Implementation of a Diabetes Prevention Program in Public Housing Communities

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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.

Design and Sample:

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.

Measures:

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.

Conclusion:

Linking existing resources, such as a homecare agency with a public housing community, is one approach to disseminate diabetes prevention programs.

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