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Community-engaged design of a virtual diabetes prevention program intervention with care coordination
Katherine LaMonaca1, Meredith Campbell-Britton2,3, Kathleen O'Connor Duffany2
1Yale School of Public Health, 135 College Street, Suite 200, New Haven, CT, 06510, USA. katherine.lamonaca@yale.edu.
BMC Health Services Research
|June 13, 2026
Summary
A community-engaged virtual Diabetes Prevention Program (DPP) was developed to improve accessibility for high-risk populations. This virtual DPP (vDPP) showed initial feasibility and identified key adaptations for enhanced program delivery and participant engagement.
Area of Science:
- Public Health Interventions
- Health Promotion Strategies
- Digital Health Technologies
Background:
- Type 2 Diabetes (T2D) prevention faces challenges with low uptake of evidence-based Diabetes Prevention Programs (DPPs), particularly in underserved communities.
- The Yale-Griffin Prevention Research Center developed a community-engaged virtual DPP (vDPP) to address these accessibility and engagement barriers.
Purpose of the Study:
- To design and assess the feasibility of a community-engaged virtual Diabetes Prevention Program (vDPP) intervention.
- To identify facilitators and barriers to vDPP implementation through a mixed-methods approach.
Main Methods:
- A community-engaged research framework guided the iterative vDPP design, incorporating the socio-ecological model.
- Methods included resident/provider interviews, technology surveys, a pilot study, focus groups, and development of a program impact pathway (PIP).
Main Results:
- The vDPP includes an online platform, health coach, and community health worker/nurse care coordination.
- Community feedback highlighted the value of personalized guidance and addressing social needs.
- Pilot testing informed adaptations, clarifying roles and improving orientation materials.
Conclusions:
- Formative research demonstrated the initial feasibility of the vDPP.
- A community-engaged approach combined with a PIP facilitated the development of a novel health promotion intervention for further testing.
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