Related Experiment Video
Updated: May 5, 2026
05:10
Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
1.5K
Implementation of a diabetes prevention program in public housing communities
Robin Whittemore1, Alana Rosenberg, Lisa Gilmore
1Yale School of Nursing, New Haven, CT.
Public Health Nursing (Boston, Mass.)
|November 21, 2013
Summary
Homecare nurses successfully implemented a diabetes prevention program in public housing, despite lower-than-expected attendance. This approach links community resources for wider dissemination.
Area of Science:
- Public health interventions
- Community health nursing
- Diabetes prevention
Background:
- Diabetes prevention programs are crucial for managing chronic diseases.
- Public housing residents often face barriers to accessing healthcare and prevention services.
- Homecare nurses can play a vital role in delivering health programs in underserved communities.
Purpose of the Study:
- To describe the implementation process of a diabetes prevention program.
- To evaluate the feasibility of homecare nurses delivering this program to public housing residents.
- To identify facilitators and barriers to program implementation.
Main Methods:
- A cluster randomization pilot study compared an enhanced standard care group with a comprehensive diabetes prevention program.
- The sample included 67 residents from public housing communities.
- Mixed methods, including attendance and attrition data, and interviews with implementers, were used.
Main Results:
- Homecare nurses achieved 83% protocol implementation for the diabetes prevention program.
- Attendance rates were suboptimal, with 60% in the enhanced care group and 54% in the diabetes prevention group.
- Nurses and community health workers reported positive experiences and resourcefulness during implementation.
Conclusions:
- Homecare nurses can effectively implement diabetes prevention programs in public housing settings.
- Linking homecare agencies with public housing communities is a viable strategy for program dissemination.
- Strategies to improve attendance are needed for maximizing program impact.
Related Concept Videos
01:30Preventive Healthcare Services
2.4K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
2.4K
01:30Community Based Intervention
623
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
623
01:26Levels of Health Promotion and Illness Prevention
12.9K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
12.9K
01:15Diabetes: Management and Pharmacotherapy
1.5K
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
1.5K
01:22Diabetes Mellitus: Type 2 and Gestational
5.0K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
5.0K
01:26Type II Diabetes I: Introduction
57
Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder characterized by insulin resistance, in which target tissues such as the liver, muscle, and adipose tissue respond poorly to insulin. It is also associated with inadequate compensatory insulin secretion, where pancreatic β-cells fail to produce sufficient insulin. Together, these abnormalities lead to persistent hyperglycemia.EtiologyT2DM develops through a complex interaction of genetic predisposition and environmental or...
57