268823 Evaluation of an Initiative to Develop Community-based Capacity in Appalachia for implementing Evidenced-based proctice for Diabetes Prevention and Control

Tuesday, October 30, 2012

Patricia Thompson-Reid, MAT, MPH , Division of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, GA
Richard Crespo, PhD , Joan C. Edwards School of Medicine, Marshall University, Huntington, WV
Amy A. Eyler, PhD , Prevention Research Center, Washington University in St. Louis, St. Louis, MO
Since 2000, the Centers for Disease Control and Prevention have supported capacity building coalitions (locally controlled plans for diabetes prevention and control) in Appalachia. These efforts, using a coalition building strategy based on the Diabetes Today framework, have been conducted through an interagency agreement with the Appalachian Regional Commission (Commission), a federal-state partnership to promote economic and social development of the Appalachian Region. As of 2012, the Appalachian region consisted of 420 counties along the Appalachian mountain chain containing all of West Virginia, and parts of Alabama, Georgia, Kentucky, Maryland, Mississippi, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, and Virginia. In FY 2011, the Commission designated 82 of these counties as distressed, meaning that they are among the poorest 10% nationwide, based on rates of poverty, unemployment and per capita market income. Problem: Are coalitions an effective means for promoting healthy behavior change and social and organizational support for diabetes prevention and control in Appalachia? Method: Multi-methods evaluation including quantitative and qualitative assessment of coalition membership, activities, perception of success, analysis of patterns and commonalities among coalitions and in-depth case studies of five coalitions. Results: Coalitions serve public health by promoting community connectedness. They provide valuable and culturally appropriate services for diabetes prevention and control in resource-poor areas in Appalachia. Conclusion: Building community capacity by developing local leadership and strategic partnerships is an important strategy for sustaining long term outcomes for diabetes prevention and control in Appalachia.

Learning Areas:
Administration, management, leadership
Chronic disease management and prevention
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
Discuss the burden of diabetes in Appalachia and its social and economic impact. Explain the "Diabetes Today" framework for building community capacity in Appalachia. List three conditions that facilitated the success of coalitions in Appalachia in promoting and delivering chronic disease self management and diabetes self-management.

Keywords: Community Capacity, Diabetes

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the technical moonitor for the Appalachia Diabetes Prevention and Control Project. I also developed and evaluated the original framework for the development of community-based coalitions outlined in "Diabetes Today" that was adapted for the Appalachian region. This project is a culmination of 20 years of work and focus on the use of community-based strategies for chronic disease prevention and control.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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