Healthy Coping in Diabetes

Healthy Coping in Diabetes:

A Guide for Program Development and Implementation

A report of the

Diabetes Initiative National Program Office

Edwin B. Fisher, PhD1 Carolyn T. Thorpe, PhD2 Carol A. Brownson, MSPH3 Mary L. O`Toole, PhD3 Victoria V. Anwuri, MPH3 Candice M. Nalley, MA3 Stephanie M. Tower, BA3

1 Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina

2 University of Wisconsin-Madison Department of Population Health Sciences, Madison, Wisconsin

3 Washington University School of Medicine in St. Louis, St. Louis, Missouri

Acknowledgment of support: This Guide is a product of the Diabetes Initiative National Program Office, at Washington University School of Medicine, St. Louis, Missouri, and the University of North Carolina at Chapel Hill with grant support from the Robert Wood Johnson Foundation ? in Princeton, New Jersey. Copyright ? February 2009

Acknowledgements

The NPO gratefully acknowledges the grantees of the Diabetes Initiative, who provided real-world

models for integrating healthy coping into diabetes self management. They are: Campesinos Sin

Fronteras, Somerton, Arizona; Center for African American Health, Denver, Colorado; Community

Health Center, Inc., Middletown, Connecticut; Department of Family and Community Health,

Marshall University School of Medicine, Huntington, West Virginia; Galveston County Health

District, Texas City, Texas; Gateway Community Health Center, Inc., Laredo, Texas; Holyoke

Health Center, Inc., Holyoke, Massachusetts; La Clinica de La Raza, Oakland, California;

MaineGeneral Health, Waterville, Maine; Minneapolis American Indian Center, Minneapolis,

Minnesota; Montana-Wyoming Tribal Leaders Council, Billings, Montana; Open Door Health

Center, Homestead, Florida; Richland County Health Department, Sidney, Montana; and St. Peter

Family Medicine Residency, Olympia, Washington. Descriptions of their individual projects,

including many of their approaches to promoting healthy coping, are available at the website of the

Diabetes Initiative, .

HU

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A number of individuals have provided helpful comments on earlier versions of this Guide. We wish to thank representatives of grantees of the Initiative who provided helpful comments on drafts of the Guide, including Lourdes Rangel, Gateway Community Health Center, Inc., Laredo, Texas; Joan Thompson, PhD, La Clinica de La Raza, Oakland, California; Natalie Morse and Alison Jones Webb, MaineGeneral Health, Waterville, Maine; and Sally Hurst, Marshall University, Huntington, West Virginia. We wish also to thank Lana Vukovljak and Margaret Maloney from the American Association of Diabetes Educators for their helpful comments.

The authors wish especially to thank Evette J. Ludman, PhD, Senior Research Associate in The Center for Health Studies of Group Health Cooperative in Seattle, Washington. From her extensive experience in programs addressing diabetes and depression and related areas of health promotion, Dr. Ludman provided the Diabetes Initiative valuable expert consultation in developing activities related to healthy coping and provided helpful comments on drafts of this Guide.

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