Current Projects

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

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.


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 PM Changed by: Christian Meagher
Created at: 1/5/2021 9:07 AM Created by:

Community Collaborations

Title Topic
detail Community Health Improvement Plan (CHIP) Community
detail Valley Council of Health & Human Services Food Security Task Force Community
detail Community Alliance for Research and Engagement (CARE) Community
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