The diabetes primary prevention initiative interventions focus area: a case study and recommendations.
BACKGROUND
In 2005, CDC began the Diabetes Primary Prevention Initiative Interventions Focus Area (DPPI-IFA), which funded five state Diabetes Prevention and Control Programs (DPCPs) to translate diabetes primary prevention trials into real-world settings by developing and implementing a framework for state-level diabetes primary prevention.


OBJECTIVE
The purpose of this case study, conducted in 2007, was to describe DPPI-IFA implementation, including facilitators and challenges to the initiative.


METHODS
Case studies of the five DPCPs in the DPPI-IFA involving site visits with key informant interviews of state staff and partners and archival record collection.


RESULTS
Partners recruited for DPPI-IFA activities included local or state public health agencies (three of five DPCPs); regional or state nonprofit organizations (five DPCPs); businesses or employers (three DPCPs); and healthcare organizations (four DPCPs). The DPCPs implemented a variety of interventions in three main domains: diabetes primary prevention and prediabetes awareness, screening activities and lifestyle interventions, and prediabetes-related health policy efforts. Preliminary outcomes are described at the individual and organization/partnership levels. Results suggest the importance of utilizing preexisting partnerships to extend work into diabetes prevention, providing even small amounts of funding to partners, and prior program planning for diabetes prevention. Challenges for the DPPI-IFA included recruiting participants, establishing links with providers to obtain diagnostic testing for people screened for prediabetes, and offering a lifestyle intervention.


CONCLUSIONS
The DPPI-IFA represents a unique effort by state public health programs in the translation of diabetes primary prevention trials into real-world settings. The experiences of the DPPI-IFA programs offer valuable lessons for future community-based diabetes prevention initiatives, especially regarding the need to strengthen clinical-community partnerships for referral of people with prediabetes to evidence-based lifestyle programs.
Porterfield
Deborah S
DS
RTI International, Research Triangle Park, North Carolina 27709-2194, USA. dporterfield@rti.org
Hinnant
Laurie
L
Stevens
David M
DM
Moy
Ernest
E
D002487:Centers for Disease Control and Prevention, U.S.; D003153:Community Health Services / Q000458:organization & administration*; D003299:Cooperative Behavior; D003625:Data Collection; D003920:Diabetes Mellitus / Q000175:diagnosis / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D006291:Health Policy; D006801:Humans; D008019:Life Style; D008403:Mass Screening / Q000379:methods; D011159:Population Surveillance; D011322:Primary Prevention / Q000379:methods*; D011634:Public Health / Q000379:methods; D014481:United States