Kerri Lopez Western Tribal Diabetes and Northwest Tribal

Kerri Lopez Western Tribal Diabetes and Northwest Tribal Comprehensive Cancer Projects July 9, 2015 Western Tribal Diabetes Project Update 2015

Partners • Portland Area IHS § ADC • IHS division of diabetes • SDPI • Office of information and technology § Advertise trainings • Nike • Native American Fitness Council

Partnerships – sub contracts • Diabetes charities of America • OR Healthy Communities § Nine tribes in OR § Aggregate report for cdc change tool • Policy development – tobacco, physical activity, and nutrition • National Native Network § Cancer prevention coordinator

Northwest Diabetes Conference January 21 and 22 nd 2015 • 76 NW Tribal programs attended conference • Round table sessions: physical activity, traditional food, nutrition • Panel presentations: DPP, Healthy Heart, and Community SDPI projects • Ann Bullock: key note speaker (historical trauma) • Excellent evaluations 4

Western Tribal Diabetes Project • 6 DMS Trainings § Icare, EHR, Qman, visual DMS § 85 tribal participants trained § 1 off site / remote § Hands on interactive instruction • 15 tribal site visits • 200 technical assistance call • 10 Project Presentations

Diabetes Management System trainings with the WTDP • Hands on computer training § Managing and updating your registry • Icare • Qman • EHR • Visual DMS • Sept 23 -25 2014 • December 2 -4 2014 6

SDPI programs in NW • Portland Area Tribes had 100% audit submission 2014 • Health Status Report – based on the audit; every tribe receives a report that shows a comparison (to Portland Area) and a trend (of their program) 7

Weight Control 100 % 80 % 60 % 40 % 20 % 0% Normal (BMI < 25. 0) Overweight (BMI 25. 0 -29. 9) Obese (BMI 30. 0 or above) Height or weight missing Overweight or obese (BMI 25 or above) 2012 (n=6308) 5% 17 % 75 % 2% 2013 (n=6400) 5% 17 % 75 % 2% 2014 (n=6832) 6% 18 % 74 % 3% 2015 (n=7534) 6% 17 % 73 % 4% 92 % 91 % 92 % Draft: The data for 2015 has not yet been verified by IHS.

Tobacco Use 100 % 80 % 60 % 40 % 20 % 0% Current tobacco user Not a current tobacco user Tobacco use not documented 2004 (n=3877) 31 % 62 % 6% 2012 (n=6308) 35 % 64 % 1% 2013 (n=6400) 35 % 64 % 1% 2014 (n=6832) 33 % 65 % 2% 2015 (n=7534) 36 % 63 % 1% Draft: The data for 2015 has not yet been verified by IHS.

Tobacco Cessation Referrals 100 % 80 % 60 % 40 % 20 % 0% Counsel rate/users 2004 (n=1202) 28 % 2012 (n=2208) 58 % 2013 (n=2240) 60 % 2014 (n=2274) 62 % 2015 (n=2712) 60 % Draft: The data for 2015 has not yet been verified by IHS.

Diabetes-Related Education 100 % 80 % 60 % 40 % 20 % 0% Diet education, any provider Diet education, RD only Exercise education Other diabetes education Any of the listed topics 2004 (n=3877) 51 % 25 % 41 % 51 % 2012 (n=6308) 46 % 20 % 41 % 58 % 69 % 2013 (n=6400) 47 % 19 % 53 % 61 % 77 % 2014 (n=6832) 50 % 18 % 48 % 67 % 78 % 2015 (n=7534) 45 % 17 % 47 % 56 % 73 % Draft: The data for 2015 has not yet been verified by IHS.

Cancer Risky Business – 6/25/2015 • 32 participants in Warm Springs, Oregon • Topics § Tobacco - Antoinette Aguirre § Nutrition - Nora Alexander § Adverse Childhood Experiences & Chronic § § § Disease - Ryan Swafford Tribal BRFSS - Monika Damron Chronic Disease - Kerri Lopez Physical Activity - Erik Kakuska HPV - Kerri Lopez Cancer Survivorship Resources - Eric Vinson 9/16/2020 Northwest Portland Area Indian Health Board 12

Nike Native Fitness - WTDP • Partnership with Nike and Native American Fitness Council • Fitness Training: aerobics, walk strong, native games • Motivational Interviewing • Data, tracking, and fitness • Resources: best practices, curricula, and data 14

Native Fitness September 1&2 nd 2015 • NW & National Programs • Motivational Interview § Daryl Tonemah § Native specific • Resource CD § Best practice, toolkits, fact sheets, diabetes data • Fitness activities § Boot camp § Aerobics § Walk Strong § Native games • Nike § Play on Native Land § N-7 products

Nike Native Fitness Western Tribal Diabetes Program (WTDP) • July 29 - 30 th 2014 • 185 participants • From across the nation Excellent evaluations • 98. 5% excellent • 55% returning participants • 60% reported starting or changing a fitness program as a result of NF 16

Evaluation of Native Fitness • Native Fitness I – 74 participants • 26 Northwest tribes • 6 National Native Tribes & Organizations • Native Fitness II – 136 participants • 35 Northwest Tribes • 10 National Native Tribes & Organizations …… • Native Fitness X – 200 participants • 24 Northwest Tribes • 66 National Native Tribes & Organizations • Native Fitness XI – 185 participants • 25 Northwest tribes • 68 Out of areas tribes

WTDP resources • Short cut and reference manual – DMS class • Tribal Health Status Report comparison report for standards of care tribe/area § diabetes surveillance trends (seven years) § • Diabetes Screening Toolkit • Native fitness resources

SDPI community grants Portland Area • 50 SDPI community-directed grant programs § Multiple best practices § NPAIHB – data project § 3 Urban (SIHB, NARA, Spokane) § Western Oregon – Chemawa § Subcontract pharmacy-Colville, WS, 19

Portland Area – Demonstrations (15 tribes) 8 grants • Healthy Heart Project § Yakama • Diabetes Prevention Projects § 3 consortiums • Southern Oregon (Klamath, Cow Creek, Coquille) • NW WA Health Board (Lummi, Swinomish, Samish, Nooksack, Upper Skagit) • SPIPA (Skokomish, Squaxin Island, Chehalis, Shoalwater Bay) § Warm Springs and Colville 20

Northwest Tribes Meet the Challenge • 10, 000 STEPS • Youth screening in schools • Aerobics/Water • Aerobics Video • Mile Moccasin Club • Yoga • Fitness centers/personal trainers • Golf tournaments • Community Gardens • Biggest Loser • Health Fairs • Walk to Smithsonian • Nike Native Fitness 7 th • • • Cooking classes/healthy eating Pre-diabetes Screening Just Move It Youth and Adult Diabetes Camps Tribal Diabetes Conferences Lifestyle Intervention Classes 21

Contact Information Western Tribal Diabetes Program Kerri Lopez (Tolowa), Project Director Don Head (Gwich'in), Project Specialist Erik Kakuska (Zuni), Project Specialist Phone: 503 -416 -3301 Email: klopez@npaihb. org 9/16/2020 Northwest Portland Area Indian Health Board 22