DP17-1705

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Scaling the National Diabetes Prevention Program in Underserved Areas

About the Program

CDC’s Division of Diabetes Translation funds national organizations to further build the National Diabetes Prevention Program (National DPP) infrastructure in currently underserved areas and increase the availability of the evidence-based lifestyle change program for all adults with prediabetes or at high risk for type 2 diabetes.

This 5-year cooperative agreement, which began in September 2017, funds 10 national organizations with affiliate program delivery sites in at least 3 states. Each national organization will start new CDC-recognized organizations to deliver the National DPP lifestyle change program in underserved areas, and enroll both general and priority populations in new or existing CDC-recognized organizations. Priority populations include Medicare beneficiaries, men, African Americans, Asian Americans, Hispanics, American Indians, Alaska Natives, Pacific Islanders, and noninstitutionalized people with visual impairments or physical disabilities. These populations are prioritized because they have been under-enrolled in the lifestyle change program despite relatively higher rates of type 2 diabetes. With CDC support, the National DPP delivery infrastructure will be expanded, closing the enrollment gap so that more participants with prediabetes in underserved areas successfully complete the CDC lifestyle change program, achieve 5%–7% weight loss, and significantly reduce their risk for developing type 2 diabetes.

Learn more about CDC’s National Diabetes Prevention Program (National DPP).

Strategies for Scaling the National Diabetes Prevention Program in Underserved Areas

Strategy 1: Increase Clinician Screening, Detection, and Referral of Adults with Prediabetes or at High Risk for Type 2 Diabetes to CDC-Recognized Organizations

Provide technical assistance to CDC-recognized organizations in underserved areas on how to help health care systems or health care providers implement policy and practice changes to identify people with prediabetes and refer them to the lifestyle change program.

Strategy 2: Increase Awareness of Prediabetes and Enrollment in the Lifestyle Change Program

Use the CDC National DPP marketing portfolio and other materials as appropriate to recruit, engage, and enroll participants in underserved areas into the lifestyle change program.

Strategy 3: Increase Retention Rates for Participants in the Lifestyle Change Program

Develop and adapt tools, materials, best practices, and advanced skills training for coaches to help CDC-recognized organizations support and retain participants in underserved areas in the lifestyle change program.

Strategy 4: Increase Benefit Coverage for Participation in the Lifestyle Change Program

Activity 1: Work with employers and public and private payers to promote the lifestyle change program as a covered benefit for participants in underserved areas.

Activity 2: Provide technical assistance to CDC-recognized organizations in underserved areas on how to implement administrative systems required to bill and receive payment from payers.

1705 Type 2 Diabetes Prevention Outcomes
  • Increasing the number of new organizations offering the lifestyle change program in underserved areas of the country that achieve full CDC recognition.
  • Increasing the number of participants in underserved areas enrolled in the lifestyle change program who meet CDC-recognition standards related to intensity and duration of participation.
  • Increasing the number of participants in underserved areas that have the lifestyle change program as a covered benefit.
  • Increasing the number of participants in underserved areas enrolled in the lifestyle change program who achieve the minimum 5% weight loss goal.
  • Decreasing the incidence of type 2 diabetes in priority populations in underserved areas.