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Diabetes Prevention Program Toolkit

Module 3: DPP Implementation

Purpose To provide information on implementing the Diabetes Prevention Program (DPP) and to share strategies from SDPI Diabetes Prevention (DP) grant programs.

Background The original DPP clinical research study showed that people can achieve modest weight loss and reduce their risk for diabetes by participating in regular physical activity and making dietary changes. Lifestyle coaches were an important piece in overall participant success. They encouraged and supported participants to maintain lifestyle changes by teaching ways to overcome barriers to healthy eating and exercise.

DPP in American Indian/Alaska Native Communities The SDPI DP Program adapted the intensive lifestyle intervention used in the DPP research study in American Indian/Alaska Native (AI/AN) communities. SDPI grantees successfully implemented a version of the original DPP Lifestyle Balance curriculum, calling it "Native Lifestyle Balance," and tailored it to meet their community members' local culture and traditions.

Achievements of the SDPI DP Program included:

  • Participants lost an average of nine pounds.
  • More participants consumed healthy foods.
  • More participants performed 150 minutes of exercise each week.

These positive outcomes encourage continued implementation of DPP programs in AI/AN communities.

DPP Implementation Today The DPP lifestyle intervention has shown successful outcomes over the years and continues to emphasize:

  • Self-monitoring
  • Self-efficacy
  • Problem-solving
  • Support from lifestyle coaches
  • Tracking participant progress through weigh-ins

Participants are encouraged to keep track of their daily food intake and physical activity to help them meet the goals of:

  • Weight loss: Lose at least 5% - 7% of their starting weight in the first six months
  • Physical activity: Be active at least 150 minutes per week

In recent years, the Center for Disease Control and Prevention (CDC) established a Diabetes Prevention Recognition Program to prevent type 2 diabetes. Sites are encouraged to apply for recognition through the CDC's Diabetes Prevention Recognition Program to demonstrate that their DPP program meets certain standards set forth by the CDC. These standards include following an approved curriculum that is facilitated by a trained lifestyle coach and submitting data each year to show that the program is having an impact.

In this module, you will find keys to success for implementing a DPP program and strategies from SDPI DP grantees who have already successfully accomplished this in AI/AN communities.

Keys to Success


Lessons Learned