Online Program

Evaluation of a Community-based Translation of the National Diabetes Prevention Program for Latinos

Tuesday, November 3, 2015

Fernando Pineda-Reyes, BS, CREA Results, Wheat Ridge, CO
Rocio I. Pereira, MD, Division of Endocrinology, Metabolism, and Diabetes, University of Colorado School of Medicine, Aurora, CO
Natalie D. Ritchie, PhD, Denver Health Managed Care, Denver Health and Hospital Authority, Denver, CO
In an effort to address rising rates of diabetes among Latinos, we implemented a community-based translation of the National Diabetes Prevention Program (NDPP) conducted in partnership between the University of Colorado and community organization CREA Results. We followed the CDC-championed NDPP curriculum and yearlong format of 16 weekly/biweekly group sessions followed by 6 monthly group sessions. Sessions were led by trained CREA Results promotoras and conducted in English or Spanish based on participant preference. We recruited in community settings, including churches, schools, and community health fairs. Eligibility was based on 2015 Diabetes Prevention Recognition Program (DPRP) guidelines (≥18 yo, BMI ≥24, and diabetes risk based on abnormal glucose, history of gestational diabetes, or CDC diabetes risk test). Evaluation metrics were based on DPRP guidelines, including 6-month goals of ≥9 sessions attended and 5% average weight loss. Of 521 individuals who attended ≥1 sessions over the 1-year evaluation period, 81% (n=424; 45 ± 12 yo, 85%F/15%M, 98% Latino) met DPRP eligibility criteria. Most attended sessions in Spanish (90%), and there were no differences in attendance or weight change based on language.  Among the 98% who attended ≥4sessions, average attendance during first 6 months was 13 sessions and mean weight loss was 3%. Attendance goal of ≥9 sessions was achieved by 80%, and goal of 5% weight loss was achieved by 27% of participants. While we demonstrated high attendance rates, additional work is needed to identify barriers to weight loss among Latinos participating in lifestyle intervention programs like the NDPP.

Learning Areas:

Implementation of health education strategies, interventions and programs

Learning Objectives:
Discuss successes and challenges of community-based translation of the National Diabetes Prevention Program in Latino communities.

Keyword(s): Diabetes

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: As a founder/managing partner with my sister Diana and lead CHW/Promotor de Salud of CREA Results. Our work is in partnerships with academic researchers, government agencies and public health service agencies to address disparities and inequalities in health and health care of underserved populations and low socio economic status communities always incorporating the CHWs/Promotores de Salud Model. We have created and managed over 50 programs and health campaigns working with a team of 30plus CHWs/Promotores.
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.