DHHS, Headquarters West Indian Health Service, 5300 Homestead Road N.W., Albuquerque, New Mexico 87110-9999

R -- REVISION AND EXPANSION OF DIABETES NUTRITION EDUCATION MATERIALS FOR CLIENTS AND HEALTH PROFESSIONALS Sol. REF No. HQW074-0099/JA. Contact Person: Janice Arthur, 505/837-4112, Contracting Office. The DHHS, Indian Health Service, Headquarters West, Diabetes Program, Albuquerque, New Mexico intends to enter into a sole source contract using the simplified acquisition procedures (FASA) to revise and expand the food, nutrition, and meal planning component of the Indian Health Service (IHS) Basic Services Diabetes Curriculum pursuant to 41 USC 253 (c)(1) as implementad by FAR 6.302-1, only one responsible source and no other supplies or services will satisfy agency requirements. PROJECT 1 - Expand the food, nutrition, and meal planning component of the IHS Basic Services Diabetes Curriculum. The IHS Basic Series Diabetes Curriculum developed in 1989 contains only four lessons specifically related to diabetes nutrition. 1) Body Weight and Diabetes; 2) Eat Less Food; 3) Eat Less Sugar; and 4) Eat Less Fat. The curriculum needs revision to incorporate the 1994 American Diabetes Association Nutrition Recommendations and expansion for additional food, nutrition therapy, and meal planning for diabetes topics. PHASE 1 - RESEARCH: Contractor will review existing IHS diabetes nutrition education client print materials and research current materials available from other government agencies (i.e. USDA) and diabetes and nutrition professional organizations/agencies (i.e. American Diabetes Association, American Dietetic Association, International Diabetes Center, American Association of Diabetes Educators). PHASE 2 - DESIGN: Contractor will work with the IHS Diabetes Education Ad Hoc Committee (Nutrition Consultant Headquarters West (HQW) Diabetes Program, Nurse Consultant HQW Diabetes Program, Two Registered Dietitians (RD) IHS/tribal Model Diabetes Program, Two Registered Nurses (RN) IHS/Tribal Model Diabetes Program, 1 RD generalist (IHS/Service Unit/Tribal clinic), and 1 RN or Community Health Representative (CHR) (IHS Service Unit/tribal clinic; generalist) through conference call meetings to brainstorm diabetes nutrition education lesson topics; nominal group process to develop top 10 new lessons/modules; develop 10 new lessons following the format of IHS Basic Series Diabetes Curriculum; and develop field test procedure and documents. PHASE 3 - FIELD TEST: Contractor will coordinate field testing of 10 draft lessons with health providers serving American Indians and Alaskan Natives with diabetes. IHS Diabetes Program HQW will assist contractor in identifying pool of health providers to randomly select for field testing of draft lesson plans. IHS/tribal health staff will provide review comments to contractor. PHASE 4 - COMPLETION: Contractor with input from Ad Hoc Committee will review results of field test and incorporate changes suggested in field tests into final design. Camera-ready copy of all 10 lessons, client booklets and supporting computer disks shall be delivered to IHS Diabetes Program, HQW. PROJECT 2: Revision of ``Diabetes Nutrition Teaching Tools'' Publications. Contractor will analyze IHS/Tribal diabetes health provider's needs related to diabetes nutrition therapy orientation materials and revise these two IHS Diabetes Program resource notebooks: Diabetes Nutrition Teaching Tools: A Resource Guide for Dietitians and Diabetes Nutrition Teaching Tools: A Resource Guide for Health Providers into one updated resource guide. PHASE 1 - RESEARCH: Contractor into one updated resource guides for accuracy, current use of materials, and inclusion of the 1994 ADA Nutrition recommendations. Contractor will solicit input from IHS Diabetes Program Ad Hoc Executive Committee on recommendations for revision of these two notebooks and design of a needs assessment to determine current used of and recommended changes of these two resource guides by IHS/tribal health providers. PHASE 2 - DESIGN: Design a needs assessment to interview (phone and mail) IHS/tribal health staff serving American Indians and Alaska Natives with Diabetes to determine: who uses the resource guide; how are the resource guides used (i.e. orientation of new staff); recommended changes in format and/or content of resource books; recommendations for marketing revised resource books. PHASE 3 RESEARCH: Contractor will coordinate needs assessment of diabetes nutrition teaching tools evaluation project. IHS Diabetes Education Ad Hoc Executive Committee will determine test sites to include five IHS/tribal Diabetes Model Program sites and five IHS/Tribal General Diabetes clinic sites. Contractor will conduct needs assessment, summarize and share results with Ad Hoc Committee. Using results from the field needs assessment and Ad Hoc Executive Committee recommendations, contractor will design the 1995 draft, ``Diabetes Nutrition Teaching Tools: A Resource Guide for Health Providers''. PHASE 4-FIELD TEST: IHS/Tribal health staff in five Diabetes Model Program sites and five General Diabetes Clinic sites will field test draft resource guide and provide review comments to contractor. Contractor will coordinate field test, summarize and share results with Ad Hoc Committee. PHASE 5-COMPLETION: Contractor will finalize design of resource guide for health professionals incorporating changes recommended in field test. Camera-ready copy and supporting computer disks shall be delivered to IHS Diabetes Program, HQW. PROJECT 3 - Revise Six IHS Diabetes Program Client Publications: 1) Family Food Choices (1989); 2) Eat Lesss Food (1980); 3) Eat Less Sugar (1980); 4) Eat Less Fat (1980); 5) Food Preparation Affects Calories (1980); and 6) Diabetes During Pregnancy: How to Keep the Balance Meal Plan (1991). PHASE 1 - TECHNICAL REVIEW: Contractor will perform technical review of six client publications to incorporate 1994 American Diabetes Association Nutrition Recommendations. PHASE 2 - RESEARCH: Contractor will solicit input from IHS Diabetes Education Ad Hoc Executive committee on technical review revisions of the six client publications via telephone conference call. Contractor develops field test protocol. PHASE 3 - FIELD TEST: Contractor will coordinate field test in selected IHS/tribal clinic sites. IHS/tribal health staff will field test revised client publications with American Indian and Alaska Native clients and provide health provider and client comments to Contractor. Contractor will summarize, review comments and present to the IHS Ad Hoc Committee via written summary report and conference call meeting. PHASE 4 - COMPLETION: Contractor will finalize design of all client materials incorporating changes suggested in field test and by IHS Ad Hoc Committee. Camera-ready copy of all client publications and supporting computer disks shall be delivered to IHS Diabetes Program, HQW. PROJECT 4 - Review draft ``Keeping Your Kidneys Health Meal Plan''. Research: Review draft ``Keeping Your Kidneys Healthy Meal Plan'' client brochure developed (1993-1994) by IHS Diabetes Program RD Task Force. Research diabetes and kidney disease peer-reviewed literature to determine primary nutrition therapy/eating behaviors for management of pre-end Stage Renal Disease. Phase 2 -DESIGN: Contractor will develop draft ``Keeping Your Kidneys Health Plan'' incorporating current research recommendations for clinical management contractor develops field test protocal with input from Project Officer. PHASE 3 - FIELD TEST: Contractor will coordinate field test in selected IHS/Tribal diabetes clinics with Diabetes Program RDs and generalist RDs. IHS/Tribal RDs will field test client publication with American Indians and Alaska Natives with pre-end Stage Renal Disease and provide their comments and their clients comments to the Contractor. Contractor will summarize review comments and present to IHS Diabetes Program Ad Hoc Diabetes/Nutrition/Kidney Dieease Task Force via written summary report on conference call meeting. PHASE 4 - COMPLETION: Contractor will finalize design of client print material incorporating changes suggested in the field test and by IHS Diabetes Program Ad Hoc Diabetes/Nutrition/Kidney Disease Task Force. Camera-ready copy of client publication and supporting computer disks shall be delivered to IHS Diabetes Program. HQW. Period of performance is September 30, 1995 through July 26, 1996. No solicitation is available, therefore, requests for such documents will be considered invalid responses. Concerns having the ability to provide the services stated above must submit written notification that demonstrates their ability to satisfy the requirements. This should be address to the attention of Ms. Janice Arthur referencing number HQW074-0099/JA. If no affirmative responses are received within 15 days from date of this synopsis is published, the Contracting Officer will proceed with this acquisition to Margaret A. Powers & Associates. See Numbered Note 22. (237)

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