RTI International, Research Triangle Park, North Carolina 27709-2194, USA.
Am J Prev Med. 2010 Sep;39(3):235-42. doi: 10.1016/j.amepre.2010.05.005.
In 2005, CDC began the Diabetes Primary Prevention Initiative Interventions Focus Area (DPPI-IFA), which funded five state Diabetes Prevention and Control Programs (DPCPs) to translate diabetes primary prevention trials into real-world settings by developing and implementing a framework for state-level diabetes primary prevention.
The purpose of this case study, conducted in 2007, was to describe DPPI-IFA implementation, including facilitators and challenges to the initiative.
Case studies of the five DPCPs in the DPPI-IFA involving site visits with key informant interviews of state staff and partners and archival record collection.
Partners recruited for DPPI-IFA activities included local or state public health agencies (three of five DPCPs); regional or state nonprofit organizations (five DPCPs); businesses or employers (three DPCPs); and healthcare organizations (four DPCPs). The DPCPs implemented a variety of interventions in three main domains: diabetes primary prevention and prediabetes awareness, screening activities and lifestyle interventions, and prediabetes-related health policy efforts. Preliminary outcomes are described at the individual and organization/partnership levels. Results suggest the importance of utilizing preexisting partnerships to extend work into diabetes prevention, providing even small amounts of funding to partners, and prior program planning for diabetes prevention. Challenges for the DPPI-IFA included recruiting participants, establishing links with providers to obtain diagnostic testing for people screened for prediabetes, and offering a lifestyle intervention.
The DPPI-IFA represents a unique effort by state public health programs in the translation of diabetes primary prevention trials into real-world settings. The experiences of the DPPI-IFA programs offer valuable lessons for future community-based diabetes prevention initiatives, especially regarding the need to strengthen clinical-community partnerships for referral of people with prediabetes to evidence-based lifestyle programs.
2005 年，疾病预防控制中心启动了糖尿病初级预防倡议干预重点领域（DPPI-IFA），该项目资助了五个州的糖尿病预防和控制计划（DPCP），通过制定和实施州一级糖尿病初级预防框架，将糖尿病初级预防试验转化到实际环境中。
本案例研究于 2007 年进行，旨在描述 DPPI-IFA 的实施情况，包括该倡议的促进因素和挑战。
对 DPPI-IFA 中的五个 DPCP 进行案例研究，包括对州工作人员和合作伙伴进行现场访问和关键知情者访谈，并收集档案记录。
为 DPPI-IFA 活动招募的合作伙伴包括地方或州公共卫生机构（五个 DPCP 中的三个）；地区或州非营利组织（五个 DPCP）；企业或雇主（三个 DPCP）；以及医疗保健组织（四个 DPCP）。DPCP 在三个主要领域实施了各种干预措施：糖尿病初级预防和前期糖尿病意识、筛查活动和生活方式干预，以及前期糖尿病相关卫生政策努力。在个人和组织/伙伴关系层面描述了初步结果。结果表明，利用现有伙伴关系将工作扩展到糖尿病预防、为合作伙伴提供少量资金以及为糖尿病预防制定前期规划的重要性。DPPI-IFA 的挑战包括招募参与者、与提供者建立联系以获得对前期糖尿病筛查者的诊断测试，以及提供生活方式干预。
DPPI-IFA 代表了州公共卫生计划在将糖尿病初级预防试验转化到实际环境中的独特努力。DPPI-IFA 项目的经验为未来的基于社区的糖尿病预防计划提供了宝贵的经验教训，特别是需要加强临床-社区伙伴关系，以便将前期糖尿病患者转介到基于证据的生活方式项目。
