Small Steps Towards an Inclusive Diabetes Prevention Program: How Small Steps for Big Changes is Improving Program...

Area of Science:

• Public Health
• Health Equity
• Chronic Disease Prevention

Background:

• Social determinants of health, colonialism, and systemic injustices disproportionately increase type 2 diabetes (T2D) risk in certain populations.
• Existing T2D prevention programs often lack equitable and inclusive design, failing to reach at-risk groups effectively.

Purpose of the Study:

• To present an evidence-based approach for enhancing equitable access and inclusivity in community T2D prevention programs.
• To detail modifications made to the Small Steps for Big Changes (SSBC) program based on stakeholder input and the ConNECT Framework.

Main Methods:

• Modified program eligibility criteria and delivery methods to improve reach to populations most at risk for T2D.
• Adapted measurement tools and provided inclusive training for program facilitators to ensure equitable testing and delivery.
• Utilized a stakeholder advisory group and the ConNECT Framework to guide program modifications.

Main Results:

• The SSBC program successfully implemented changes to enhance inclusivity and reach for T2D prevention.
• Specific adjustments to eligibility, delivery, measurements, and training were key to improving program equity.
• Actionable recommendations were developed for broader application in health program design.

Conclusions:

• Community T2D prevention programs can be effectively adapted for greater equity and inclusivity.
• Stakeholder engagement and structured frameworks are crucial for designing and implementing inclusive health interventions.
• These adaptations are vital for ensuring that prevention efforts reach and benefit populations most vulnerable to T2D.