The Division of Diabetes Translation (DDT) evaluates national, state, and locally funded activities to prevent or delay the onset of type 2 diabetes and to improve health outcomes for people with diabetes.
DDT developed the following evaluation tools and resources to help state health departments, tribal organizations, public health professionals, communities, and partners in their programmatic and evaluation efforts.
Cooperative Agreement DP14-1422
From 2014 to 2018, CDC funded 17 states and 4 large cities to reduce multiple risk factors for chronic diseases. State and city health departments used a dual approach pdf icon[PDF – 124 KB] and mutually reinforcing strategies pdf icon[PDF – 199 KB] to implement environmental, health care system, and community-clinical linkage strategies to reduce health disparities and prevent obesity, type 2 diabetes, heart disease, and stroke.
Performance Measure Snapshots DP14-1422 are annual summaries of performance measures reported by DP14-1422 awardees for years 2–4.
Cooperative Agreement DP13-1305
From 2013 to 2018, four chronic disease prevention programs (Diabetes; Heart Disease and Stroke; Nutrition, Physical Activity and Obesity; and School Health) worked together to strengthen state actions in the following areas:
- Health risk behaviors
- Systems associated with diabetes
- Heart disease
- School health
Performance Measure Snapshots DP13-1305 are annual summaries of performance measures reported by the DP13-1305 awardees for years 2–5.
Evaluation Lessons Learned
Evaluability Assessments and Rapid Evaluations
Evaluability assessments (EAs) show how effective state and community policies and initiatives are being implemented. As a component of the Systematic Screening and Assessment Method (SSA), EAs are used as a pre-evaluation activity to determine which initiatives may work the best and can help with future evaluation, and which programs and evaluations need strengthening. Using EAs often saves money and time.
A rapid evaluation is a team-based approach that uses many methods and local participation to quickly assess programs. Rapid evaluations typically build on findings from the EA.
In 2018, CDC conducted rapid evaluations of National Diabetes Prevention Program (National DPP) lifestyle change programs. The goal was to understand the implementation processes that may help National DPP providers for underserved populations. All sites addressed the cultural context and tailored the lifestyle change program to their communities to improve outcomes. Diabetes and health disparities experts helped interpret each evaluation. Below are lessons learned from the selected programs.
In 2018, CDC conducted rapid evaluations of diabetes self-management education and support (DSMES) programs. The goal was to understand implementation processes that may help other DSMES programs for underserved populations. Below are lessons learned from the selected programs.
In 2019, CDC conducted an SSA, including EAs, of pharmacy-based DSMES programs to identify a few programs suitable for in-depth evaluation. Below are lessons learned from the selected programs.
CDC conducted an SSA, including EAs, to learn how lifestyle change programs used telehealth technologies. The National DPP lifestyle change program helps participants prevent or delay type 2 diabetes through lifestyle changes such as losing 5% to 7% of body weight and being physically active for at least 150 minutes a week. However, the program is underused because of low access. Below are lessons learned from the selected programs.
Guides and Toolkits
Practice-Based Guides for Rapid Evaluation
These guides can help users implement and evaluate DSMES services and National DPP lifestyle change programs designed to reach underserved populations and communities.
- Implementing and Evaluating Diabetes Self-Management Education and Support (DSMES) Programs for Underserved Populations/Communities: A Practice-Based Guide pdf icon[PDF – 6 MB] also in Spanish pdf icon[PDF – 4 MB].
This guide shares evaluation lessons learned and expert insights into DSMES programs working to reach underserved populations and communities. It complements the CDC DSMES Toolkit, which gives general resources and tools for developing, promoting, implementing, and sustaining DSMES services. The information in this guide aligns with the 2017 National Standards for DSMESexternal icon.
CDC-Funded Program Profiles
Profiles of DP17-1705 funded organizations highlight national organizations’ work to grow and sustain the National DPP. Profiles also describe strategies, recipient activities, success stories, and performance measure highlights.
Profiles of DP14-1422 funded organizations highlight awardees’ work to reduce risk factors for chronic diseases using a dual approach and mutually reinforcing strategies to implement environmental, health care system, and community-clinical linkage strategies. Profiles describe funds awarded, key partners, target audience, activities implemented, and program outcomes.