Roadmap Overview

ROADMAP OVERVIEW OF DRAFT OF NNDS ONLINE SURVEY
Revised June 16, 2014
Section
Verification of age
SECTION 1: General Health, Diabetes Diagnosis, and Family History of
Diabetes
Told have diab
Told have Type 1 diab
Told have Type 2 diab
Preg in last 20 years (Females only)
Told had GDM or high blood sugar during preg
Told at risk, have HBS, pre-d, HBS, etc.
Tests for diab, pre-d, or HBS
Immed Fam diab dx
Wgt, hgt
Serious prob caused by diab
Aware of type 2
SECTION 2: Perceived Risk
Feel chance of getting diab, why
Chance for diab
Think can reduce
SECTION 3: Behaviors to Prevent/Delay Diabetes
Advice/Couns for Preventing/Delaying Diabetes
Advice/couns from HCP, who gave and type
Reducing chance of diab (risk) activs
Attend programs, who offered
Next 6 mos, take actions to reduce chance
Why unlikely to act
Social Support System
Who encourage to attend programs or change lifestyle
What actions they helped you with
Use social media to learn about diab
SECTION 4: Diabetes Self-Management/Self-Efficacy
Age dxed w/diab
Heard A1C, had A1C test
Advice for Preventing Further Health Problems from Your Diabetes
Rec'd preventing advice/couns, what and from whom
What doing to prevent further hlth probs
Not preventing: When you'll start
Considered bariatric surgery
Managing Your Diabetes
Current activities
Coping w/diab mngmt/distress
Confidence ratings of handling diab
Support for Managing Your Diabetes
Encouraged to attend programs
Who, What actions they helped you with
Programs/classes, freq., who offered
Help from others
Use of Tools/Resources to Manage Your Diabetes
Tools/resources used
SECTION 5: Personal Health Care
Access to Health Care
Usual HCP, how often see HCP, others seen
Source of trusted diab advice
Have insur for self
Coverage pays for prev. programs
Health Concerns
Told of health conditions/issues

Qx Nos
A1

NONE
x

CATEGORY
PAR PRE-D
x
x

1
2
3
4
5
6-7
8
9
10-11
12-13
14

x

x

x

x
x
x
x
x
x
x
x

x
x
x
x
x
x
x
x

x
x
x
x
x
x
x
x

15, 17
16
18

x
x
x

x
x
x

x
x
x

19-30
31-32
33-42
43-44
45

x
x
x
x
x

x
x
x
x
x

x
x
x
x
x

46
47
48

x
x
x

x
x
x

x
x
x

DIAB
x

x
x
x
x
x

x
x
x
x

50
51-52

x
x

53-64
65
66
67

x
x
x
x

68
69-70
71-72

x
x
x

73
74-75
76-82
83

x
x
x
x

84-85

x

86-88
89
90
91-2

x
x
x
x

x
x
x
x

x
x
x
x

x
x
x
x

93

x

x

x

x

Meds for other conditions

94

x

x

x

x