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Just hop on the bus, Gus: program brings health coaching to neighborhoods

By University Of Utah Health | Posted - Nov 13th, 2018 @ 3:00pm

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Tom Din got some good news when he rode his bicycle to the Wellness Bus parked in his South Salt Lake neighborhood. Health coach Monica Salas, MPH, administered his weekly blood test. The result revealed Tom’s lowest blood sugar level since he began visiting the bus.

Tom visits the mobile health program every Thursday afternoon, right after his weekly game of bridge. The Wellness Bus, a service of University of Utah Health, parks outside Central Park Community Center on Thursdays between 2 and 6 p.m. It is focused on preventative services such as health screenings, nutrition and physical activity information.

Din, 67, was diagnosed with type 2 diabetes eight years ago. He says his health right now might be at its best since his diagnosis, attributing the improvement to his regular Wellness Bus visits. Part of the program Driving Out Diabetes: A Larry H. Miller Family Wellness Initiative, the bus is staffed by a health coach, a community health worker, a screener, and a volunteer from Connect2Health, a student program at the U that connects patients with existing community resources. There are no medical providers on the bus.

“Knowing that I’ll be going to see Monica, my health coach, gives me good reason to push myself so that my blood glucose is improved from the week before,” Tom said. “If you’re my age and you’re at home most of the time, it’s easy to eat whatever you want and not get off the couch. Who’s going to tell me I shouldn’t? At the Wellness Bus, I get a lot of good advice and learn things about type 2 that I didn’t know before — even though type 2 runs in my family.”

With the help of other staff on the bus, Salas screens, counsels, and makes referrals for patients in all four neighborhoods the Wellness Bus visits once a week. Each community has been identified by U of U Health as “underserved” regarding health care. Along with Thursday afternoons in South Salt Lake, the bus travels to Kearns Library in Kearns every Wednesday, Sorenson Unity Center in Glendale every Tuesday and Copperview Recreation Center in Midvale on Mondays.

Salas has worked on the Wellness Bus since it hit the road in June. “I love being on the team for this important program, which can do so much good and help so many people,” she said. “When we meet patients who have pre-diabetes, for example, we have the chance to help them change their lifestyle, so they might not develop diabetes.”

She also helps patients understand the importance of eating a healthy diet to control blood glucose levels. “We help patients understand that there are big differences in the amount of glucose or the number of carbohydrates in various food, depending on what food is chosen,” she said. “A piece of fruit compared to fruit juice, for instance: OJ is heavily concentrated and contains many more carbohydrates than a few fresh orange slices.”

We also help clinic patients understand that diabetes is a severe condition. Many see it as a bother or a pain, but many don’t understand the big consequences it brings, which can be reduced by behavior — a proper diet, regular exercise, and enough sleep.

“We also help clinic patients understand that diabetes is a severe condition,” Salas said. “Many see it as a bother or a pain, but many don’t understand the big consequences it brings, which can be reduced by behavior — a proper diet, regular exercise, and enough sleep.”

For Tom, his weekly visits to the Wellness Bus compare favorably to check-ups in a physician’s office. “I can ask as many questions as I want and get as much advice as I need,” he said. “There’s no time limit.”

Plus, the bus is convenient. “I like arriving with the care team already knowing the latest about me and my health background,” he said. “I don’t need to start at the beginning as I usually do when I go to a doctor’s office. This is the best health care situation I’ve had.”

As Salas explained, the Wellness Bus comes with no strings attached for patients looking for advice. There are also no fees: The Wellness Bus is funded by the Larry H. and Gail Miller Family Foundation as part of the multi-layered "Driving Out Diabetes, A Larry H. Miller Wellness Initiative." The three-year, $5.3 million initiative was launched in 2017, in partnership with U of U Health. The initiative is an interdisciplinary battle against diabetes in Utah and across the region, combining education and prevention outreach, innovations in clinical care, and cutting-edge research.

People coming to the Wellness Bus are not required to provide identification. They are asked to fill out a questionnaire, but answering the questions is optional. This procedure was set so identification would not be a barrier to a person seeking health information or receiving a health screening. Anyone wanting to remain anonymous while they receive free services and education on the Wellness Bus is welcome to do so.

World Diabetes Day is Nov. 14. Wear blue to support diabetes prevention and awareness.

University Of Utah Health

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