeholders CollaborationHealth Policy RecommendationsProgram Challenges

Notes: This will conclude the PowerPoint overview of the YMCA of Greater Charlotte organization for Diabetes Prevention Programs. Social marketing, media, and public relations were used to reach the target audience of diabetics and non-diabetics using buttons, badges, image sharing, and podcasts. Also, cultural competency was addressed to cover health disparities among individuals and multiculturalism. Stakeholders collaboration between YMCA of Greater Charlotte and the Carolinas HealthCare Systems were present in the presentation to help solve the concern of diabetes prevention. Health policy recommendations were used to approach a better America by making changes in eating, physical exercise, and behavior among people. Furthermore, challenges with the diabetes prevention programs were present to explain what recommendations or suggestions are needed to address prediabetes and type 2 diabetes. Lastly, secondary prevention methods were present to help resolve prediabetes, type 2 diabetes, and cardiovascular diseases for individuals.

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ReferencesAgency for Healthcare Research and Quality. (2014). Improving cultural competence to reduce health disparities for priority populations. Retrieved from http://bit.ly/2asdqTp Carolinas Healthcare System. (2013). Carolinas Healthcare System teams with YMCA to tackle Diabetes. Retrieved from http://www.carolinashealthcare.org/body.cfm?id=14&action=detail&ref=782Carolinas Healthcare System. (2016a). About Carolinas healthcare system. Retrieved from http://www.carolinashealthcare.org/about-usCarolinas Healthcare System. (2016b). Diabetes management and education. Retrieved from http://bit.ly/2aMudwzCenters for Disease Control and Prevention. (2016). Social Media Toolkit. Retrieved from http://www.cdc.gov/socialmedia/tools/guidelines/pdf/socialmediatoolkit_bm.pdf National Center for Biotechnology Information, U.S. National Library of Medicine. (2007). Secondary prevention of cardiovascular disease in type 2 diabetes and prediabetes: a cardiologist's perspective. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/18036163World Health Organization. (2004). Diabetes action now: An initiative of the World Health Organization and International Diabetes Federation. Retrieved from http://www.who.int/diabetes/actionnow/en/DANbooklet.pdf

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References (Continued)YMCA of Greater Charlotte. (n.d.). Diabetes prevention program. Retrieved from http://bit.ly/2aEla2b YMCA of Greater Charlotte. (n.d.). The ys mission is to put Christian principles into practice through programs that build healthy spirit, mind and body for all. Retrieved from https://www.ymcacharlotte.org/about/mission.aspxYMCA of the USA. (2011). Diversity and inclusion best practices. Retrieved from file:///C:/Users/orest/Downloads/DiversityandInclusion_best-practices.pdfYMCA of the USA. (2014). YMCA of the USA supports the RWJF commission's recommendations to 'build a healthier America'. Retrieved from http://bit.ly/2ase5EzYMCA of the USA. (2016a). Diversity & inclusion. Retrieved from http://www.ymca.net/diversity-inclusion/ YMCA of the USA. (2016b). Locate a participating y. Retrieved from http://www.ymca.net/diabetes-prevention/locate-participating-y/

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