141st APHA Annual Meeting

In This section

289718
New York State YMCA Diabetes Prevention Program: Processes and outcomes for dissemination of an evidenced based program

Wednesday, November 6, 2013 : 11:10 AM - 11:30 AM

Anne Bozack, MPH , Center for Evaluation and Applied Research, The New York Academy of Medicine, New York, NY
Susan Millstein, LCSW-R, MPH , Diabetes Prevention and Control Program, New York State Department of Health, Albany, NY
Kim Kelly , Diabetes Prevention and Control Program, New York State Department of Health, Albany, NY
Kelly Hunt, MPP , Chief Program Learning Officer, New York State Health Foundation, New York, NY
Jacqueline Martinez Garcel, MPH , New York State Health Foundation, New York, NY
Linda Weiss, PhD , Center for Evaluation and Applied Research, The New York Academy of Medicine, New York, NY
Background: The New York State (NYS) YMCA Diabetes Prevention Program (Y-DPP) was a public –private partnership between the New York State Department of Health (NYSDOH), Alliance of NYS YMCAs, and the NYS Health Foundation to address prediabetes. The evidence-based Y-DPP curriculum was utilized in group programs facilitated by trained lifestyle coaches at 10 YMCAs across geographically diverse areas of NYS. Program goals were 5-7% weight loss and increased physical activity, which have been associated with a reduction in diabetes risk among individuals with prediabetes. This model has been shown to be effective; however, reports linking outcomes to implementation and replication are lacking. Methods: A mixed methods evaluation was conducted between 2010 and 2012. Participants completed surveys at baseline, program completion, and six months after completion. Data were also gathered from weekly weight trackers, participant focus groups, and YMCA staff surveys and interviews. Results: The evaluation included 26 sessions. Participants (N=254) lost a mean of 11 pounds (p<.05) by program completion (16-weeks), and 45% achieved the goal of 5% body weight loss. Six months after program completion, 72% reported that their health had improved from baseline. Qualitative findings were consistent, with participants reporting improvements in physical and mental wellbeing. Factors contributing to successful implementation included YMCA organizational capacity, state-level coordination and technical assistance, and initial foundation funding. Conclusions: Outcomes demonstrate that public-private partnerships and the existing capacity of community-based settings can facilitate the implementation of evidence-based diabetes prevention programs, which have the potential to prevent type 2 diabetes in diverse communities.

Learning Areas:
Administer health education strategies, interventions and programs
Chronic disease management and prevention
Implementation of health education strategies, interventions and programs

Learning Objectives:
Explain the NYS YMCA Diabetes Prevention Program’s (Y-DPP) implementation of group-based lifestyle programs through a collaborative effort, involving training, support, and a network of community organizations. Describe key health outcomes of the Y-DPP and their importance in preventing type 2 diabetes among participants. Discuss the role of community organizations in health promotion and diabetes prevention.

Keywords: Diabetes, Community-Based Health Promotion

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am an Evaluation Project Director of interventions focusing on chronic diseases and health disparities throughout New York State. I work closely with community-based organizations and health care providers to design and implement program evaluations and disseminate findings to multiple stakeholders.
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.