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Raising and Measuring the Awareness of CANRISK in Canadian Pharmacists
Abstracts / Can J Diabetes 37 (2013) S13eS84
Mohawk Territory, Quebec, evaluated the Kateri Memorial Hospital Centre (KMHC) Health Education Program (HEP) for Diabetes Prevention for the years 2010 to 2012 at 2 elementary schools. The project goal was to understand how the HEP continued to be delivered since its inception in 1994. The project objectives were to identify the relevance and accuracy of the curriculum content; to identify the cultural appropriateness of the content and instructional methodology, and the successes and challenges of the implementation methodology; to identify facilitators and barriers of the HEP delivery; and to understand the overall effectiveness of the curriculum. Qualitative and quantitative data collection included individual interviews with principals; teacher questionnaires; talking circles with teachers and with key informants (authors); and a curriculum review of the content, instructional methodology and cultural appropriateness. The results indicated that participants and evaluators perceived the HEP as important to the children to increase knowledge regarding health behaviours to prevent type 2 diabetes. The strengths of the curriculum included factors involving a positive school environment and certain aspects of delivery and curriculum content. Weaknesses included lack of administrative support, instructional time and time management issues, a lack of Mohawk cultural representation, and outdated or missing resource materials. Recommendations addressed curriculum content, cultural integration, methodology development and administrative support to revitalize the curriculum and delivery. Knowledge transfer activities include discussions with local stakeholders (hospital, schools and KSDPP) with follow up strategizing to implement the recommendations.
S17
38 Nurse Practitioner Diabetes Mentorship Program WENDY J. GAMBLEN*, ANDREA MILLER, KIM AUMAIS, PAULINE BRUDER, CRIS BANARU, EMMA NAIRN Hamilton, ON; Laval, QC Purpose: To aid nurse practitioners from several different areas of practice throughout southern Ontario in their understanding and confidence in the management of diabetes, with a specific focus on the use of oral medications and the initiation and titration of several insulin regimes. Methods: A 6-month mentorship program from June to July 2012 was led by 1 nurse practitioner and 1 registered dietitian, both with their CDE designations. The program consisted of separate modules that included insulin 101, insulin 201, pattern management, simulated role play, teleconferences, and individual counselling and mentoring via phone and e-mail. Results: A strict interview process was used to recruit the participants. A needs assessment questionnaire was completed at the beginning of the program assessing the confidence, comfort, knowledge, skill and support levels of the participants as challenges and barriers to initiating and managing insulin. A postprogram evaluation assessed the same factors. The pre-program assessment revealed lack of confidence at 83.3%, lack of knowledge at 58.3% and lack of skills at 58.3%. The post-program evaluation revealed an improvement in confidence by 87.5%, an improvement in knowledge by 100% and an improvement in skill by 87.5% of the participants.
39 37 Raising and Measuring the Awareness of CANRISK in Canadian Pharmacists MARIE-ANIK GAGNÉ*, PHILIP N. EMBERLEY*, LAURIE A. GIBBONS Ottawa, ON CANRISK is the only “made in Canada” diabetes risk questionnaire with scientifically validated risk scores. It is intended to help Canadians identify their risk of pre-diabetes or type 2 diabetes. In the hands of the over 30,000 Canadian pharmacists, Canadians can access this evidence-based tool, and receive information on diabetes prevention from trusted and accessible health care professionals. The Public Health Agency of Canada and the Canadian Pharmacists Association partnered to disseminate CANRISK, promote it as available in 13 languages, educate pharmacists on its use in community pharmacy and evaluate pharmacists’ awareness of, uptake and satisfaction with the tool. Eight surveys were launched to evaluate CANRISK, including a baseline survey targeting all Canadian pharmacists. A response from 150 pharmacists was deemed to be statistically significant. Baseline results indicate that 28% recalled receiving information on CANRISK; 25% read or reviewed it; only 13% were aware that CANRISK is available in 13 languages; 64% were very or somewhat likely to recommend a tool like CANRISK; 11% used it with their patients; 55% would be more inclined to use it if it were incorporated into a medication review or other automatic reminder when consulting with patients; 58% would recommend CANRISK to a colleague; and 93% feel a responsibility to support patients in implementing lifestyle changes aimed at decreasing the risk of developing type 2 diabetes. Baseline results are promising. This evaluation will enable us to assess the effectiveness of the CANRISK tool as an aid in pharmacists’ chronic disease prevention efforts.
Peer Mentoring for Reducing the Risk for Type 2 Diabetes in First Nations Youth Living on Reserve: The Aboriginal Youth Mentorship Program PINAR ESKICIOGLU, JOANNIE HALAS, LARRY WOOD, ELMA MCKAY, HEATHER MCRAE, MARTIN SENECHAL, HEATHER DEAN, ELIZABETH SELLERS, BRANDY WICKLOW, JONATHAN MCGAVOCK* Winnipeg, MB; Island Lake, MB Study Hypothesis: Using a participatory action design, we tested the hypothesis that a peer-led after-school mentoring program would improve risk factors for type 2 diabetes in overweight and obese First Nations children living on reserve. Design and Methods: This was a 5-month quasi-experimental trial with a parallel non-equivalent control group delivered during 2 school years. The intervention was offered weekly to grade 4 students and led by high school mentors. The intervention group (n¼38) received physical activity mentoring, healthy snacks and peer support. Students in grade 5 served as controls (n¼71). Outcome measures included waist circumference (WC), body mass index z score (BMI-z), healthy living knowledge and self-efficacy. Results: All of the participants were overweight/obese (n¼109). The 5-month change in WC was significantly attenuated in children who received the intervention (1.66 cm; 95% CI: 0.33e2.99) compared to those that did not (2.30 cm; 95% CI: 1.37e3.23; p¼0.0001). A similar trend was observed for BMI-z score (0.01 95% CI: e0.01e0.04 vs. 0.005 95% CI: e0.03e0.04; p¼0.116). There was no improvement in changes in healthy living knowledge and selfefficacy (e0.02 95% CI: e0.07e003 vs. e0.07 95% CI: e0.12e0.02; p¼0.907). Conclusions: An after-school peer-mentoring intervention is an attractive approach to reducing risk factors for type 2 diabetes among overweight and obese First Nations youth living on reserve.
Mohawk Territory, Quebec, evaluated the Kateri Memorial Hospital Centre (KMHC) Health Education Program (HEP) for Diabetes Prevention for the years 2010 to 2012 at 2 elementary schools. The project goal was to understand how the HEP continued to be delivered since its inception in 1994. The project objectives were to identify the relevance and accuracy of the curriculum content; to identify the cultural appropriateness of the content and instructional methodology, and the successes and challenges of the implementation methodology; to identify facilitators and barriers of the HEP delivery; and to understand the overall effectiveness of the curriculum. Qualitative and quantitative data collection included individual interviews with principals; teacher questionnaires; talking circles with teachers and with key informants (authors); and a curriculum review of the content, instructional methodology and cultural appropriateness. The results indicated that participants and evaluators perceived the HEP as important to the children to increase knowledge regarding health behaviours to prevent type 2 diabetes. The strengths of the curriculum included factors involving a positive school environment and certain aspects of delivery and curriculum content. Weaknesses included lack of administrative support, instructional time and time management issues, a lack of Mohawk cultural representation, and outdated or missing resource materials. Recommendations addressed curriculum content, cultural integration, methodology development and administrative support to revitalize the curriculum and delivery. Knowledge transfer activities include discussions with local stakeholders (hospital, schools and KSDPP) with follow up strategizing to implement the recommendations.
S17
38 Nurse Practitioner Diabetes Mentorship Program WENDY J. GAMBLEN*, ANDREA MILLER, KIM AUMAIS, PAULINE BRUDER, CRIS BANARU, EMMA NAIRN Hamilton, ON; Laval, QC Purpose: To aid nurse practitioners from several different areas of practice throughout southern Ontario in their understanding and confidence in the management of diabetes, with a specific focus on the use of oral medications and the initiation and titration of several insulin regimes. Methods: A 6-month mentorship program from June to July 2012 was led by 1 nurse practitioner and 1 registered dietitian, both with their CDE designations. The program consisted of separate modules that included insulin 101, insulin 201, pattern management, simulated role play, teleconferences, and individual counselling and mentoring via phone and e-mail. Results: A strict interview process was used to recruit the participants. A needs assessment questionnaire was completed at the beginning of the program assessing the confidence, comfort, knowledge, skill and support levels of the participants as challenges and barriers to initiating and managing insulin. A postprogram evaluation assessed the same factors. The pre-program assessment revealed lack of confidence at 83.3%, lack of knowledge at 58.3% and lack of skills at 58.3%. The post-program evaluation revealed an improvement in confidence by 87.5%, an improvement in knowledge by 100% and an improvement in skill by 87.5% of the participants.
39 37 Raising and Measuring the Awareness of CANRISK in Canadian Pharmacists MARIE-ANIK GAGNÉ*, PHILIP N. EMBERLEY*, LAURIE A. GIBBONS Ottawa, ON CANRISK is the only “made in Canada” diabetes risk questionnaire with scientifically validated risk scores. It is intended to help Canadians identify their risk of pre-diabetes or type 2 diabetes. In the hands of the over 30,000 Canadian pharmacists, Canadians can access this evidence-based tool, and receive information on diabetes prevention from trusted and accessible health care professionals. The Public Health Agency of Canada and the Canadian Pharmacists Association partnered to disseminate CANRISK, promote it as available in 13 languages, educate pharmacists on its use in community pharmacy and evaluate pharmacists’ awareness of, uptake and satisfaction with the tool. Eight surveys were launched to evaluate CANRISK, including a baseline survey targeting all Canadian pharmacists. A response from 150 pharmacists was deemed to be statistically significant. Baseline results indicate that 28% recalled receiving information on CANRISK; 25% read or reviewed it; only 13% were aware that CANRISK is available in 13 languages; 64% were very or somewhat likely to recommend a tool like CANRISK; 11% used it with their patients; 55% would be more inclined to use it if it were incorporated into a medication review or other automatic reminder when consulting with patients; 58% would recommend CANRISK to a colleague; and 93% feel a responsibility to support patients in implementing lifestyle changes aimed at decreasing the risk of developing type 2 diabetes. Baseline results are promising. This evaluation will enable us to assess the effectiveness of the CANRISK tool as an aid in pharmacists’ chronic disease prevention efforts.
Peer Mentoring for Reducing the Risk for Type 2 Diabetes in First Nations Youth Living on Reserve: The Aboriginal Youth Mentorship Program PINAR ESKICIOGLU, JOANNIE HALAS, LARRY WOOD, ELMA MCKAY, HEATHER MCRAE, MARTIN SENECHAL, HEATHER DEAN, ELIZABETH SELLERS, BRANDY WICKLOW, JONATHAN MCGAVOCK* Winnipeg, MB; Island Lake, MB Study Hypothesis: Using a participatory action design, we tested the hypothesis that a peer-led after-school mentoring program would improve risk factors for type 2 diabetes in overweight and obese First Nations children living on reserve. Design and Methods: This was a 5-month quasi-experimental trial with a parallel non-equivalent control group delivered during 2 school years. The intervention was offered weekly to grade 4 students and led by high school mentors. The intervention group (n¼38) received physical activity mentoring, healthy snacks and peer support. Students in grade 5 served as controls (n¼71). Outcome measures included waist circumference (WC), body mass index z score (BMI-z), healthy living knowledge and self-efficacy. Results: All of the participants were overweight/obese (n¼109). The 5-month change in WC was significantly attenuated in children who received the intervention (1.66 cm; 95% CI: 0.33e2.99) compared to those that did not (2.30 cm; 95% CI: 1.37e3.23; p¼0.0001). A similar trend was observed for BMI-z score (0.01 95% CI: e0.01e0.04 vs. 0.005 95% CI: e0.03e0.04; p¼0.116). There was no improvement in changes in healthy living knowledge and selfefficacy (e0.02 95% CI: e0.07e003 vs. e0.07 95% CI: e0.12e0.02; p¼0.907). Conclusions: An after-school peer-mentoring intervention is an attractive approach to reducing risk factors for type 2 diabetes among overweight and obese First Nations youth living on reserve.