Chronic conditions, such as obesity, prediabetes, and type 2 diabetes, are leading public health problems significantly impacting individuals, families, and communities across the United States. Nationally, more than 30 million adults live with diabetes and another 84.1 million, or nearly 1 in 3, have prediabetes, a high-risk condition when blood glucose levels are higher than normal, but not high enough to be considered diabetes. Individuals with prediabetes are at high risk for diabetes, heart disease and stroke. These national statistics are reflected in the city of Chicago, which has an overall diabetes rate of 10.6% with significantly higher rates among African Americans, Latinx, and low-income populations. These communities are also at an increased risk for prediabetes and poor diabetes outcomes. Diabetes can be prevented or delayed through evidence-based lifestyle change programs that promote weight loss, eating healthy, and being more active. However, access to these programs is limited in Chicago, especially within high burden communities facing the greatest health disparities.
With support from the Centers for Disease Control and Prevention, under Cooperative Agreement CDC-RFA-DP18-1817, the Illinois Public Health Institute (IPHI) and the Chicago Department of Public Health (CDPH) are joining forces with nearly two dozen community partners to reduce racial and socioeconomic disparities around diabetes outcomes. This initiative, called the Chicago Collaboration to Advance Reach, Equity, and Systems (Chicago CARES) to Prevent Diabetes, is a multi-sector effort to expand access to, and increase participation in, the National Diabetes Prevention Program (National DPP.)
A key component of the National DPP is a structured, evidence-based, year-long lifestyle change program to prevent or delay onset of type 2 diabetes in adults with prediabetes or at risk of developing type 2 diabetes. The National DPP lifestyle change program is founded on the science of the Diabetes Prevention Program research study, and subsequent translation studies, which showed that making realistic behavior changes helped people with prediabetes lose 5% to 7% of their body weight and reduce their risk of developing type 2 diabetes by 58% (71% for people over 60 years old). The program is group-based, facilitated by a trained lifestyle coach, and uses a CDC-approved curriculum. The curriculum supports regular interaction between the lifestyle coach and participants; builds peer support; and focuses on behavior modification through healthy eating, increasing physical activity, and managing stress.
Since these healthy behaviors can be hard to maintain, especially within high economic hardship communities, the National DPP provides wrap-around guidance and social support through a trained lifestyle coach and a supportive peer group. Trained lifestyle coaches can be healthcare professionals, community health workers, lay health leaders, and other community members, and groups can be based in a variety of settings including health centers, workplaces, faith communities, and senior centers. By placing these programs in settings where people live, work, pray, and receive support, program participants are more likely to commit to the 12-month program.
IPHI and CDPH seek to provide financial support to develop a network of CDC-recognized organizations to deliver the lifestyle change program throughout Chicago. Over 24 months, IPHI and CDPH will provide start-up or expansion funding, along with technical assistance, to establish these programs. Through this 24-month “runway,” organizations will be able to get their diabetes programs off the ground with funds that cover program delivery costs, including staff time, marketing, and materials, as well as program support costs that mitigate common barriers to program participation. In addition, awarded organizations will become part of the Chicago CARES network, a hub of resources, support, and expertise to build successful and sustainable prevention models that will continue to serve Chicago’s communities in the future. Successful Chicago CARES applicants will serve high-burden populations living in Chicago, demonstrate strong program delivery capabilities, utilize innovative program support strategies, and work towards long-term sustainability in partnership with IPHI and CDPH over 24 months of funding.
The deadline for submissions is April 29, 2019.
To view the full RFP and the full application, visit the Illinois Public Health Institute website.