diabetes prevention program; public housing; homecare nurses


Nursing | Public Health


The purpose of this pilot study was 1) to modify the Diabetes Prevention Program protocol collaboratively with home care nurses, health professionals, and residents of public housing: 2) to evaluate the feasibility (reach and implementation) and the preliminary efficacy of the modified diabetes prevention program (mDPP) provided by home care nurses to adults at-risk for T2D on clinical, behavioral, and psychosocial outcomes compared to an enhanced standard care control group. A mixed-method sequential design was used. The sample (n=67) was primarily female (79%), with a mean age of 40 years, and of diverse race and ethnicity (76% non-White). Home care nurses were able to implement the program in public housing community centers, with a protocol adherence of 83% across classes and groups. There was sub-optimal attendance by participants. In a repeated measure mixed model analysis controlling for gender, race/ethnicity, and baseline score, there was no difference between groups on clinical, behavioral, or psychosocial outcomes. Participants of both groups improved significantly with respect to healthy eating, physical activity, triglycerides, and psychosocial outcomes. Brief, culturally relevant diabetes prevention programs that include behavioral and psychosocial support are greatly needed for residents of public housing.