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Community
Outreach
Sue Butkus
Diabetes Awareness Education

Dr. Sue
Butkus’ work focuses on translating complex medical
knowledge into culturally relevant and appropriate educational
programs for use in community education programs. Although
the rates of diabetes are increasing at a rapid pace
nationally, the rates of diabetes are not the same for
all groups. The diabetes awareness research is testing
the most effective ways to reach people who are disproportionately
affected by diabetes: African Americans, Native Americans,
Latinos, and the poor. It is imperative that effective
educational programs be designed to reach high-risk people
to avoid the societal cost of uncontrolled diabetes.
A 2002 survey in the state of Washington indicated that
35 percent of the 840 participants enrolled in nutrition
education classes for food stamp recipients had diabetes.
(Only about 6 percent of the general population in Washington
report having diabetes.) Among survey participants the
highest rates of diabetes were seen among Latinos and
Native Americans. Although the average educational level
for most of the low-income groups was 12 years or more,
among the Latinos in the survey, the average educational
level was less than eighth grade.
A
pilot study, underway by Washington State University
Cooperative Extension, has tested the effectiveness of
a diabetes awareness educational program with over 500
people in eight communities. Forty-five percent of the
participants are people of color and 20 percent have
very low educational levels. “On the Road to Living
Well with Diabetes” is an introductory diabetes
awareness program that screens participants for A1c,
blood pressure, and LDL cholesterol and provides an explanation
of the tests. It also teaches program participants how
to communicate with their health care providers. The
introductory program is followed by four lessons related
to foods, nutrition, physical activity, and other lifestyle
issues that help support medical treatment regimes. The
program has significantly increased participants’ confidence
to manage their diabetes and understanding what actions
to take to reduce the risk of complications. The program
has proven especially successful in reducing A1c among
those who are most at risk of complications. The lessons
are provided in Spanish and Russian for those groups
who do not speak English.
Contact
Information
Dr. Sue N. Butkus, Ph.D, R.D.
Extension Specialist
Washington
State University Puyallup Research and Extension Center
7612 Pioneer Way East
Puyallup, WA 98371-4998
Telephone:
253-445-4553
E-mail: butkus@wsu.edu
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