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Special Diabetes Program for Indians Coordinating Center

Diabetes Prevention Program and Healthy Heart Project


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 (spero.manson@cuanschutz.edu)

Centers for American Indian and Alaska Native Health, University of Colorado Anschutz Medical Campus

Partners: Yvette Robideaux, Melanie Mandolin (University of Arizona), Diabetes Prevention Program Grantees, and Healthy Heart Project Grantees​

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.


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
  • 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
  • Prevent or delay diabetes onset
  • Achieve and maintain 7% weight loss
  • Increase healthy lifestyle and improve clinical outcomes
  • Reduce cardiovascular disease risk
  • Improve cardiovascular disease risk factors such as blood pressure, cholesterol, and smoking
  • Increase healthy lifestyle
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
  • 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
Publications
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Colorado School of Public Health

13001 E. 17th Place​
Mail Stop B119
Aurora, CO 80045


colorado.sph@ucdenver.edu

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