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Orange County Health Department's Grant Proposal <br />It is well documented that MNT is an integral component of diabetes prevention, management, <br />and self-management education (Journal of ADA 2008). Because DSME and MNT provide <br />different behavioral modification techniques, they are complementary and maybe more <br />medically effective for some beneficiaries than receipt of just one of the components. Research <br />indicates MNT combined with DSME improves outcomes (American Association of Diabetes <br />Educators, ADA 4-2005). <br />Social marketing is an innovative behavior change discipline developed in the 1970s and is most <br />effective for sustaining healthful or socially beneficial behavior change, increasing program use, <br />or building customer satisfaction with existing services (Weinreich 1999). Social Marketing <br />constructs are used by well-known organizations such as Centers for Disease Control and <br />Prevention, National Cancer Institute and National Heart Lung Blood Institute. <br />TRACKING TO SUCCESS <br />9. How will you know when your impact has been achieved? What information or <br />evidence will you use to verify success and/ or make course corrections in your program? <br />The program coordinator will be responsible for ensuring that our program is meeting the <br />NCDERP guidelines to become an ADA recognized DSME program and will also monitor <br />progress towards achievement of grant impacts. The coordinator's responsibilities will include <br />overall quality control for data collection, medical provider recruitment, training, and referral <br />system, monitoring participant attendance and follow-up, program auditing, marketing efforts <br />and instructor evaluations. Data including participant demographics and DSME outcome <br />measures including A1C levels will be tracked in Tiara Software purchased from NCDERP. <br />Additional program impact data points will be tracked in Microsoft Excel. The program <br />coordinator will convene a subcommittee of the Diabetes Task Force who will meet regularly to <br />monitor program progress and make adjustments as needed. <br />10. What do you most want to learn from this program? We hope to learn the most <br />effective strategies to engage practitioners in the referral and program promotion process and <br />which client marketing and recruitment techniques were the most successful. Did our methods <br />increase. the number of participants? Were medical providers satisfied with the provider training <br />and outcomes of referred participants who completed the program? We also want to track <br />program participants to learn if we were effective in reaching the under/uninsured and if not, <br />why? Did participants reach their self- management behavior change goals? How did <br />participants define `success'? Did A1Cs improve? Why did some participants fail to complete <br />the program? Do participants receiving MNT in addition to DSME have better health outcomes <br />than those who do not? Once ADA recognition is achieved, will the reimbursement of insured <br />off set the cost for the uninsured participants? Can we find Pharmaceutical Assistance Programs <br />for our un/under insured participants? <br />S <br />5 <br />