Appalachian Diabetes Control and Translation Project Together on Diabetes: Communities Uniting to Meet America's Diabetes Challenge Request for Proposals The Appalachian Diabetes Control and Translation Project is a partnership supported by the Appalachian Regional Commission, the Centers for Disease Control and Prevention, and the Bristol-Myers Squibb Foundation, with the collaboration of the thirteen Appalachian states It is managed by the Center for Rural Health at Marshall University Together on Diabetes is a national program of the Squibb Foundation to improve the health outcomes of people living with type diabetes Introduction The purpose of the Appalachian Diabetes Control and Translation project is to prevent and control diabetes through developing coalitions in distressed counties in Appalachia Since 2001 it has funded coalitions in 66 Appalachian counties A new round of funding is available to all counties designated by the Appalachian Regional Commission (ARC) as distressed and at-risk The exceptions are counties funded by this grant last year and those that received Vulnerable Populations funding in 2010 (Refer to the list of eligible counties on the last page.) The goals of this funding request are to: 1) Build the capacity of diabetes coalitions in the Appalachian Region; 2) Equip diabetes coalition leaders with the tools to implement evidence-based programs; 3) Develop systems to support and sustain implementation of countywide programs; 4) Strengthen linkages between the community and primary care Competitive grants of $40,000 a year for four years will be awarded to five diabetes coalitions in the Appalachian region Eligibility Requirements The diabetes coalition must be from one of the Appalachian counties listed on the last page of this application The coalition must have a membership of at least five organizations that serve the county Examples are county extension, health department, primary care, ARC local development districts, community colleges, churches, civic clubs, support groups, and other coalitions such as heart disease and substance abuse One member agency must be a primary care organization either in the coalition’s county or that serves the county One member agency must be a non-profit organization and be willing to serve as the fiscal agent for the project The selected coalitions must be able to send at least five representatives to a two-day Diabetes Today workshop The workshop will occur after the grant awards have been made Timeline Applications are due November 16, by 5:00pm Eastern/Central Time Submit the applications by email attachment to Richard Crespo: crespo@marshall.edu Awards will be announced December 19, 2012 Projects will begin January 2013, and the Marshall staff will work with the new grantees to schedule the Diabetes Today workshop in January or February APPLICATION PROCESS Complete the application using the guidelines on the following page Participate in a conference call for prospective applicants (optional) It will be held on Tuesday October 23st at 12:00pm ET The dial in number is (888) 236-9224, Guest Room Number 228872 Obtain a letter of support from the Diabetes Prevention and Control Program Director/Coordinator in your state (See below for names and phone numbers.) Additionally, letters of support from community organizations and individuals will strengthen your application Send the application to Richard Crespo at Marshall University (Huntington, West Virginia) so that it is received by November 16, 2012 Submit by email attachment to Dr Crespo: crespo@marshall.edu If you have questions feel free to contact: Richard Crespo: 304-691-1193; crespo@marshall.edu Shelia Plogger: 304-245-6018; splogger@marshall.edu Marie Gravely: 304-812-6626; gravely3@marshall.edu Molly Shrewsberry: 317-869-6537; mshrewsberry@marshall.edu DIABETES PREVENTION AND CONTROL PROGRAM DIRECTORS/COORDINATORS IN STATES WITH ELIGIBLE COALITIONS Alabama Lamont Pack 334-206-2062 Lamont.pack@adph.state.al.us Georgia Dwana Calhoun 404-657-0603 dwcalhoun@dhr.state.ga.us Kentucky Theresa Renn 502-564-7996 Theresa.renn@ky.gov Mississippi Dietrich Taylor 601-576-7781 dietrich.taylor@msdh.state.ms.us North Carolina April Reese 919-707-5344 April.reese@dhhs.nc.gov Ohio Thomas Joyce 614-466-2144 Thomas.joyce@odh.ohio.gov Pennsylvania South Carolina Tennessee Rebecca Lorah 717-787-5876 relorah@.pa.gov Rhonda L Hill (803) 545-4469 hillrl@dhec.sc.gov Virginia Tiara Green (804) 864-7871 tiara.green@vdh.virginia.gov West Virginia Gina Wood 304-356-4200 Gina.l.wood@wv.gov Daniel Mitchell 615-741-5379 Daniel.mitchell@tn.gov APPLICATION GUIDELINES Please address the following points in your proposal Coalition Information and History (2-3 pages double spaced, 12 pt font) The name of your coalition, county and state The name, address, telephone number and email address of the two lead individuals and/or organizations for your application Describe the diversity of your coalition by listing the variety of organizations and concerned citizens represented on your coalition Provide a brief history of how and why your coalition was formed Briefly assess your coalition’s strengths and weaknesses Describe your coalition’s main accomplishments thus far; including policy changes, environmental changes, programs implemented, community outreach, etc A component of the grant will be working directly with a primary health care center Identify the number of coalition members affiliated with primary care and/or a primary care center(s) with whom you intend to partner Statement of need, target population and geographic area (1 page double spaced) Describe your county and its population based on number of residents, ethnicity, and estimated number of people with diabetes Who are the people most affected by diabetes? Sources of data about your county may be obtained from the county and state health department, the CDC and www.countyhealthrankings.org Project goals, rationale, and key activities (2-3 pages double spaced) Describe how your coalition would like to increase its capacity to improve the health of its residents if you were awarded a grant State what your coalition would need to expand your efforts county-wide Describe how the coalition would implement evidencebased programs (recommended programs can be found in the Appendix A of this RFP) Describe some of the policy and environmental changes that could be made in your county that would contribute to healthy lifestyles Refer to Appendix A and the following link for some ideas: http://www.thecommunityguide.org/pa/environmentalpolicy/index.html Describe how the coalition could work more closely with the primary care health system in your county Identify a primary care provider/center who is interested in working with the coalition and their willingness to integrate selfmanagement supports and a Community Health Worker program Appalachian Diabetes Control and Translation Project— 2012 Eligible Counties Alabama (14) Bibb Chambers Clay Coosa DeKalb Fayette Franklin Hale Lamar Macon Marion Pickens Randolph Winston Polk Whitfield Monroe Montgomery Nicholas Owsley Perry Pike Powell Pulaski Robertson Rockcastle Rowan Russell Wayne Whitley Prentiss Tippah Tishomingo Union Webster Yalobusha Rutherford Swain Wilkes Yancey Noble Perry Pike Vinton Georgia (10) Chattooga Elbert Franklin Gordon Haralson Hart Heard Murray Kentucky (45) Adair Bath Bell Breathitt Carter Casey Clay Clinton Cumberland Edmonson Estill Fleming Floyd Garrard Green Harlan Hart Jackson Johnson Knott Knox Laurel Lee Leslie Letcher Lincoln Magoffin Martin McCreary Menifee Metcalfe Mississippi (18) Alcorn Benton Calhoun Chickasaw Choctaw Clay Lowndes Montgomery Marshall Monroe Oktibbeha Panola North Carolina (12) Alleghany Ashe Burke Caldwell Cherokee Clay McDowell Mitchell Ohio (16) Ashtabula Athens Columbiana Coshocton Gallia Guernsey Harrison Highland Jackson Meigs Monroe Morgan Pennsylvania (3) Cameron Forest Greene South Carolina (1) Cherokee Appalachian Diabetes Control and Translation Project— 2012 Eligible Counties (Page 2) Tennessee (36) Bledsoe Campbell Carter Claiborne Clay Cocke DeKalb Fentress Grainger Greene Grundy Hancock Hawkins Jackson Jefferson Johnson Lawrence Lewis Macon Marion McMinn Monroe Morgan Overton Pickett Polk Putnam Rhea Scott Sequatchie Smith Unicoi Union Van Buren Warren White Scott Smyth Taylor Tucker Tyler Webster Wetzel Wirt Wyoming Virginia (8) Carroll Dickenson Grayson Henry Lee Patrick West Virginia (23) Calhoun Clay Barbour Braxton Doddridge Fayette Gilmer Jackson Lincoln Logan Mason McDowell Nicholas Pocahontas Roane Summers Appendix A Recommended Programs CHRONIC DISEASE SELF-MANAGEMENT Chronic Disease Self-Management and Diabetes Self-Management (CDSMP/DSMP) This is a 6-session, lay-led program for people with chronic conditions Two leaders who can be trained by the Marshall team facilitate both programs CDSMP: http://patienteducation.stanford.edu/programs/cdsmp.html DSMP: http://patienteducation.stanford.edu/programs/diabeteseng.html The National Diabetes Prevention Program, CDC Participants work with a lifestyle coach in a group setting to receive a 1-year lifestyle change program that includes 16 core sessions (usually per week) and post-core sessions (1 per month) www.cdc.gov/diabetes/prevention/index.htm Registry of Recognized Lifestyle Change Classes: www.cdc.gov/diabetes/prevention/recognition/registry.htm WORKSITE WELLNESS CDC Workplace Health Model www.cdc.gov/workplacehealthpromotion/model/index.html CDC's LEAN Works! - A Workplace Obesity Prevention Program www.cdc.gov/leanworks Promote a tobacco-free workplace www.cdc.gov/nccdphp/dnpao/hwi/toolkits/tobacco/index.htm SCHOOL-BASED INTERVENTIONS Organize a school-based walking program and involve students, teachers and parents Example: Walk Across America www.forahealthyamerica.org/walk_across.asp Incorporate wellness into the curriculum http://www.jamschoolprogram.com/ Work with the school wellness council to change school policies around nutrition, physical activity, and tobacco use on campus School Health Index (SHI): Self-Assessment & Planning Guide http://www.cdc.gov/healthyyouth/shi/ Encourage use of school facilities for physical activity during non-school hours Joint Use Agreement information www.cdc.gov/CommunitiesPuttingPreventiontoWork/resources/schools.ht m#joint_use_agreements EXERCISE/PHYSICAL ACTIVITY Organize team-based walking competitions Have teams that can compete against each other over a 2-3 month period Example – Walk Across America or Walk to Jerusalem Improve access to physical activity http://www.thecommunityguide.org/pa/environmentalpolicy/improvingaccess.html Organized Programs Walk with Ease: A representative from your community would be trained to teach the one-hour classes that meet three times per week for six weeks www.arthritis.org/walk-with-ease.php Tai Chi: A representative from your community would be trained to teach the onehour classes that meet two times per week for eight weeks www.arthritis.org/tai-chi.php Walk with Ease & Tai Chi Leader information: www.arthritis.org/program-leader.php StrongWomen: A community exercise and nutrition program targeted to midlife and older women An exercise instructor would be trained to teach the one-hour classes that meet two times per week for twelve weeks www.strongwomen.com HEALTHY EATING Share Our Strength’s Shopping Matters: A program bringing adults directly to the store for a dynamic learning experience that enables participants to make real changes to their food shopping habits and to make healthy choices on a budget www.shoppingmatters.org Hold a Biggest Loser Competition: Organize a weight loss competition over a 2-3 month period that includes nutrition and healthy lifestyle education Competitions can be hosted in the worksite, schools, churches, neighborhoods or community centers Offer Cooking Classes & Healthy Eating Programs: Check with your Local Extension Service on classes they offer Organize a Farmers Market http://farmersmarketcoalition.org Organize family and school gardens (vs community gardens) Assist with local healthy food policy development, including in schools and workplace http://blogs.law.harvard.edu/foodpolicyinitiative/