Related Experiment Video
Updated: Jun 3, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Appalachian regional model for organizing and sustaining county-level diabetes coalitions
Richard Crespo1, Molly Shrewsberry, Darrlyn Cornelius-Averhart
1Joan C. Edwards School of Medicine, Marshall University, Huntington, WV, USA.
Abstract:
This article describes a model for developing diabetes coalitions in rural Appalachian counties and presents evidence of their sustainability. The rural Appalachian coalition model was developed through a partnership between two federal agencies and a regional university. Coalitions go through a competitive application process to apply for one-time $10,000 grants. The project has funded 7 to 9 coalitions annually since 2001, reaching 66 total coalitions in 2008. Sustainability of the coalitions is defined by the number of coalitions that voluntarily report on their programs and services. In 2008, 58 of 66 (87%) coalitions in the Appalachian region continue to function and voluntarily submit reports even after their grant funds have been depleted. The factors that may contribute to sustainability are discussed in the article. This model for organizing coalitions has demonstrated that it is possible for coalitions to be maintained over time in rural underserved areas in Appalachia.
Related Concept Videos
Models of Health Promotion and Illness Prevention II
The agent-host-environment model states that disease results from...
Diabetes Mellitus: Introduction
Diabetes: Management and Pharmacotherapy
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Diabetes Mellitus: Overview and Type I Subtype
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Models of Health Promotion and Illness Prevention I
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
Type II Diabetes I: Introduction