title: Applying comprehensive community-based approaches in diabetes prevention: rationale, principles, and models.
abstract: The literature regarding the prevention of diabetes provides few standards for community-based initiatives. The present article offers four principles for engaging communities in comprehensive community approaches to diabetes prevention including (1) facilitating meaningful and central roles for communities, (2) giving primary attention to participatory processes rather than to best practices, (3) emphasizing cultural relevance in designing interventions particularly in racial and ethnic communities, and (4) incorporating social ecology approaches that are holistic and that address larger environmental influences rather than individual behavioral change alone. In order that community public health practitioners may operationalize the principles, models are provided for each.
authors.affiliation: Department of Behavioral and Community Health, Sciences, Graduate School of Public Health, University of Pittsburgh, Pennsylvania, USA. rmg16@pitt.edu
authors.forename: Robert M
authors.initials: RM
authors.lastname: Goodman
authors.forename: Seunghyun
authors.initials: S
authors.lastname: Yoo
authors.forename: Leonard
authors.initials: L
authors.lastname: Jack
mesh_terms: D003153:Community Health Services / Q000458:organization & administration*; D003256:Community Participation / Q000379:methods*; D003920:Diabetes Mellitus / Q000208:ethnology / Q000517:prevention & control*; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans