title: Implementation of a diabetes prevention program in public housing communities.
abstract: OBJECTIVE
  The purpose of this study was to describe the process of implementing a diabetes prevention program provided by homecare nurses to residents of public housing communities.
  
  
  METHODS
  A cluster randomization pilot study was conducted comparing enhanced standard care (2 interactive classes on diabetes prevention) to a diabetes prevention program (7 interactive classes and behavioral support). The sample (n = 67) was primarily female (79%), nonwhite (76%), unpartnered (83%), with a mean age of 40 years, and an average of 3 children. Mixed methods were used to evaluate the implementation process.
  
  
  METHODS
  Data were collected on attendance, attrition, and protocol implementation. Interviews were conducted with nurses and community health workers who assisted with program implementation.
  
  
  RESULTS
  Homecare nurses were able to implement a diabetes prevention program in public housing communities, with a protocol implementation of 83% across classes and groups. Attendance was suboptimal with 60% for the enhanced standard care group and 54% for the diabetes prevention group. Nurses and community health workers were resourceful and positive about program implementation.
  
  
  CONCLUSIONS
  Linking existing resources, such as a homecare agency with a public housing community, is one approach to disseminate diabetes prevention programs.
authors.affiliation: Yale School of Nursing, New Haven, CT.
authors.forename: Robin
authors.initials: R
authors.lastname: Whittemore
authors.forename: Alana
authors.initials: A
authors.lastname: Rosenberg
authors.forename: Lisa
authors.initials: L
authors.lastname: Gilmore
authors.forename: Mary
authors.initials: M
authors.lastname: Withey
authors.forename: Allison
authors.initials: A
authors.lastname: Breault
mesh_terms: D000328:Adult; D016000:Cluster Analysis; D003150:Community Health Workers / Q000458:organization & administration*; D003924:Diabetes Mellitus, Type 2 / Q000517:prevention & control*; D005260:Female; D006699:Home Care Services / Q000458:organization & administration*; D064650:Home Health Nursing / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015403:Nursing Evaluation Research; D010865:Pilot Projects; D016730:Program Development; D011638:Public Housing; D036301:Qualitative Research
keywords: health promotion; public health nursing practice; type 2 diabetes prevention; underserved populations