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Title: CORE RESEARCH PROJECT: Improving Health in Low Income Communities - Virtual Delivery of a Diabetes Prevention Program Facilitated by Community Care Coordination
Status: Current
Topic: Community;Diabetes / Insulin Resistance;Nutrition / Diet;Physical Activity
Funding Source: Centers for Disease Control and Prevention (CDC)
Funding Period: 2019-2024
Study Design: Implementation Science Research
Purpose:

The risk of diabetes is higher among low-income populations. The progression from pre-diabetes to type 2 diabetes can often be prevented through lifestyle interventions. The Diabetes Prevention Program (DPP) is among the best-studied lifestyle interventions. However, people with low incomes often face barriers to engaging in the DPP when offered in traditional settings. Providing digital online access to the DPP – combined with personally tailored guidance and care coordination – might improve participation, engagement, and outcomes.

Further Study Details:

This study will assess the feasibility and health impacts (behavioral and cardio-metabolic outcomes) of implementing a virtually-delivered Diabetes Prevention Program (vDPP) – facilitated by community health workers or hospital-based community nurses –among low-income adults at risk for type 2 diabetes.  It will identify and address barriers to participating in evidence-based lifestyle programs.  The study will take place in three Connecticut communities: New Haven, Ansonia, and Derby.

Specific Aims:

  1. Conduct formative research (focus groups, interviews with key stakeholders, and a small pilot study) with community partners to assess community, systemic, technological, and structural level barriers to implementing a v-DPP.
  2. In collaboration with community partners, use strategies identified in Aim 1 to maximize impact of the v-DPP in target communities, as evidenced by measures of Reach, Effectiveness, Adoption, Implementation, and Maintenance; and assess factors influencing RE-AIM outcomes, such as social determinants of health, demographic variables, and self-efficacy.
  3. Demonstrate improvements in diet quality, physical activity, body weight, and blood pressure, in low-income adults at risk for type 2 diabetes who participate in a v-DPP facilitated by community-based care coordination.
  4. Collaborate with community partners to develop and implement a strategic approach to sustain the v-DPP benefits through community-based care coordination in the study communities; and then disseminate the model to other communities.
Eligibility:

Adult residents of New Haven, Derby, and Ansonia, CT who are eligible for Medicaid and at risk for type 2 diabetes.

Evaluation: See “Specific Aims” above

Changed at: 3/27/2020 2:52 PM Changed by: Alex Stackpole
Created at: 3/27/2020 2:52 PM Created by: Alex Stackpole

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