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        State, Local, and National Partner Diabetes Programs
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            Diabetes | Diabetes Self-Management Education and Support (DSMES) Toolkit | National Diabetes Prevention Program
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June 10, 2024
  InGEAR Network Funding
          Key points
            * The Innovations to Grow Enrollment and Retention (InGEAR) Network for innovative projects and applied research funds, tests, and evaluates ways to help people with prediabetes and diabetes adopt lifestyle changes for a healthier life.
            * The InGEAR Network funds projects related to the National Diabetes Prevention Program (National DPP) lifestyle change program (LCP) and diabetes self-management education and support (DSMES) services to improve enrollment and retention.
            * This page highlights completed projects, project results, and current and past recipients of InGEAR Network funding.
        Funding overview
        CDC's Division of Diabetes Translation (DDT) formed the InGEAR Network to fund, identify, test, and evaluate innovative approaches to increase enrollment and retention in the National DPP LCP and to enhance DSMES services. The network uses a competitive selection process to choose recipients based on scientific needs and available funds. Since 2019, the InGEAR Network has funded five cohorts of projects involving academic, nonprofit, and for-profit entities.
        Projects helped identify innovative methods, tools, strategies, and technologies to:
          * Increase recruitment, enrollment, and retention of people underserved by programs such as the National DPP LCP and DSMES services.
          * Help participants in the National DPP LCP and DSMES services adopt and maintain healthier habits.
          * Increase employer adoption of the National DPP LCP as part of worksite wellness programs.
          * Increase referrals to DSMES services from health care providers.
          * Eliminate or reduce barriers to enrollment and retention in the National DPP LCP and DSMES services related to social determinants of health.
          * Reduce health inequities in type 2 diabetes prevention.
        Ongoing funding opportunities
        InGEAR Network funding and award announcements vary from year to year. The Broad Agency Announcement (BAA) is typically released in the winter, with recipients awarded in the late summer. Visit FedBizOpps to find current opportunities and deadlines throughout the federal government.
          Activities and progress
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              InGEAR Projects That Support Enrollment Through Health Communication and Behavioral Science
                  Identifying Effective Media and Messaging to Enroll Rural Populations in the Online LCP
                  The project team generated evidence-based recommendations on the lowest effective media dose, optimal marketing mix, and most effective messaging to successfully enroll rural populations in the online LCP. The project revealed that a 6-month, small quantity, paid media campaign is not effective on its own for increasing enrollment. However, the team identified several effective tactics for rural settings. The team also provided guidance on creating an effective ad, optimizing paid media efforts (both digital and traditional) to enroll rural populations, and designing messaging and frequency that showed promise.
                  This project was a collaboration between FHI 360 and DDT.
                  National DPP Employer Adoption Study
                  The project team conducted research to understand barriers and facilitators to employer adoption and coverage of the National DPP LCP. Team members used literature reviews as well as interviews with insurance brokers, wellness consultants, and employers. They also assessed current employer-focused materials to identify potential gaps. Through the formative research, team members determined that the main barrier was lack of knowledge about the program. The team developed, implemented, and evaluated an intervention to encourage program adoption. Tailored materials were developed to:
                    * Educate insurance brokers about the National DPP LCP.
                    * Encourage health benefits consultants to offer coverage.
                    * Support employer adoption of the program as a covered benefit.
                    * Support employer implementation of the program.
                  Information on program cost effectiveness was also made available for employers and insurers.
                  This project was a collaboration between Abt Associates and DDT.
              InGEAR Projects to Understand Behaviors and Systems to Support Growth and Change
                  Using Social Media Research and Analysis to Increase Engagement
                  Researchers used social media research and listening, internet search analytics, and website usage data to gain insight into how National DPP LCP audiences engage with key terminology related to prediabetes. Researchers also looked at how this engagement has—or has not—evolved over time. The project used advanced analytics tools and artificial intelligence technologies, such as machine learning and natural language processing, to develop insights into how the National DPP can use social media to increase recruitment, enrollment, and retention for the LCP.
                  A few recommendations from this project include:
                    * Use paid media to attract more participants instead of free media.
                    * Look for collaboration opportunities with companies.
                    * Use keywords for effective marketing, such as diabetes prevention, diabetes, prediabetes, diabetes education, prediabetic diet recommendations, and type 2 diabetes.
                  This project was a collaboration between Guidehouse and DDT.
                  Examining Lifestyle Coach and Master Trainer Characteristics Associated With Participant Engagement and Retention
                  The project team examined training factors associated with successful implementation and sustainability of the National DPP LCP among organizations that employ Master Trainers. Using quantitative and qualitative methods, researchers analyzed organizational, Lifestyle Coach, and Master Trainer characteristics, as well as data outcomes. The data were collected from existing records, surveys with study participants, and interviews with organization stakeholders, Master Trainer Select participants, and Lifestyle Coaches. The first manuscript was published in Implementation Science Communications.
                  This project was a collaboration between Emory University's Diabetes Training and Technical Assistance Center and DDT.
              InGEAR Projects to Grow Enrollment, Retention, and Behavior Change Using Technology
                  Testing the Effectiveness of a Text-Based Strategy to Streamline Enrollment in the National DPP
                  The goal of Text TODAY was to package and streamline the pathway of enrollment in the National DPP LCP by putting actionable information into the hands of the program participant. Text TODAY was promoted through geographically targeted social media, traditional media, and strategic state and local partners in selected media markets. The project prompted people to use a mobile device to text TODAY (or HOY if using Spanish), take the Prediabetes Risk Test, and take appropriate action based on their test result. People receiving a high risk score were referred to the National DPP LCP, and program staff reached out to initiate enrollment. Of the estimated 400,000 people reached by the media campaign, 180 people texted the keyword and 111 people completed the Prediabetes Risk Test. Of those 111, 33 people received a status of high risk for prediabetes and five people enrolled and attended at least one session of a National DPP LCP.
                  Researchers noted that the multi-step process may have led to lower-than-expected enrollment. Ideas to improve future enrollment include segmenting the potential audience, tailoring materials to each audience, and marketing the media campaign through community-based organizations in the same communities.
                  This project was a collaboration between the National Association of Chronic Disease Directors (NACDD) and DDT.
                  The Effect of Mobile 360° Videos and MAPS on Enrollment in the National DPP
                  The project team tested the real-world efficacy of mobile 360° videos and a motivational coaching approach known as Motivation and Problem Solving (MAPS) to increase enrollment in the National DPP LCP. The study's key outcomes were data on LCP enrollment and 4-week engagement. In addition, the team collected data on the cost effectiveness and scalability of the interventions. Researchers conducted a three-armed, randomized clinical trial comparing enrollment and 1-month engagement in the LCP among adults with prediabetes from two health care settings. People who received standard prediabetes risk notification and education were compared to participants invited to view two mobile 360° videos and participants who received up to five short MAPS coaching sessions via telephone. Results revealed no effects of risk notification, mobile 360° videos, or MAPS coaching sessions on enrollment rates in the National DPP LCP.
                  This project was a collaboration between the University of Utah and DDT.
              InGEAR Projects to Engage, Retain, and Improve Outcomes for Priority Populations
                  Development and Evaluation of a Family Approach to the National DPP LCP
                  Through the Family Approach pilot study, researchers assessed whether the enrollment of mutually supportive dyads (pairs) in the National DPP LCP positively affected enrollment rates, retention rates, program satisfaction, and overall program completion. For this project, a dyad could be spouses/partners, parents and adult children, or any combination of friends/family members with close contact or some influence on food and physical activity choices. One or both members of the dyad may be eligible to participate in the National DPP LCP. Overall, retention of participants at the end of the yearlong program was 79% for those at risk of type 2 diabetes and 72% for all participants. Twenty of 34 dyads (59%) completed the program.
                  This project was a collaboration between FHI 360 and DDT.
                  Using Community Pharmacies to Expand Access to the National DPP
                  The project team increased the number of CDC-recognized National DPP LCP providers in rural and medically underserved communities. The team worked with independent pharmacies to train pharmacists and pharmacy technicians to identify, recruit, engage, and retain participants in the program. The goal was to address social determinants of health in rural areas (shortage of health care providers, limited access to health information, etc.) and increase access to patient education that would help pharmacy consumers reduce their risk of developing type 2 diabetes. Findings included facilitators and barriers to program implementation, such as increasing enrollment in the LCP, addressing staffing shortages, addressing cost, using the data collection system, and retaining participants during the COVID-19 public health emergency.
                  Best practices included using existing community partnerships (churches, health-focused organizations, and large employers such as school districts) to increase recruitment and enrollment, developing comprehensive retention plans, and using pharmacy technicians as Lifestyle Coaches.
                  This project was a collaboration among the National Community Pharmacists Association, OmniSys, the Association of Diabetes Care & Education Specialists, and DDT.
                  Engaging the Mobile Workforce in the National DPP Through Audio Content
                  This project aimed to help long-haul truckers overcome work-specific barriers to and reap the benefits of participating in the National DPP LCP through a podcast series. The intent was to deliver key messages of CDC's PreventT2 curriculum as a complement to the online LCP. The team used interviews, focus groups, and observations of truckers in their working environment to understand the intended audience and inform the development of the podcast series. Researchers created 22 podcast episodes to supplement the PreventT2 curriculum and tested portions of the content to ensure it resonated with the intended audience before developing the full series. Researchers used quantitative and qualitative methods to assess the comparative effectiveness of the podcasts through a demonstration project. Findings from the demonstration study suggest that the intervention was successful.
                  This project was a collaboration between ICF Next and DDT.
        Recipients
        2023
                        Project Title
                        Recipient
                        New Beginnings Onramp to Diabetes Self-Management Education and Support Services (DSMES) Through African American Church Health Ministries
                        ICF Next
                        The Systematic Engagement of Nurse Practitioners to Increase Enrollment in Diabetes Self-Management Education and Support (DSMES) Services
                        FHI 360
                        Integrating Trust, Technology & Theory in the Community to Promote Person-Centered & Culturally Tailored Diabetes Self-Management Education & Support: A Demonstration Project
                        Pro-Change Behavior Systems
                        New Beginnings as a Diabetes Management Social Support Intervention Complementary to Diabetes Support Program in Cooperative Extension
                        Virginia Tech and the National Association of Chronic Disease Directors (NACDD)
        2022
                        Project Title
                        Recipient
                        Combining Trust, Technology, and Theory in the Community to Prevent Diabetes: A Demonstration Project With Black Barbers and Stylists
                        Pro-Change Behavior Systems
                        Innovations in the Use of the Self-Directed “On Your Way to Preventing Type 2 Diabetes” Tool with Rural Low SES Audiences Using Food Banks and Pantries
                        ICF Next
                        Diabetes Management Programs: Evaluation, Scalability, and Diffusion of DSMES and Food Pantry Services
                        FHI 360
                        Identification and Evaluation of Innovative Retention Strategies for the National DPP LCP and Diabetes Self-Management Education and Support
                        Deloitte
        2021
                        Project Title
                        Recipient
                        A DSMES Web Application, “Your Diabetes Compass,” for Black Women
                        Deloitte
                        Testing the Effectiveness of a Text-Based Strategy, “Text TODAY,” to Streamline Enrollment Into the National DPP
                        NACDD
                        Leveraging Technology and Theory to Increase Readiness for and Enrollment in the Diabetes Prevention Program LCP: A Demonstration Project
                        Pro-Change Behavior Systems
                        Leveraging Technology and Systems to Increase Enrollment in DSMES of Latino Persons Living With Type 2 Diabetes
                        Yumlish
                        Black Women’s Health Imperative (BWHI) Culturally Tailored Intervention for the National DPP LCP
                        Black Women’s Health Imperative (BWHI)
                        The Men’s Room Project
                        BWHI
        2020
                        Project Title
                        Recipient
                        Identifying the Lowest Effective Media Dose, Optimal Media Mix, and Most Effective Messaging to Enroll Rural Populations Into an Online Diabetes LCP
                        FHI 360
                        Development and Evaluation of a Family Approach to National DPP LCPs
                        FHI 360
                        Using Social Media Research and Analysis to Increase Engagement of Underserved Persons Living with Prediabetes
                        Guidehouse
                        The Effect of Mobile Immersive Video and Motivation and Problem-Solving on Enrollment in the National DPP
                        University of Utah
        2019
                        Project Title
                        Recipient
                        National DPP Employer Adoption Study
                        Abt Associates
                        Serious Health Game to Support LCP for Type 2 Diabetes Prevention
                        BioCentric, Inc.
                        Development and Validation of a New Enrollment and Retention Behavior Change (EAR-BC) Framework and Segmentation for the National DPP
                        Catalyst Behavioral Sciences with the University of Southern California, Duke University, and University of North Carolina-Chapel Hill
                        Examining Contextual Factors and Characteristics of Lifestyle Coaches and Master Trainers Associated With Participant Engagement and Retention in the National DPP
                        Emory University Diabetes Training and Technical Assistance Center
                        Science-Based Habit Formation App as an Adjunct to the National DPP LCP to Increase Participation and Perseverance of Underserved Populations and Others Eligible for the National DPP LCP
                        Fresh Tri Lifestyle Change Program
                        Engaging the Predominantly Male Mobile Workforce in the National DPP Through Audio Content
                        ICF Next
                        Leveraging Community Pharmacies to Expand Access to the National DPP
                        National Community Pharmacists Association
        On This Page
            * Funding overview
            * Activities and progress
            * Recipients
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            * Funded Programs
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            * a Strategic Approach to Advancing Health Equity for Priority Populations with or at Risk for Diabetes—Recipients
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          View All State, Local, and National Partner Diabetes Programs
 
    State Diabetes Profiles
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  June 10, 2024
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        * Funded Programs
        * DP18-1815 Funding
        * DP18-1817 Funding
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        * DP17-1705 Funding
        * a Strategic Approach to Advancing Health Equity for Priority Populations with or at Risk for Diabetes—Recipients
        * View All
      View All State, Local, and National Partner Diabetes Programs
  Back to Top
    State, Local, and National Partner Diabetes Programs
    CDC funds state, local, and national partners to support programs to prevent or delay type 2 diabetes and to improve the health of people with diabetes.
    View All
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