Scaling the National DPP in Underserved Areas

NACDD was one of 10 recipients of the six-year Centers for Disease Control and Prevention (CDC) cooperative agreement, Scaling the National Diabetes Prevention Program in Underserved Areas (DP17-1705). The agreement focuses on populations of focus such as people with disabilities, Medicare beneficiaries, and the general public who have prediabetes by implementing five key strategies across multiple states:

  • Increase new CDC-recognized lifestyle change programs. 
  • Increase referrals of lifestyle change programs by health system partners. 
  • Market the lifestyle change programs to drive enrollment.
  • Retain participants into lifestyle change programs.
  • Reimbursement for lifestyle change programs offered by public and private payers and employers and support for Medicare Diabetes Prevention Program supplier.

NACDD’s project focus was reaching people with disabilities with an inclusive evidence-based intervention, the National Diabetes Prevention Program (National DPP) lifestyle change program.

Collaborated across five states, supporting 24 programs in obtaining CDC recognition to offer the National Diabetes Prevention Program (National DPP) lifestyle change program (LCP).

Facilitated the enrollment of over 1,400 participants with prediabetes into the National DPP LCP.

Notably, 12% of participants had a disability, achieving an impressive average weight loss of 9.7%, surpassing the national average of 5.2%.

Supported four sites in becoming Medicare DPP providers and an additional four sites in becoming Medicaid suppliers (specifically in New York and Pennsylvania).

Successfully trained and onboarded 12 CDC-recognized organizations onto the HALT platform, resulting in the formation of 10 cohorts with a combined total of 140 participants.

Conducted at least 10 Lifestyle Coach trainings, reaching over 50 coaches with a special emphasis on inclusivity, particularly for individuals with disabilities.

Provided training, technical assistance, and one-on-one support to the five states and more than 20 recognized programs annually. Our focus is on ensuring the successful implementation of work plans, with a particular emphasis on inclusion for people with disabilities.

Developed multiple resources and toolkits for states and sites to enhance outreach and enrollment efforts for people with disabilities. These include training materials, intake forms, data collection support, marketing collateral, and tools for effective partnership engagement.

NACDD partnered with the Alaska Department of Health and Social Services and InquisitHealth to capture a success story video of Allen, an InquisitHealth telephonic National DPP lifestyle change program completer from rural Alaska. Allen was referred to the program by his healthcare provider after experiencing two heart attacks and receiving bloodwork results in the prediabetes range. Through participating in the program, Allen lost almost 60 pounds and can now do the things he loves like hunting, fishing, and swimming with his grandkids with a lot less stress and fatigue. Allen’s story was utilized by the Alaska Department of Health in their ‘Fresh Start’ public health campaign. 

NACDD partnered with the ProVention Health Foundation to offer the Health And Lifestyle Training (HALT) Diabetes software platform that enables any CDC-recognized organization to offer the National DPP lifestyle change program online. The HALT platform empowers CDC-recognized organizations to expand network capacity and affordable access to the National DPP lifestyle change program. NACDD provides users with onboarding training, recruitment and enrollment support, and customized marketing materials. Throughout the project, NACDD trained and onboarded 14 CDC-recognized organizations onto the HALT platform, resulting in the enrollment of 245 participants. Learn more about HALT.

Want to learn more about how to ensure your National DPP lifestyle change program is inclusive of people with disabilities?
Check out our Health Equity page on the website to access the Roadmap 2 Inclusion and other disability inclusion resources.

NACDD partnered with CDC to annually determine the priority needs of the 10 national organizations and their affiliate sites that implemented the National DPP lifestyle change program in states across the nation. Based on these needs, NACDD provided:

  • Peer learning and sharing opportunities such as communities of practice and discussion group calls.
  • Webinars and trainings on priority topics.
  • Assistance with planning and implementing national-level meetings for the participating organizations and their affiliate sites. 
  • A newsletter with announcements, resources, success stories, and lessons learned.
  • American Diabetes Association
  • American Pharmacists Association Foundation
  • Association of Asian Pacific Community Health Organizations
  • Association of Diabetes Care & Education Specialists
  • Black Women’s Health Imperative
  • Comagine Health
  • National Alliance for Hispanic Health
  • National Association of Chronic Disease Directors
  • The Balm In Gilead, Inc.
  • Trinity Health
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