Online Program

Patient centered care collaboration (PCCC) in chicago: Health empowerment and lifestyle program (HELP) for African americans with obesity, hypertension, and/or diabetes

Monday, November 4, 2013 : 8:30 a.m. - 8:50 a.m.

Tiana Kieso, M.B.Ch.B., MPH, Urban Health and Diversity Programs, School of Public Health, University of Illinois at Chicago, Chicago, IL
Amparo Castillo, MD, PhD, Midwest Latino Health Research, Training and Policy Center, University of Illinois at Chicago - Midwest Latino Health Research Training and Policy Center, Chicago, IL
Shaffdeen Amuwo, PhD, Urban Health and Diversity Programs, University of Illinois-Chicago, Chicago, IL
Aida L. Giachello, PhD, Preventive Medicine, Feinberg School of Medicine, Chicago, IL
Olatunji Bamgbose, MD, MPH, Urban Health and Diversity Programs, UIC School of Public Health, Chicago, IL
Selena Smith, MPA, School of Public Health, University of Illinois at Chicago, Chicago, IL
Background. PCCC is an initiative of the USDHHS Office of Minority Health implemented by the Urban Health and Diversity programs at UIC School of Public Health through a partnership with Westat Research, Inc. PCCC calls for building partnerships with diverse sectors, developing and pilot-testing promising practices to reduce obesity, hypertension and type 2 diabetes disparities. HELP addresses obesity, hypertension and diabetes by applying adult education and empowerment principles adapted from the evidence-based Diabetes Empowerment Education Program. Methods. PCCC is implementing ten-week, five-cohort study at three Chicago community health centers targeting African American adults (18-66 years) with hypertension, obesity and/or diabetes. A trained patient navigator from each clinic recruited patients from an administratively generated eligibility list. A trained community health worker (CHW) is conducting two-hour weekly interactive educational sessions using HELP. Clinical (BMI, blood pressure, A1c, waist circumference) and behavioral data are measured at baseline and post-test. Eligible participants are reimbursed to facilitate their attendance. We will conduct focus group discussions to assess program receptivity at the patient and staff levels. Results. Forty-six eligible participants with complete baseline data were enrolled. Sessions and data entry are ongoing. Participation rate is approximately 90% at the three educational sessions implemented at five cohorts. Participants have low education, income and health literacy levels. The CHW plays a critical role in providing linguistic, cultural and health literacy appropriate education. Conclusion. Successful chronic disease self-management education programs can be facilitated by CHWs applying adult education and empowerment principles to address linguistic, cultural and literacy limitations.

Learning Areas:

Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Chronic disease management and prevention
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
Describe Patient Centered Care Collaboration Project and the Chicago educational model with its results. Discuss challenges and lessons learned in educating low income African Americans with low health literacy.

Keyword(s): Diabetes, African American

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Project Manager for the implementation of the Patient Centered Care Collaboration “PCCC” project. I am managing the project planning, implementation and evaluation process; collecting data; coordinating stakeholders meetings and reporting all aspects of the project including the updates, status, results and challenges to the funders. Through my medical and public health career I have managed, presented and was an author of similar project presentations in academic, community and national conferences.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.