Special Diabetes Program for Indians Coordinating Center
Diabetes Prevention Program and Healthy Heart Project
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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
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
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SDPI Diabetes Prevention Program Final Report
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
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