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Digital Strategies for Health Communication (HCOM512)Rajaa Nahra, MDEndocrinology-Lowell General HospitalMS candidate-CTSI-Tufts University, Sackler School of Graduate Biomedical Sciences

Improving diabetes care through digital strategiesAre we there yet? Can we get there?How do we get there?Why do should we care?Total prevalence of diabetesTotal: 25.8 million children and adults in the United States8.3% of the populationhave diabetes.Prediabetes: 79 million people*New Cases: 1.9 million new cases of diabetesare diagnosed in people aged 20 years and older in 2010.Complications: Heart disease and strokeHigh blood pressureBlindnessKidney diseaseAmputationNervous system disease (neuropathy)Cost of Diabetes (2013 data)$245 billion: Total costs of diagnosed diabetes in the United States in 2012$176 billion for direct medical costs$69 billion in reduced productivity

National Diabetes Fact Sheet, 2011

El-Gayar et al. Int J Med Inform. 2013 Aug;82(8):637-52

El-Gayar et al. Int J Med Inform. 2013 Aug;82(8):637-52

El-Gayar et al. Int J Med Inform. 2013 Aug;82(8):637-52

El-Gayar et al. Int J Med Inform. 2013 Aug;82(8):637-52

The worlds preeminent diabetes research & clinical care organization

SWOT AnalysisStrengths Well organized and easy to navigate Visually appealing Information is readily available in numerous formats Chart Cart app Weaknesses Cannot search for RFPs online Opportunities Improve resources for potential grantees Organization profiles Threats Potential grantees may seek funding elsewhere because CF does not have an online application systemStrengthsState-of the artInteractiveRich social media presenceMultilingualEasy to search and navigateWell maintained and updatedTremendous outreach to consumers and providersPromotes and disseminates latest research and developments in diabetes Twitter/FB/YT incorporate recommendation, useful info and adviceWeaknessesNo mobile websiteChildhood diabetes page lacks fun, color and children-oriented themes and design

OpportunitiesOffer multilingual discussion boardsIntroduce more colorGlobal outreachImprove childhood diabetes page

Threats

Diabetes Specialty Clinic:Lead by the Nurse Certified Diabetes Educator, and Registered Dietician Certified Diabetes Educator, the Clinic offers in-depth assessments and individualized recommendations to the primary care provider. Clients may see any or all of these practitioners who have strong backgrounds in the management of Diabetes. Physician referral, pre-registration and third party approval are required.Diabetes Group Classes:These classes are lead bya Certified Diabetes Educator whoprovides instruction in the many aspects of diabetes. The seven-week series covers the self-management of diabetes. A referral by a physician and pre-registration are required.

Gestational Diabetes Program:Specialized nutrition services and glucose monitoring education for pregnant women. One-on-one visits with Certified Diabetes Educator Registered Nurse and Registered Dietitian are individually scheduled to meet client's needs. The client is allowed up to three visits, depending on assessed needs. A referral by a physician and pre-registration are required.Holistic Health Service:An holistic approach to health and wellness can be helpful to people with diabetes. A Reiki class isavailable to ease stress, enhance body systems and create a sense of well being. Call 978.304.8400 for more information about Reiki and to register.Social Services Support:Individual counseling and support by a Licensed Social Worker is available.Diabetes Program:Outline Diabetes OverviewHypoglycemia & how to avoid itHyperglycemiaMedicationSelf-blood glucose monitoring & ketone testingNutrition GuideExercise can helpSelf-care priorities: foot care, skin care, eye care, dental careStress managementCommunity resources

SWOT AnalysisStrengths Well organized and easy to navigate Visually appealing Information is readily available in numerous formats Chart Cart app Weaknesses Cannot search for RFPs online Opportunities Improve resources for potential grantees Organization profiles Threats Potential grantees may seek funding elsewhere because CF does not have an online application systemStrengthsDedicated web pageLink to ADASocial/Holistic services

WeaknessesNot interactiveNo picturesSocial media presence for hospital in general not diabetes care centerLimited linksFont color too faintNot consumer centered

OpportunitiesMission and vision not statedMake it more interactive and livelyAdd picturesChange text colorEmphasize prevention, nutrition and lifestyleAdd personasTarget community

ThreatsFunding and competing servicesLack of organization supportLack of resourcesCompetition

SWOT AnalysisStrengths Well organized and easy to navigate Visually appealing Information is readily available in numerous formats Chart Cart app Weaknesses Cannot search for RFPs online Opportunities Improve resources for potential grantees Organization profiles Threats Potential grantees may seek funding elsewhere because CF does not have an online application systemStrengthsEasy to search and navigateAttractive AdvancedWell maintained and updatedMultidisciplinary approachYou tube education in Tamil

WeaknessesDoes not tailor to majority of populationSome pictures are not culturally appropriateNot very realistic English and not Tamil on WebsiteUniversal Web access OpportunitiesMission and vision not statedWebsite should have info in TamilTailor to the population on the websiteChange FB cover photoTwitter background too crowdedHighlight community organizations

ThreatsFundingCompetitionResources