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Iowa Community Transformation

Clinical Preventive Services

What's the point in getting screened?

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  • The number of Iowa adults with high cholesterol and high blood pressure has grown in recent years (Behavioral Risk Factor Surveillance System, 2005-2009).
  • Iowa WISEWOMAN participants over the age of 50 (screened from January 2009-October 2010) had a higher percentage in 4 out of 5 risk factor categories (except for smoking) than younger women.
  • Rural Iowans had 19% higher chances of being overweight/obese compared to urban Iowans after adjusting for age, gender, physical activity, and fruit and vegetable consumption.
  • The Iowa Dental Pilot found that Iowa college and universities with dental majors are including blood pressure screening in their class schedule.
  • The age-adjusted rate of diagnosed diabetes among Iowa adults has doubled since 1991, rising from 3.8% to 7.6% in 2009.
  • According to the Iowa Workforce and Economic Development Status Report in January 2012, the highest rates of obesity, cardiovascular disease, and diabetes was in Iowans over age 45.

Self-Reported Prevalence of Cardiovascular Conditions by Household Income in Iowa, 2010

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Timeline of Goals

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Let's make a change...

Better Choices, Better Health (aka CDSMP)

Better Choices, Better Health (also known as the Chronic Disease Self-Management Program) is a class taken once a week for two and a half hours for six weeks.The classes are held in a community setting such as libraries, hospitals, churches, and senior centers.They are attended by people who have different chronic health problems and are led by two trained leaders. At least one of the trainers are non-health professionals with a chronic disease themselves.

Subjects covered include:

1. Ways to deal with problems such as frustration, fatigue, pain, and isolation.

2. Exercise for maintaining and improving strength, flexibility, and endurance.

3. Appropriate use of medications.

4. Communicating effectively with family, friends, and health professionals.

5. Nutrition

6. How to evaluate new treatments.