This is part two of a four-part series on "Technical Assistance for Success"
to provide a high-level overview of becoming a CDC-recognized deliverer
of the National Diabetes Prevention Program lifestyle change program.
This segment will discuss helpful information about the DPRP Standards and operating procedures.
Diabetes Prevention Precognition (DPRP) Standards and Operating Procedures.
The Diabetes Prevention Recognition Program Standards and Operating Procedures,
or the DPRP Standards, is your guide to understanding and delivering a CDC-recognized
Lifestyle Change Program under the National Diabetes Prevention Program, or National DPP.
The Standards outline the quality assurance framework for delivering the program and provide
useful information, including the requirements for recognition, how to apply, how to submit data, the
technical assistance available, and the resource documents to support you as you offer the program.
CDC Recognition Preparation. Before applying, it's essential to read the DPRP Standards to ensure you
have a thorough understanding of the requirements. CDC also highly recommends completing the
Organizational Capacity Assessment, which you'll find in the guidance section of the DPRP Standards.
This assessment will provide information to determine if your organization has the
resources and setup necessary to effectively deliver the Lifestyle Change Program.
In addition, completing the assessment will help your organization identify areas you
may need to develop or strengthen before you apply. You'll find more about the assessment in
Part 1 of this technical assistance video series "Organizational Capacity Assessment."
Program Staff Requirements. Every organization
is required to have a Program Coordinator in addition to Lifestyle Coaches.
You'll find information on the roles, responsibilities, training, and eligibility of
your Program Coordinator and Lifestyle Coaches in the guidance section of the DPRP Standards.
CDC Approved Curriculum. Your organization must use a CDC-approved curriculum.
The CDC-approved PreventT2 curriculum is available at no cost, on the National DPP website
and includes the latest nutrition and physical activity science. It's downloadable and is
available in English and Spanish. CDC encourages all organizations to use the most recent DPRP
Standards and PreventT2 curriculum as part of program completion. A CDC-approved
curriculum guides organizations to successfully deliver a year-long Lifestyle Change Program
to prevent or delay the onset of type 2 diabetes. It emphasizes the importance of self-monitoring,
self-efficacy, and problem solving. It calls for participant weigh-ins to track progress
and includes coach feedback and participant materials that support the program goals.
Alternate Curriculum. If using an alternate curriculum, it must be submitted in its entirety,
including handouts, videos, and any other participant materials, to the CDC DPRP, along
with your organization's application. The review and approval process usually takes four to six weeks.
Do not begin to use an alternate curriculum until you have received approval from CDC.
Program Monitoring and Evaluation. Regardless of which CDC-approved curriculum you use,
your organization will be monitored and evaluated on a regular, ongoing basis through
data submissions that include de-identified participant data. No information that identifies
Lifestyle Coaches or eligible participants should be submitted to CDC. Data submissions through the
DPRP Data Portal are a requirement for continued CDC recognition, and organizations that don't
submit data on time will have their recognition revoked and will be removed from the program.
Achieving Full Recognition. The DPRP Standards provide detailed information on exactly what
your organization must accomplish through data collection to achieve full recognition. The current
version of the DPRP Standards gives specific details on the requirements for full recognition,
as well as guidance on how specific outcome measures are calculated.
Session Attendance. Keeping up attendance is a very important component of the program. If
participants only come to sessions periodically, it will significantly
affect your data and may result in your organization not meeting this requirement.
Diet and Physical Activity. Goals of the year-long program should focus on moderate
changes in both diet and physical activity to achieve one or more of the following outcomes
modest weight loss in the range of five to seven percent of baseline body weight,
a combination of a loss of four percent of baseline body weight and 150 minutes
of physical activity per week on average, or a modest reduction in hemoglobin A1C or HbA1c
of 0.2 percent. Remember weigh-ins are required at every session. And keep in mind that there's
a positive relationship between tracking food consumption and weight loss, so be sure to
encourage this. There's also a proven relationship between physical activity and weight loss,
and stressing the importance of physical activity to your participants is crucial.
Participant Eligibility. Your participants must meet the eligibility requirements
clearly defined in the DPRP Standards in order to be evaluated.
They must be 18 or older and have a minimum body mass index of at least 25 or, if Asian American, 23.
They can't have a diagnosis of type 1 or type 2 diabetes. They can't be pregnant at the time of
enrollment. [And] must have a blood-based glucose test indicating pre-diabetes, a history of gestational
diabetes mellitus, or a positive screening for pre-diabetes based on the Prediabetes Risk
Test online. While these are eligibility requirements for DPRP recognition there are
different requirements for Medicare participants. Participants enrolled in the Medicare Diabetes
Prevention Program (MDPP) cannot self-report blood test results; lab results must be provided.
Importance of CDC Recognition. Why is CDC recognition important?
It highlights your organization's ability to effectively deliver a proven type 2 diabetes
prevention Lifestyle Change Program, which not only increases the likelihood of long-lasting results
in preventing type 2 diabetes but may also support reimbursement from payers.
Because it's an evidence-based program, it appeals to public and private insurers and employers. But
that's just the beginning. CDC recognition acknowledges that your program is designed
for success, no matter where it's located. It ensures ongoing CDC technical assistance,
including feedback on the data your organization submits. It means your
organization, where applicable, will be listed on the National Registry of Recognized Organizations,
and/or in a publicly available class location platform, with designation as a fully recognized
program once you achieve this. And there's no charge to become a CDC-recognized organization.
Whether you need technical assistance or guidance in making adjustments, or
have questions about any part of the DPRP, please reach out by visiting the Customer Service Center
at nationaldppcsc.cdc.gov and submitting a technical assistance request.
To submit a request, you will need to complete a brief profile by selecting
"Login" and then "Register." Once logged in, select "Contact Us/Contact Support" on the homepage.
Thank you. And remember, CDC is always available to help guide and support you.