Conclusion Based on available literature , evidence suggests that community-based interventions may reduce the incidence rate of T2DM and may positively affect anthropometric indices and HbA1C .
Due to the heterogeneity observed between trials we recommend more well- design ed RCTs with longer follow-up duration s be executed , to confirm whether community-based interventions lead to reduced T2DM events in the at-risk population of LMIC setting
Background The increasing prevalence of type 2 diabetes mellitus ( T2DM ) can have a substantial impact in low- and middle-income countries ( LMICs ) .
Community-based programs addressing diet , physical activity , and health behaviors have shown significant benefits on the prevention and management of T2DM , mainly in high-income countries .
However , their effects on preventing T2DM in the at-risk population of LMICs have not been thoroughly evaluated .
Implementation of a diabetes prevention program in public housing communities.
OBJECTIVE The purpose of this study was to describe the process of implementing a diabetes prevention program provided by homecare nurses to residents of public housing communities . DESIGN AND SAMPLE A cluster r and omization pilot study was conducted comparing enhanced st and ard care ( 2 interactive classes on diabetes prevention ) to a diabetes prevention program ( 7 interactive classes and behavioral support ) . The sample ( n = 67 ) was primarily female ( 79 % ) , nonwhite ( 76 % ) , unpartnered ( 83 % ) , with a mean age of 40 years , and an average of 3 children . Mixed methods were used to evaluate the implementation process . MEASURES Data were collected on attendance , attrition , and protocol implementation . Interviews were conducted with nurses and community health workers who assisted with program implementation . RESULTS Homecare nurses were able to implement a diabetes prevention program in public housing communities , with a protocol implementation of 83 % across classes and groups . Attendance was suboptimal with 60 % for the enhanced st and ard care group and 54 % for the diabetes prevention group . Nurses and community health workers were re source ful and positive about program implementation . CONCLUSION Linking existing re sources , such as a homecare agency with a public housing community , is one approach to disseminate diabetes prevention programs
Conclusion Based on available literature , evidence suggests that community-based interventions may reduce the incidence rate of T2DM and may positively affect anthropometric indices and HbA1C .
Due to the heterogeneity observed between trials we recommend more well- design ed RCTs with longer follow-up duration s be executed , to confirm whether community-based interventions lead to reduced T2DM events in the at-risk population of LMIC setting
Background The increasing prevalence of type 2 diabetes mellitus ( T2DM ) can have a substantial impact in low- and middle-income countries ( LMICs ) .
Community-based programs addressing diet , physical activity , and health behaviors have shown significant benefits on the prevention and management of T2DM , mainly in high-income countries .
However , their effects on preventing T2DM in the at-risk population of LMICs have not been thoroughly evaluated .