A Framework for Implementing the National Diabetes Prevention Program in Los Angeles County.

Area of Science:

• Public Health
• Epidemiology
• Health Services Research

Background:

• Type 2 diabetes prevention is a major public health concern in the U.S.
• Prediabetes affects 86 million Americans, with most unaware of their condition.
• Implementing the National Diabetes Prevention Program (NDPP) in diverse populations requires tailored strategies.

Purpose of the Study:

• To develop a practice-grounded framework for implementing the NDPP in Los Angeles County.
• To address challenges in institutionalizing diabetes prevention programs within diverse communities.
• To identify key activities for increasing NDPP reach and effectiveness.

Main Methods:

• A 3-stage formative assessment was conducted by the Los Angeles County Department of Public Health (LACDPH) and Ad Lucem Consulting.
• Methods included in-depth interviews with key informants from community-based organizations.
• Strategic planning sessions were held with the Los Angeles County Diabetes Prevention Coalition.

Main Results:

• A 3-pronged framework was developed to implement the NDPP.
• Key strategies include expanding outreach and education, enhancing healthcare referral systems, and increasing access to and insurance coverage for NDPP.
• A diverse partner network is central to advancing these strategies.

Conclusions:

• The developed framework can effectively identify individuals with prediabetes.
• It has the potential to expand NDPP participation among priority populations in Los Angeles County and similar large jurisdictions.
• Utilizing a diverse partner network is key to successful implementation and scalability.