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Special Diabetes Program for Indians Coordinating Center

Diabetes Prevention Program and Healthy Heart Project


Logo for the Special Diabetes Program for Indians Diabetes Prevention Program and Healthy Heart Project

Overview

The Centers for American Indian and Alaska Native Health (CAIANH) was chosen in 2004 as the Coordinating Center for the Special Diabetes Program for Indians (SDPI) Cooperative Agreement Program, working collaboratively with grantees administering the Diabetes Prevention Program and the Healthy Heart Project. The Coordinating Center continued through 2017, through changes in funding structure and participating grantees. Data collection ended July 2016 and dissemination continued through January 2017.

Partners 

  • Yvette Robideaux
  • Melanie Mandolin (University of Arizona)
  • Diabetes Prevention Program Grantees
  • Healthy Heart Project Grantees​
  • SDPI Diabetes Prevention Program
  • SDPI Healthy Heart Project

Program overview

Purpose: Prevention of diabetes in American Indians and Alaska Natives with prediabetes.

Overall, 38 programs serving over 80 tribes across the U.S. and 8,652 participants over 10 ½ years participated.

Activities: 16 session curriculum and individual coaching focused on healthy eating, increased physical activity, and life skills; community activities to increase awareness, and family support

Specific aims

  • Prevent or delay diabetes onset
  • Achieve and maintain 7% weight loss
  • Increase healthy lifestyle and improve clinical outcomes

Outcomes

  • The risk of developing diabetes among the subset of SDPI DP participants who met the eligibility criteria of the original NIDDK DPP was 39% lower than that of the DPP placebo group, even after adjusting for baseline differences in major diabetes risk factors
  • Improvements were realized with respect to weight, LDL, and HDL
  • Overall increases in physical activity and healthy eating

Reports

Infographic

SDPI Diabetes Prevention Program Final Report​

Publications

IHS SDPI Diabetes Prevention Program Publications

Program overview

Purpose: Reduce the risk of cardiovascular disease in American Indians and Alaska Natives with diabetes

Overall, 30 programs serving over 130 tribes across the U.S. and 7,663 participants over 10 ½ years participated in the project

Activities: Monthly clinic-based case management with an emphasis on self-management education; community activities to increase awareness, and family support

Specific aims

  • Reduce cardiovascular disease risk
  • Improve cardiovascular disease risk factors such as blood pressure, cholesterol, and smoking
  • Increase healthy lifestyle

Outcomes

  • The SDPI HH Project significantly reduced cardiovascular disease risk among American Indian and Alaska Natives with diabetes
  • Improved diastolic blood pressure, LDL, and HDL levels
  • Smoking use decreased from baseline levels
  • Weight decreased significantly from baseline levels
  • Overall increases in physical activity and healthy eating

Reports

Infographic

SDPI Healthy Heart Project Final Report​

Publications

IHS SDPI Healthy Heart Project Publications

Funding Information

Sponsor: Indian Health Service​

Years Funded: 2004-2017

Grant Numbers:
HHSI242200400049C (9/27/2004–9/26/2010)
HHSI236201000002C (2/1/2010–1/31/2013) 
HHSI236201300002C (8/13/2013–1/31/2017)

Principal Investigator: Spero Manson, PhD, CAIANH, University of Colorado

Centers for American Indian & Alaska Native Health

Colorado School of Public Health

CU Anschutz

Nighthorse Campbell Native Health Building

13055 East 17th Avenue

Mail Stop F800

Aurora, CO 80045


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