Resources

Program Management & Implementation

This section includes materials useful to program design, implementation and overall program management. Materials include sample interview scripts, tailored practice guidelines,  curricula and lesson plans, clinical flow sheets and documentation forms, sample policies and procedures, topic-specific lesson plans, curricula and more, all organized by topic area.

Community Health Workers

    Staff Training Materials, Policies, and Procedures

• Community Health Worker Patient Phone Interview Script
  
• Community Health Worker Roles and Responsibilities
• Lay Health Educator Manual
  
• Promotora Policies and Procedures

     Program Materials and Methods

• Move More Replication Guide
  

General Administration

    Sample Patient Flow Protocols and Forms

• Depression Screening and Follow Up Flow Chart
• Diabetes Visit Protocol
• Patient Flow Sheet
• Policies and Procedures for Referring Patients

     Diabetes Clinical Forms

• Case Management Check-in Form
• Case Management Intake Form
• Diabetes Clinical Form
• Diabetes Provider Visit Form
• Goal Setting Contact Sheet
• Group Medical Visit Consent Form
• Program Intake Form
• Self Management Education Tracking Form
• Type II Diabetes Standing Orders (MA Planned Visit)

     Staff Training Materials, Policies, and Procedures

• Certified Diabetes Educator Guidelines
• Community Health Worker Patient Phone Interview Script
• Community Health Worker Roles and Responsibilities
• Lay Health Educator Manual
• Promotora Policies and Procedures

     Program Materials and Methods

• Barriers to Diabetes Self Management
• Community Action Plan for Self Management
• Full Circle Diabetes Program Resource Toolkit: Your Guide to Successful Program Implementation
• Guide to Stages of Change Interventions English
• Guide to Stages of Change Interventions Spanish
• Healthy Coping in Diabetes: A Guide for Program Development and Implementation
• Holistic Program Planning and Evaluation Tool
• Move More Replication Guide
• Self Management Education Tracking Form
• Take Action Curriculum
• TTM Practical Guide for Providers
• TTM Provider Cards

Goal Setting

     Curricula

• Take Action: My Action Plan Lesson Plan and Student Material
• Take Action: Ready for Change Lesson Plan, Student Material and Food Diary and Behavior Worksheets

     Diabetes Clinical Forms

• Goal Setting Contact Sheet
• Goal Setting Form
• Self Management Goal Tracking Sheet

     Program Materials and Methods

• Goal Tracking Mailer
• Guide to Stages of Change Interventions English
• Guide to Stages of Change Interventions Spanish
• Self Management Goal Quality Poster

Healthy Coping

    Curricula

• SONRISA: A Curriculum Toolbox for Promotores / Community Health Workers to Address Mental / Emotional Health Issues Associated with Diabetes
• Take Action: Coping with Diabetes Lesson Plan, Student Material and Denial and Anger Worksheets
• Take Action: Stress Lesson Plan, Student Material and Worksheets 1 and 2

    Sample Patient Flow Protocols and Forms

• Depression Screening and Follow Up Flow Chart
• Healthy Coping in Diabetes: A Guide for Program Development and Implementation

Healthy Eating

    Curricula

• Take Action: Nutrition Lesson Plan, Student Material and Meal Plan, Pyramid, Balance and Portion Size Worksheets
• Whisking Your Way to Health Lesson Plans (Evaluating Recipes, Using Labels and Planning Meals, Cooking,Portion Sizes, and Shopping), Evaluation Form and Sample Recipes

Multiple Self Management Behaviors

    Curricula

• 6-Session Diabetes Self Management Curriculum (text)
  
• 6-Session Diabetes Self Management Curriculum (slides, sessions 2-6)
• 6-Session Diabetes Self Management Curriculum Spanish (slides)
• Diabetes and the Family Curriculum
• Take Action: Managing Blood Sugar Lesson Plan, Student Material and Log
• Take Action: Managing Complications Lesson Plan and Student Material
• Take Action: Managing Medication Lesson Plan, Student Material (Insulin) and Student Material (Oral)
• Take Action: Sick Days Lesson Plan, Student Material, Workbook and Record Worksheet
• Take Action: What is Diabetes Lesson Plan, Student Material, Provider Questions, and Record Worksheet
• Weekly Diabetes Class Curriculum Session 1 and Session 2

     Diabetes Clinical Forms

• Case Management Check-in Form
  
• Case Management Intake Form
• Diabetes Clinical Form
• Diabetes Provider Visit Form
• Goal Setting Contact Sheet
• Goal Setting Form
• Program Intake Form
• Self Management Education Tracking Form
• Self Management Goal Tracking Sheet
• Type II Diabetes Standing Orders (MA Planned Visit)

    Program Materials and Methods

• Barriers to Diabetes Self Management
  

     Staff Training Materials, Policies, and Procedures

• Certified Diabetes Educator Guidelines

Partnership

• Community Action Plan for Self Management
• Full Circle Diabetes Program Resource Toolkit: Your Guide to Successful Program Implementation

Physical Activity

• Exercise Prescription Release Form
• Lay Health Educator Manual
• Move More Replication Guide
• Take Action: Exercise Lesson Plan, Student Material and Worksheet

Systems to Support Organizational Capacity

• Certified Diabetes Educator Guidelines
  
• Community Health Worker Roles and Responsibilities
  
• Depression Screening and Follow Up Flow Chart
  
• Diabetes Visit Protocol
• Goal Tracking Mailer
  
• Patient Flow Sheet
• Policies and Procedures for Referring Patients
• Promotora Policies and Procedures
• TTM Practical Guide for Providers