Community Health Profile (CHP)

Title:Community Health Profile (CHP)
Status:Completed
Topic:Community;Program or Product Development
Funding Source:Centers for Disease Control and Prevention (CDC)
Funding Period:1998-2012
Study Design:N/A
Purpose:To track trends in the health of our local communities and to help address programming and policy-making decisions. This detailed report on area health trends and statistics has been widely distributed to health agencies at the state and local level.
Further Study Details:The CHP was first produced in 1998 under its original title of Valley Health Profile to provide health-related information pertaining to Ansonia, Beacon Falls, Derby, Oxford, Seymour and Shelton, CT. Over the years, it was periodically revised to include more data from a broader geographic area. The 2009-2010 edition included data from communities served by the Naugatuck Valley Health District (Ansonia, Beacon Falls, Derby, Naugatuck, Seymour, Shelton), and the Pomperaug Health District (Oxford, Southbury, Woodbury), along with data from Bridgeport, Hartford, New Haven, and the state of Connecticut. It included a searchable database with the ability to generate custom reports to track trends at the local, regional, or state level. It included data on population statistics; prenatal statistics; lead poisoning; communicable diseases; cancer incidence and mortality; and the leading causes of death. In 2014, in response to the local desire for more comprehensive data collection, the Valley Community Foundation convened a new Advisory Committee and engaged DataHaven to produce The Valley Community Index. 
Findings:n/a
Eligibility:n/a

Changed at:3/1/2017 11:14 AMChanged by:Lisa Seaberg
Created at:8/30/2010 11:32 AMCreated by:Griffin Hospital

Community Health Improvement Plan (CHIP)    

Community Alliance for Research and Engagement (CARE)    

Valley Council of Health & Human Services Food Security Task Force  

A Prescription for Health Equity: A Healthcare Provider-based Produce Prescription Program for People with Prediabetes and Type 2 Diabetes

Title:A Prescription for Health Equity: A Healthcare Provider-based Produce Prescription Program for People with Prediabetes and Type 2 Diabetes
Status:Current
Topic:Community;Diabetes / Insulin Resistance;Nutrition / Diet
Funding Source:Gus Schumacher Nutrition Incentive Program (GusNIP) Produce Prescription Program, administered by the National Institute of Food and Agriculture at the U.S. Department of Agriculture
Funding Period:2022-2026
Study Design:This project will be conducted in 3 phases: 1. Sept. 2022-Feb. 2023: Formative research and program co-design with community partners and potential program participants 2. March 2023-Feb. 2025: Randomized controlled trial of a healthcare provider-based produce prescription program (PPR) 3. March 2025-Aug. 2026: Data analyses and dissemination of findings
Purpose:Griffin Hospital and the Yale-Griffin PRC are partnering to offer a healthcare provider-based produce prescription program (PPR) (co-designed with community partners and residents) to low-income residents of Connecticut’s Lower Naugatuck Valley (LNV) who receive care from Griffin Hospital and/or the Griffin Faculty Physicians practice, and who have prediabetes or type 2 diabetes. The goal is to improve their food security, diet quality, cardio-metabolic health outcomes, and healthcare costs.Disparities in access to healthy foods can lead to disparities in obesity, diabetes, overall health, and quality of life. Produce prescription programs with incentives to buy fruits and vegetables can help improve participants’ food security and nutritional status, which can help reduce health disparities resulting from differential access to healthy foods.
Further Study Details:The project team will recruit 134 adults with pre-diabetes or type 2 diabetes. We will randomly assign 67 to a PPR intervention and 67 to a delayed intervention control group.The 6-month PPR will include vouchers to buy fresh fruits and vegetables, along with nutrition education. The vouchers’ monthly value will be $40 per household, with an extra $5 per additional household member. The specific nutrition education and the voucher redemption sites will be determined based on the formative research.
Eligibility:To qualify for this study, you must be:Age 18 years or olderResident of the Lower Naugatuck ValleyPatient at Griffin Hospital and/or Griffin Faculty Physicians practiceEligible for Medicaid and/or the Supplemental Nutrition Assistance ProgramDiagnosis of prediabetes or type 2 diabetesAble to communicate in English or Spanish
Evaluation:The project team will evaluate the co-design process, PPR implementation, and the PPR’s impact on participants’ food security status, diet quality, hemoglobin A1C, blood lipids, blood pressure, weight, and body mass index. Outcome measures will be assessed at baseline, after the 6-month intervention, and 3 months later. We will also assess the PPR’s impact on healthcare costs.

Changed at:4/12/2023 1:19 PMChanged by:Christian Meagher
Created at:4/12/2023 1:19 PMCreated by:Christian Meagher

REALIST REVIEW: What Does it Take for Type 2 Diabetes Prevention/Lifestyle Management Virtual Interventions to Work among Low-Income Communities?

Title:REALIST REVIEW: What Does it Take for Type 2 Diabetes Prevention/Lifestyle Management Virtual Interventions to Work among Low-Income Communities?
Status:Current
Topic:Community;Diabetes / Insulin Resistance;Health Promotion & Wellness;Nutrition / Diet;Physical Activity
Funding Source:Centers for Disease Control and Prevention (CDC)
Funding Period:2020-2023
Study Design:Realist review of published literature
Purpose:Concurrent with our core research project, a team led by Associate Research Scientist Amber Hromi-Fielder, PhD, MPH is conducting a realist review of published research articles on Type 2 diabetes prevention/ lifestyle management interventions in low-income communities. The purpose of this review is to determine how, why and in what circumstances diabetes prevention programs (DPPs) delivered virtually can effectively improve diabetes risk factors among adults with lower incomes. The team will search for articles on: (1) diabetes prevention and lifestyle management programs, (2) virtual services, and (3) community health workers (CHWs), and will then look for areas of overlap between these topics to help address these questions. Adults with lower incomes are at increased risk for Type 2 diabetes, but face barriers to participating in programs to help reduce this risk. Virtual services have been proposed as a way to reduce these barriers. Although they’ve been found effective in improving diabetes self-management among adults in general, less is known about their effectiveness in preventing diabetes in adults with lower incomes.CHWs can serve as a critical link to providing health services to these adults. Research has been published on virtual delivery of DPPs, and the roles of CHWs in diabetes prevention. However, there is a gap in knowledge concerning the role of CHWS in the virtual delivery of DPPs. The realist review is intended to help fill in this gap.
Further Study Details:Realist reviews, unlike traditional systemic reviews, are not intended to locate every published paper. Rather, searches become refined as the conceptual framework guiding the search is continually improved.
Eligibility:Journal articles that meet criteria for selection as established by the Realist Review team.
Evaluation:The team will search for published articles on three research topics and look for areas of overlap between these topics to help address our research questions. See “Purpose” for more details.

Changed at:4/12/2023 4:17 PMChanged by:Christian Meagher
Created at:1/5/2021 9:07 AMCreated by: