# Presentation: 502461

## The American Association of Diabetes EducatorsDMICC: The Diabetes Prevention Program and TranslationKathy Berkowitz, RN, CS, FNP, CDE President

- AADE

## AADE Mission

-  ... Dedicated to advancing the role of the diabetes educator and improving the quality of diabetes education and care.

- AADE

## Current Membership

- Total members -10,000
- RN 56%, RD 25%, RPh 7%, Other 12%
- Hospital Based - 34%
- Physician’s Office - 20%
- Outpatient Diabetes Center - 13%
- Self-employed - 6%
- Public Health - 4%
- 10 or more years in field - 48%
- CDE’s - 12,000; 5000 are AADE Members

- AADE

##  DIABETES EDUCATOR ....

- Healthcare professional who has mastered the core of knowledge & skills in the ***biological & social***** *****sciences,*** ***communication, counseling, & education,*** & who has experience in the care of people with diabetes.
- Scope of Practice for Diabetes Educators and the Standards of Practice for Diabetes Educators; Position Statement 1999.

- AADE

## DIABETES EDUCATION...

- An interactive, collaborative, ongoing process which includes:
- Assessment of needs
- Identification of individual’s goals
***Education & Behavioral Intervention***
- Evaluation of goal attainment
- Scope of Practice for Diabetes Educators & the Standards of Practice for Diabetes Educators; Position Statement 1999

- AADE

## DIMENSIONS OF PRACTICE

- Provide information using established principles of teaching/learning theory & ***lifestyle counseling.***
***Incorporate appropriate nutritional management***
***Incorporate physical activity into lifestyle***
*** ***
- Scope of Practice for Diabetes Educators & the Standards of Practice for Diabetes Educators; Position Statement 1999

- AADE

## DIMENSIONS OF PRACTICE

- Individualized instruction for ***all ages*** incorporating their ***cultural preferences***, ***health beliefs***, & preferred learning styles.
- Multidisciplinary team approach is preferred delivery system.
- Scope of Practice for Diabetes Educators & the Standards of Practice for Diabetes Educators; Position Statement 1999

- AADE

## PROFESSIONAL DEVELOPMENT

- Deliver education based on a continuous process of review & evaluation of scientific theory, ***clinical*** & ***educational research***, & ***study of behavioral change strategies & positive healthcare outcomes.***
- Scope of Practice for Diabetes Educators & the Standards of Practice for Diabetes Educators; Position Statement 1999

- AADE

## HOW DOES PREVENTION IMPACT DIABETES EDUCATORS?

- Broadens ***scope of practice*** from “people with diabetes”, their families, etc.
- Enhances ***value*** of the diabetes educator
- Increases ***demand*** for services of the diabetes educator
- Requires “translation” into practice standards for educators

- AADE

## AADE’S ACTIONS & CHALLENGES

- Translation & Dissemination of DPP results
- Position Statement on Prevention
- Annual Meeting Program Presentations
- Development of CE Programs
- Only 10% of people with diabetes now see a diabetes educator - steps to increase awareness of profession & role

- AADE

## AADE’S ACTIONS & CHALLENGES

- Current reimbursement for diabetes education is poor
- No direct reimbursement for certified diabetes educators
- Need more diabetes educators for              14 million with diabetes

- AADE

## AADE’S ACTIONS & CHALLENGES

- Need more ethnic/cultural diversity among diabetes educators
- Collaborative efforts with:
- 	Assoc. Asian/Pacific Community Health Org.
- 	Indian Health Service
- 	National Black Nurses Association

- AADE

## AADE’S ACTIONS & CHALLENGES

- Need more ethnic/cultural diversity among diabetes educators
***Established*** AADE Specialty Practice Groups:
- 	African American	 	Pediatric Educator
- 	Home Health 			Public Health
- 	Hispanic/Latino American
- 	Native American/Indian Health Services
- 	Veterans Administration

- AADE

## AADE’S ACTIONS & CHALLENGES 

- AADE Lay** **Health Worker Summit - April 2002
- Identify the lay health worker
- Identify current practice
- Develop consensus on role & scope
- Identify who will train for role & scope
- Recommend evaluation for competency -    ? certification

- AADE

## SUMMARY

**DIABETES EDUCATORS:**
- Qualified & experienced in lifestyle interventions addressing nutrition & activity
- Have an important role in diabetes prevention
- Already have relationship with at risk population
- Committed to team approach - professionals & other organizations/agencies

- AADE