To provide information to people with diabetes and their support network providing Giant Diabetes Club applications to participants. …
Healthy Supermarket Tour
Health Advocate Toolkit
Tool Kit Prepared by:
Tom Pruski, SHARE Health Project director
SHARE Health Project 5170 Lawrence Place Hyattsville, MD 20781
301 864-3115 ext 24
301 864-5370 Fax
pruskit@catholiccharitiesdcorg
Toolkit Contents
Welcome letter with objectives
Instruction Sheet for Setting up Giant tours
Participating Parties Agreement
Diabetes Community Resources List
Forms
Form 1 - Confirmation letter to dietitian
Form 2 - Poster
Form 3 - Tour Registration
Form 4 - Tour Receipt
Form 5 - Giant Diabetes Club Information
Form 6 - Reminder postcard
Form 7 - Store Notice
Supermarket Tour Pre Post Tests
HEALTHY SUPERMARKET TOURS
@ GIANT
THE HEALTHY SUPERMARKET TOURS SEEK TO
PROMOTE HEALTHY LIFESTYLES AND TO
INCREASE NUTRITIONAL KNOWLEDGE OF INDIVIDUALS AND THE COMMUNITY THE TOURS
ALSO DECREASE THE FEAR OF DIABETES AND EMPOWER THE FAITH COMMUNITY AND
COMMUNITY ORGANIZATIONS WITH INCREASED AWARENESS AND KNOWLEDGE OF
PREVENTION, DETECTION AND MANAGEMENT OF DIABETES
Our Objectives:
1 To encourage and teach self care methods by providing nutrition and
diabetes education, prevention, and management
2 To increase the understanding and knowledge of people desiring to
improve their overall health
3 To provide information to people with diabetes and their support network
4 To better inform people about food labels and about how to make
healthier food choices
Who: People wanting health information, people with diabetes,
caregivers, friends and family members, people at risk for
developing diabetes, clergy and congregations, community
organizations
What: Nutritional education in a interact format including label reading,
carbohydrate counting, shopping and meal management
When: A dietitian facilitates the Giant shopping tours on weekdays
Tuesday, Wednesday, or Thursday from
1-3 pm or 7-9 pm
Note: supermarket tour dates are scheduled at last 4-5 weeks in
advance
Participants usually arrive at Giant pharmacy 15
minutes before tour begins
Partners: Faith communities, Giant Food and various sponsoring community
organizations
Process: Awareness announcement at community meetings or worship
services by leader clergy very effective or parish nurse or
health ministry leader
Resources Use supermarket tour planning tool kit to schedule, plan, and
organize your tour for your organizations or faith community
Flyers and sign up sheets are included in the tool kit for
the dietitian led shopping tours at local Giant Food stores near
your group or congregation Encourage people interested in
improving their health and those with or at risk for diabetes to
attend the shopping tour If participants are paying for the
tour, collect 10 per person Monies should be collected at time
of registration Tours are limited to 11-13 persons
Thank you for making an impact on peoples
lives and your willingness
toward making our communities healthier by participating in the Giant
Healthy Supermarket Tour
Supermarket Tour Quick Checklist
30 Days in Advance of Supermarket Tour
Select Giant Store and chose 3 Dates Tuesday-Thursday, and Times 1
pm- 3 pm or 7 pm-9 pm for tour Giant Store Pharmacy info
available at wwwgiantfoodcom/locatorcfm
Gather contact information from SHARE for possible dietitians
available in your area
Of 3 Dates/Times agree with dietitian on one Provide info to SHARE
by e-mail or phone see below
Start to Recruit Publicize the Supermarket Tour See Poster in
Toolkit
Registration
Register 11-13 people only per tour Supermarket aisles cannot
accommodate any more
Use registration sheet form 3 to collect participant contact info
If fee for tour, collect payment at this time Use form 3 to give
people receipts
Payment
If your organization is paying for tour, please make money order out
to dietitian for 110
Cancellation of Tour
If tour is canceled less than one
week before tour date, community
group will be responsible to pay 110 fee to dietitian Every effort
will be made to reschedule Plan accordingly
One Week Before Tour
Contact Tour participants and dietitian to reconfirm/remind about the
tour
Arrange for pickup of Tour participant educational folders Fax tour
info form 8 to Giant Pharmacy
Two Hours Prior to Day/ Evening of Tour
Call Giant Pharmacy State this is a courtesy call to them about
tour, its time, date, and your name and that you are host and that you
are meeting tour participants at pharmacy 15 minutes before tour
begins
Before Leaving for Tour
Bring Check for Dietitian, pens, extra paper for participants to take
notes, Tour educational folders
At Tour
Upon your arrival, get Shopping Cart at Store and proceed to Pharmacy
or Designated meeting spot Greet Giant Pharmacy staff
As participants arrive, check accuracy of participant info Gather
Giant Club card numbers, if people want to get coupons and mailings
from Giant Diabetes Club Giant Club card applications available at
store
Administer Collect
Pre-Test before the Tour, Distribute Tour
educational folders
Administer Collect Post-Test after tour
After Tour
Copy and Send Pre Post Tests and Registration List Form 3 to SHARE-
see address below
Tom Pruski
SHARE Health Project
5170 Lawrence Place
Hyattsville, MD 20781
301 864-3115 ext 24
Supermarket Tours
Participating Parties Agreement
Giant will be responsible for:
1 orienting and training all new dietitians wishing to become Giant
supermarket tour facilitators
2 maintaining a database of current, qualified, and licensed dietitians to
conduct supermarket tours at Giant throughout the metro DC area The
database list of dietitians will be made available to the sponsoring
community organizations
3 working with sponsoring community organizations to develop a tool kit
that assists participating community groups and congregations with
materials to publicize and register members for the tours
4 compiling and storing supermarket tour
participant packets
5 assisting sponsoring community organizations in locating local Giants
eligible and qualified for supermarket tours
The sponsoring community organization SHARE, Holy Cross, Wellness Works,
etc will be responsible for:
1 making supermarket tool kits available to groups desiring to hold a
supermarket tour
2 contacting Giants Nutrition Manager to locate local Giant stores and
dietitians eligible for supermarket tours
3 act as a mentor for participating groups and congregations interested in
supermarket tours
The participating groupcommunity group, church, health ministry, parish
nurse, etc will be responsible for:
1 registering and collecting fees from at least 11 members maximum number
of 13 attendees per tour
2 publicizing the supermarket tour in their organization and if paying for
tour, obtain a money order or cash payment for 110 to pay the dietitian
conducting the tour 10 per person with 11 attendees
3 providing Giant Diabetes Club applications to participants
4 notifying the sponsoring organization at least 1 week before scheduled
tour date if the group does not have enough members registered for the
tour cancellation policy
5
picking up tour participant packets from sponsoring community
organization
6 making supermarket tour participant packets compiled by Giant available
to dietitian on day or evening of tours
7 contacting the dietitian and confirming dates and times for groups
participation in supermarket tours
8 tour organizer confirming the payment of the dietitian for facilitating
the supermarket tour
The supermarket tour dietitian will be responsible for:
1 contacting Giant supermarket to notify store manager of tour date and
time
2 distributing participant packets brought by participating groups
coordinator to tour
3 distributing and collecting all evaluations from participants at
completion of tour
4 sending diabetes club applications and participant evaluations to
Giants Nutrition Manager via Giant Pharmacy interoffice mail
DIABETES
Community Resources List
|Diabetes Sundays |
|Contact the American Diabetes Association to get information on doing a |
|Diabetes Sunday at your congregation Get a message for your bulletin, |
|scripts for 2
short gatherings, educational brochures, and more 202 |
|331-8303 Ext 4540 |
Library Videos
Get diabetes care videos from your local library and organize small groups
to watch the videos
|Nutrition and Cooking Classes |
|Montgomery County Cooperative Extension Classes for all groups |
|301-590-9638 |
|Washington, DC Cooperative Extension Classes for limited income |
|202-274-7131 |
|homemakers w/ children |
Speaker Bureau
Speakers available for your groups meetings
Prince Georges Health Department Adult Health Services 301-856-9480
Prince Georges Hospital Center 301-618-3858
Holy Cross Hospital 301-754-7162
Montgomery County HHS 240-777-1701
|Organize Wellness Activities |
|Diabetes Sunday Awareness Activity
|
|Diabetes Management Program |
|Blood Pressure Screening Program |
|Lifestyles, Weight Management Program |
|Fitness Program |
| |
|Contact local organizations that support parish nursing, health |
|ministries, health promoters or health advocates to offer a variety of |
|health and wellness activities at your site |
Medbank
Helps low-income persons with diabetes to get prescription medicines over
long term
Montgomery County 301-628-3422
Prince Georges County 202-772-4337
|Diabetes Information |
|To order free diabetes education materials from the National Diabetes |
|Education Program for your community organization |
|Website: wwwniddknihgov/health/healthhtm |
|
|
|Giant Food has: |
|A free booklet in its stores, Diabetes: A Guide to Shopping and Meal |
|Planning and |
|a Diabetes Club with a free quarterly newsletter on diabetes management |
|Register on-line at wwwGiantfoodcom Go to Pharmacy and then Diabetes |
|Center for club information or call 301-341-4365 |
Diabetes Education Centers
Giant Pharmacy - Diabetes Care Centers
These centers offer personalized comprehensive diabetes education tailored
to your specific needs Specially trained pharmacists, dietitians and
nurses provide one-on-one counseling There are two locations Annandale-
7137 Columbia Pike and Baltimore/Catonsville 6223-25 Baltimore National
Pike For more information about services and fees please call 410-256-
2773
Other Organizations
Holy Cross Hospital
Holy Cross Diabetes Self-Management / Support Group
Silver Spring, MD
For more information 301-754-7448
Inova Diabetes Center
The Inova Diabetes Center offers classes and individual consultations with
nurses, registered
dietitians and counselors to help patients manage their
diabetes effectively Programs are available for those who are newly
diagnosed or are new to diabetes self-management The center operates at
four convenient locations For more information, call 703-204-3300
Suburban Hospital - Eugene B Casey Diabetes Education Center
8600 Old Georgetown Road
Bethesda, Maryland 20814
Telephone: 301 - 896-2106
Website: http://wwwsuburbanhospitalorg/diabetes/defaulthtml
They offer a two-day diabetes program with three follow-up visits The
program costs 660, but they take whatever your insurance pays including
Medicare and Medicaid and do not charge anything out of pocket You must
have some medical coverage to participate Call program for more details
Confirmation Letter to Dietitian
Form 1
Date:
Dietitian Name
Address
Dear:
Thank you for agreeing to lead our supermarket tour for ___________________
organization name on _______ date from _______to_______ time
This letter is to confirm the date and time of our tour We understand
you have confirmed this tour
with the Giant store management, so we can
plan on this time If not, please contact us immediately
We will call you to reconfirm our supermarket tour date and time two days
ahead of the tour All of the supermarket tour participants and I will
meet you at the Giant pharmacy 15 minutes before the tour begins at the
__________________ Giant Store
In respect to payment, a money order or cash payment of 110 will be
provided to you on the day/evening of the supermarket tour
If you have any questions, please feel free to contact me
Phone: __________________________ Cell Phone:
__________________________
E-mail: __________________________ Fax:
________________________________
Again thanks for agreeing to facilitate our Giant diabetes tour
Sincerely,
Tour Organizers Name
Organization
cc: Sponsoring community organization SHARE, Holy Cross, Inova, Wellness
Works etc
Form 2
Join Us for a
Healthy Supermarket Tour
Learn how to read nutrition labels, how to purchase healthier groceries,
and learn about sugar substitutes
Date:
______________________
Time: ______________________
GIANT location: ______________
Cost: _______________
Sponsored by _______________
and ______________ and GIANT
Questions? Call your tour organizer
______________at_____________
Form 3
HEALTH supermarket tour
gIANT STORE Tour - Registration Sheet
Tour Date_________ Time_______________ Giant
location____________________ Dietician _______________
|Init|Name |Address |Phone |GIANT Bonus Card Number |
|ial | | | |12 digit number on back of |
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|Date: __________________________ |
|Time: __________________________ |
|GIANT location: _________________ |
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|Cost: 1000 Per Person |
|Sponsored by _____________________ and ___________________ and GIANT |
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|Please meet at the GIANT pharmacy at least 15 minutes before tour begins |
|Questions? Call your tour organizer ______________at________________
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|Date: __________________________ |
|Time: __________________________ |
|GIANT location: _________________ |
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|Cost: 1000 Per Person |
|Sponsored by _____________________, ___________________ and GIANT |
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|Please meet at the GIANT pharmacy at least 15 minutes before tour begins |
|Questions? Call your tour organizer
______________at________________ |
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|Date: __________________________ |
|Time: __________________________ |
|GIANT location: _________________ |
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|Cost: 1000 Per Person |
|Sponsored by _____________________, ___________________ and GIANT |
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|Please meet at the GIANT pharmacy at least 15 minutes before tour begins
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|Questions? Call your tour organizer ______________at________________ |
Healthy Supermarket Tour
Supermarket Tour Receipts
Join Giants Diabetes Club by Using Your Giant Bonus Card
Our Diabetes Club offers four free newsletters a year written by a
certified diabetes
educator CDE dietitian RD There are tips on diabetes management and a
recipe in
each issue In each mailing there is also information on new products or
coupons and
rebates for diabetes supplies
Privacy: We do not sell, rent or relinquish customer names, home/e-mail
addresses,
phone numbers or any customer identifiable information to anyone
To join: Use your 12 digit Bonus Card number If you do not have a card
apply on line
or in your local Giant
Go on-line at Giantfoodcom and click on Pharmacy and Diabetes Center and
provide
your information or mail this card:
—————————————————————————-
—————————–
Name___________________________________
Address_________________________________
_______________________________________
Phone:_________________________________
Bonus Card
required __ __ __ __ __ __ __ __ __ __ __ __
Join Giants Diabetes Club by Using Your Giant Bonus Card
Our Diabetes Club offers four free newsletters a year written by a
certified diabetes
educator CDE dietitian RD There are tips on diabetes management and a
recipe in
each issue In each mailing there is also information on new products or
coupons and
rebates for diabetes supplies
Privacy: We do not sell, rent or relinquish customer names, home/e-mail
addresses,
phone numbers or any customer identifiable information to anyone
To join: Use your 12 digit Bonus Card number If you do not have a card
apply on line
or in your local Giant
Go on-line at Giantfoodcom and click on Pharmacy and Diabetes Center and
provide
your information or mail this card:
—————————————————————————-
—————————–
Name___________________________________
Address_________________________________
_______________________________________
Phone:_________________________________
Bonus Card required __ __ __ __ __ __ __ __ __ __ __ __
Giant Food
6300 Sheriff Road D597
Landover, MD 20785
Giant Food
6300 Sheriff Road D597
Landover, MD 20785
Giant Food
6300 Sheriff Road D597
Landover, MD 20785
Giant Food
6300 Sheriff Road D597
Landover, MD 20785
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|Friendly Reminder | |Friendly Reminder |
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|Your Supermarket Tour | |Your Supermarket Tour |
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|Date: | |Date: |
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|Time: | |Time: |
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|Giant Location: | |Giant Location: |
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|Directions | |Directions |
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|Friendly Reminder | |Friendly Reminder |
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|Your Supermarket Tour | |Your Supermarket Tour |
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|Date: | |Date: |
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|Time: | |Time: |
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|Giant Location: | |Giant Location: |
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|Directions | |Directions |
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| | |Tour Organizer |
|Place Stamp | |Place Stamp |
|Here | |Here |
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|Tour Organizer | |Address |
|Address | |City, State, Zip |
|City, State, Zip | |
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|Participant Name | |Address |
|Address | |City, State, Zip |
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|Place Stamp | |Place Stamp |
|Here | |Here |
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|Tour Organizer | |Address |
|Address | |City, State, Zip |
|City, State, Zip | | |
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|Participant Name | |Address
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|Address | |City, State, Zip |
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Form 8
Healthy Supermarket Tour
Store Notice
Giant store associates: Should you get questions,
a tour is going on in your store starting at the Pharmacy
Date: _______________________________
Time:________________________________
Tour Organizer:__________________________________
Dietitian:_________________________________________
Supermarket Tour Pre-Test
Please check one box for each question below
1 How would you rate your knowledge on the following health practices?
| |None |A little | A lot |
|Reading food labels | | | |
| | | | |
|Making Healthy Food Choices | | | |
| | | | |
|Food portion sizes | | | |
|
| | | |
|Calorie Counting | | | |
| | | | |
2 a Please rate your current level of motivation to implement healthy
practices into your life?
|No motivation |A little motivated | Motivated a lot |
b Please rate your current level of motivation to implement healthy
practices at your congregation?
| No motivation |A little motivated |Motivated a lot |
3 Has coming to the Giant Diabetes Supermarket Tour impacted how you
view:
| |More |No Affect |More |
| |Negative | |Positive |
| |Impression | |Impression |
|GIANT | | | |
|Your Community Partner | | | |
|SHARE, Inova, Holy Cross, | | | |
|etc | | |
|
|Your Organization | | | |
Supermarket Tour Post-Test
Please check one box for each question below
1 After attending the tour, how much have you learned on the following
health practices?
| |None |A little | A lot |
|Reading food labels | | | |
| | | | |
|Making Healthy Food Choices | | | |
| | | | |
|Food portion sizes | | | |
| | | | |
|Calorie Counting | | | |
| | | | |
a After attending the tour, how motivated are you to implement the
healthy practices you have learned on the tour in your own life?
| No
motivation |A little motivated | Motivated a lot |
|After attending the tour, how motivated are you to help implement a tour for your|
|congregation? |
|No motivation |
|A little motivated |
|Motivated a lot |
| |
Has participating in the Giant Diabetes Tour impacted how you view:
| |More |No Affect |More |
| |Negative | |Positive |
| |Impression | |Impression |
|a GIANT | | | |
|b Your Community Partner | | | |
|SHARE, Inova, Holy Cross, | | | |
|etc | | |
|
|c Your Organization | | | |
4 How would you rate the Diabetes Tour on each of the following?
| |Poor |Fair |Good |Excellent |
|Providing useful information |1 |2 |3 |4 |
|Being easy to understand |1 |2 |3 |4 |
|Being geared to your needs |1 |2 |3 |4 |
|Dietitian providing tour |1 |2 |3 |4 |
|Supermarket Tour Folder |1 |2 |3 |4 |
Please use back of page to write additional comments/ suggestions
———————–
Payment Confirms Your
Reservation
Tear off this section and give to registrant
Space is Limited
Join Us to Learn About Healthier Living
Space is limited
Partnership for Diabetes Health
Receipt for Giant Diabetes Wellness Store Tour
Tear off this section and give to registrant
Payment Confirms Your
Reservation
Tear off this section and give to registrant
Space is Limited
Tear off this section and give to registrant
Partnership for Diabetes Health
Receipt for Giant Diabetes Wellness Store Tour
Supermarket Tour - Diabetes Wellness
Payment Confirms Your
Reservation
Tear off this section and give to registrant
Space is Limited
Partnership for Diabetes Health
Receipt for Giant Diabetes Wellness Store Tour
Tear off this section and give to registrant
Form 5
Place Stamp Here
Place Stamp Here
Form 4
Form 2
Participants Name: ________________________
Please Print Clearly
Participants Name: ________________________
Please Print Clearly
Source:10000steps.org.au