The prevalence of diabetes, especially among underserved communities and populations, is a principal public health concern. Studies have shown that lifestyle interventions can effectively deter the development of diabetes and other chronic metabolic diseases. In 2011, the Center for Community Health and Prevention of the University of Rochester Medical Center launched the Rochester Diabetes Prevention Program to increase community capacity for diabetes prevention through lifestyle change. Rochester Medical Center’s DPP expands access to high-quality preventive care for diabetes and obesity — chronic disease prevention priority areas in New York state’s Prevention Agenda.
URMC used an innovative train-the-trainer model to implement DPP, an evidence-based group lifestyle change program with proven success at preventing diabetes. The model was first tested in physician practices and community agencies serving low-income, urban residents, populations with disproportionately high levels of diabetes and obesity. An interagency regional planning collaborative was established offering care provider training to increase pre-diabetes identification, developing an electronic DPP referral system and facilitating community-wide obesity prevention mechanisms.
From 2011 to 2018, 121 DPP facilitators were recruited and trained. Facilitators delivered 55 DPPs in 25 sites for 863 adult participants. People who completed the program engaged in physical activity for a mean of 155.8 minutes per week. At least 85% of participants lost weight and 30% lost at least 5% of their body weight.
For more information, contact Marcia Middleton, health educator, at firstname.lastname@example.org or (585) 224-3068.