Translation of the National Diabetes Prevention Program to Engage Men in Disadvantaged Neighborhoods in New York City: A Description of Power Up for Health.
Tiffany L Gary-WebbElizabeth A WalkerLindsey RealmutoAlexandra KamlerJennifer LukinWilliam TysonOlveen CarrasquilloLinda WeissPublished in: American journal of men's health (2018)
The Diabetes Prevention Program (DPP) landmark randomized trial demonstrated that participants with prediabetes could reduce their risk for type 2 diabetes by 58% if they achieved 5%-7% weight loss through healthy eating and increasing physical activity. The National DPP (NDPP) is a group intervention based on the DPP and has been widely disseminated by the Centers for Disease Control and Prevention (CDC) and many healthcare institutions. While data show that the program is effective in diverse populations, enrollment among men from low-income and minority communities is low. Thus, the study piloted a novel adaptation focused on men living in disadvantaged neighborhoods. The study approach to adaptation and implementation used characteristics of participatory research, including input from an expert panel of African American and Latino leaders, ongoing consultation with an Advisory Panel, and focus groups with members of the target population. Discussions with these groups focused on male perspectives regarding health promotion and barriers and facilitators to participation in health programming for men. There was general agreement when reviewing ongoing pilot program implementation that the adapted program should have male-only groups with male coaches, as the Advisory Panel had originally suggested. The pilot programs were implemented at five New York City Department of Parks and Recreation sites in Harlem, the Bronx, and Brooklyn in 2015-2016.
Keyphrases
- quality improvement
- healthcare
- type diabetes
- physical activity
- african american
- health promotion
- weight loss
- public health
- glycemic control
- cardiovascular disease
- middle aged
- randomized controlled trial
- primary care
- mental health
- bariatric surgery
- health information
- study protocol
- body mass index
- insulin resistance
- clinical trial
- roux en y gastric bypass
- cell cycle
- palliative care
- adipose tissue
- electronic health record
- machine learning
- tertiary care
- social media
- depressive symptoms
- clinical practice
- gastric bypass
- sleep quality
- human health
- obese patients