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Major Increase in National Diabetes Prevention Programs Operating in Hawaii

State: Hawaii

Submitted Date: 2018

Public Health Issue
  • The National Diabetes Prevention Program (National DPP) seeks to expand the availability of and participation in low-cost, effective, diabetes prevention lifestyle change programs for people at high risk for type 2 diabetes by recognizing organizations that demonstrate their ability to effectively deliver these programs.
  • To achieve Centers for Disease Control and Prevention (CDC) recognition, an organization can submit an application to the CDC Diabetes Prevention Recognition Program. The applicant must meet a set of initial diabetes/prevention/pdf/dprp-standards.pdf">requirements and demonstrate a readiness to start classes no later than 6 months after the effective date of the recognition.
  • To implement the program, recognized organizations need trained coaches and many other resources, such as class sites and the funds to cover program delivery costs.
Program Action
  • The Hawaii State Department of Health (DOH), in cooperation with the National Association of Chronic Disease Directors, implemented the Diabetes Prevention in Hawaii State Engagement Meeting (StEM), which brought together more than100 stakeholders to create an action plan and workgroups for implementing activities to scale and sustain the National DPP. Leaders from two organizations with prior experience in getting National DPP cohorts started, the Hawaii Primary Care Association and the YMCA of Honolulu, were members of the StEM Steering Committee. A short-term priority of the action plan was to establish at least one National DPP cohort on each main island in the state by December 2018.
  • StEM meeting participants identified leaders and created an Availability Workgroup. The workgroup assessed gaps in National DPP access in Hawaii, as well as the readiness and capacity of organizations to provide the National DPP.
  • The DOH Diabetes Prevention and Control Program provided tailored technical assistance to organizations interested in becoming a National DPP provider; helped to leverage resources and partnerships; held lifestyle coach training; and provided opportunities for organizations to learn about reimbursement.
  • The Hawaii Primary Care Association, a sub awardee of the state’s CDC State and Local Public Health Actions to Prevent Obesity, Diabetes, and Heart Disease and Stroke (DP14-1422PPHF14) funding, provided technical assistance, including lifestyle coach training, to nine federally qualified health centers that obtained CDC recognition. Three of these centers are located on neighbor islands. 
  • As a result of the StEM and subsequent workgroup activity, 15 organizations attained pending recognition, an initial recognition category that can progress to preliminary or full recognition when enrollment and participation goals are met.
  • This number represents an increase of 19 class sites and exceeds the short term goal of the action plan to establish at least one, accessible National DPP site on each main island in the state.
  • These programs held 30 cohorts of in-person classes and enrolled 510 participants.
Blythe Nett
Hawaii State Department of Health