The National Diabetes Prevention Program, Diabetes Prevention Recognition Program,
Implementing Strategies to Achieve Better Outcomes.
Presentation Objectives. The objective of this presentation is to go over strategies
for meeting the requirements for preliminary and full recognition
that are detailed in the DPRP Standards and Operating Procedures, or DPRP Standards.
Understanding Feedback on the Data You Submitted. CDC-recognized organizations are required to
submit data to the DPRP on a bi-annual basis. These data are evaluated to determine the recognition
status of the organization. During submission months when there is no completed participant
cohort, the organization will receive a progress report. In submission months when data on a
completed cohort are submitted, an evaluation will be performed, and the organization will receive an
evaluation report. The progress and evaluation reports include a Summary and Recommendations
section toward the top that provides notes specific to each organization's outcomes.
Strategies offered on the progress reports are associated with all requirements,
since evaluation has not been performed. Whereas, strategies offered on the evaluation reports are
associated with only requirements missed on the evaluation that has been performed. Organizations
must continue to submit data every six months, even after they have achieved full recognition.
Strategies To Retain Participants. Retention is key for participant and organization success.
Participants who don't attend regularly are less likely to meet their lifestyle change goals,
which could impact your organization's progress in achieving full recognition.
Let's cover some strategies that we've learned can help your organization improve retention.
Organizations should emphasize that the lifestyle change program is a 12-month program. Holding an
introductory session, sometimes called Session Zero, can help with this. This gives the Lifestyle
Coach an opportunity to explain the value of the program, describe the time commitment required,
and set expectations for the class. Consider incorporating participant contracts that allow
participants to make an informal commitment. This has been used by other organizations
with some success in maintaining attendance during months 7 through 12 of the program.
Consider increasing the number of sessions offered during the 12 months, because we know that the
frequency and number of sessions attended helps build continuity and cohesion among participants.
We also know that organizations that offer more than one session per month
during months 7 through 12 report higher session attendance.
Encourage participants to engage with each other outside of class. Peer support is important.
Offer participants who miss a session an opportunity to attend a make-up session. Utilize
virtual delivery to deliver make-up sessions if it's more convenient for the participant.
Remember that there is a relationship between the number of sessions attended and success
in meeting both physical activity and weight loss goals. As an incentive for retention, organizations
will be granted an additional two years of full recognition (for a total of five years)
if meeting certain retention criteria at the time full recognition is achieved.
Strategies To Help Participants Achieve Weight Loss Goals
Meeting the program weight loss goal is important in achieving full recognition and
helping participants meet their goal of preventing or delaying type 2 diabetes. Emphasize that people
who attend class regularly and stay in the program have been shown to reach their weight loss goals.
Throughout the program it is essential to document each participant's weight at each session. It may
take longer than six months to lose body weight, which is why attending maintenance sessions is key!
Additionally, organizations should encourage participants to record food intake between
sessions. Emphasize the proven relationship between documentation of food consumption and weight loss.
Talk to your participants about challenges they are encountering, while always respecting
privacy. Use peer learning and problem solving. And encourage participants who are achieving
their goals to share their experiences with other participants as examples of overcoming challenges.
Strategies to Help Participants Achieve Physical Activity Goals
Physical activity is also critical for program success. Encourage participants to walk or opt to
take the stairs. Suggest watching free exercise or dance videos available on the internet
or having family dance parties. Help them understand that movement can be as simple
as sweeping the floor briskly, mowing the lawn, dancing, doing arm lifts or leg lifts,
marching in place, or using resistance bands, or using canned food or gallons of milk as weights.
Make it enjoyable by watching TV, listening to music, or talking on the phone while doing
it. Documenting physical activity minutes is an important part of the program. Encourage
participants to write down all their activity each week, even if it is only in 10 minute increments.
If a participant has a week where they just couldn't do anything, make sure to record that
as zero. If your physical activity reporting is low, make sure you're entering minutes correctly.
Strategies To Achieve The Program Eligibility Requirement. Organizations are highly encouraged
to initiate or increase outreach, marketing, and professional education efforts with the clinical
community. This will help facilitate awareness and urgency while subsequently increasing clinical
referrals of program participants. Organizations can consider collaborating with the state-based
diabetes prevention and control program (DPCP) for technical assistance with clinical outreach.
utilize the DPCP infrastructure and network to strategically focus and target efforts with the
clinical community. And, finally, always encourage participants entering the program based on a
positive risk test score to follow up with the diagnostic blood test. Emphasize that the paper
risk test is a screening tool and the blood test is necessary for a firm diagnosis of prediabetes.
Using Data To Monitor Participant And Organization Outcomes. It's important to know how to use data
to monitor participant-level and organization-level outcomes. Monitor and evaluate participant
data regularly to help identify areas needing adjustment. Reviewing these data can also help
identify trends and participants who may be dealing with challenges in meeting their goals.
Please consult Appendix D - Using Data For Evaluation
in the DPRP Standards to see how to calculate metrics associated with recognition requirements.
This concludes this presentation. Thank you for participating in the National DPP
Diabetes Prevention Recognition Program.