title: Improving the Reach of the National Diabetes Prevention Program Within a Health Disparities Population: A Bronx New York Pilot Project Crossing Health- and Community-Based Sectors.
abstract: Diabetes affects upward of 30% of South Bronx residents. The Centers for Disease Control and Prevention's National Diabetes Prevention Program (NDPP) reduces risk of progression to diabetes, yet implementation has been elusive within health disparities populations.
  
  
  
  This community-based, collaborative project piloted the NDPP in the South Bronx and evaluated implementation challenges and enablers. The New York State training group prepared community peer lifestyle coaches recruited by a community organization. A professional society trained academic detailers from local faculty. An interview process evaluated community needs and public health officials' beliefs. A portal managed by the New York State training group collected demographic and biometric data from the community participants and facilitated online registration. Data from interviews and observations were coded systematically using a thematic analysis framework.
  
  
  
  We were successful at recruiting and training 14 lifestyle coaches and 7 academic detailers, as well as recruiting members of the health disparities population in the South Bronx into the program. Fifty-two individuals completed the first 6 months of the yearlong program, attending an average of 12.7 of 16 sessions. By week 16, weight loss averaged 7.4 lbs and many had doubled their minutes of physical activity. Local electronic referral and feedback systems were developed.
  
  
  
  Health professionals, their teams, public health centers, and communities can work together to prevent diabetes by enhancing the reach of the NDPP to health disparities populations. Peer education using lifestyle coaches can provide a trustworthy process for crossing the boundaries between health teams and community support groups.
authors.affiliation: Dr. Morrow: Associate Clinical Professor, Department of Family and Social Medicine, Montefiore Medical Center, Bronx, NY. Ms. Ferretti: Research Assistant, Professor, and Executive Director, QTAC-NY, State University of New York at Albany, Albany, NY. Mr. Norwood: Chief Executive, Health People, Bronx, NY. Dr. Reich: Chair, Department of Family Medicine, Bronx Lebanon Hospital Center, Bronx, NY. Dr. Chito-Childs: Assistant Professor, Department of Sociology, Hunter College of the City University of New York, New York, NY. Dr. McCallion: Distinguished Professor, Department of Social Work, State University of New York at Albany, Albany, NY. Dr. Tiburcio: Residency Director, Department of Family Medicine, Bronx Lebanon Hospital Center, Bronx, NY. Ms. McGee: Grants Consultant, Catholic Charities, New York, NY. Dr. Lopez: Program Director, University of Vermont Health Network, Champlain Valley Physicians Hospital Program, Plattsburgh, NY.
authors.forename: Robert
authors.initials: R
authors.lastname: Morrow
authors.forename: Lisa
authors.initials: L
authors.lastname: Ferretti
authors.forename: Chris
authors.initials: C
authors.lastname: Norwood
authors.forename: Douglas
authors.initials: D
authors.lastname: Reich
authors.forename: Erica
authors.initials: E
authors.lastname: Chito-Childs
authors.forename: Phillip
authors.initials: P
authors.lastname: McCallion
authors.forename: Jose
authors.initials: J
authors.lastname: Tiburcio
authors.forename: Eleanor
authors.initials: E
authors.lastname: McGee
authors.forename: Jose A
authors.initials: JA
authors.lastname: Lopez
mesh_terms: D003299:Cooperative Behavior; D003920:Diabetes Mellitus / Q000517:prevention & control*; D054625:Healthcare Disparities / Q000639:trends*; D006801:Humans; D020380:Needs Assessment; D009519:New York City; D010865:Pilot Projects; D016730:Program Development / Q000379:methods*; D055818:Public-Private Sector Partnerships