Disseminating Public Health Evidence to Support Prevention and Control of Diabetes Among Local Health Departments
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Diabetes |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | 21 - Any |
| Updated: | 3/28/2019 |
| Start Date: | July 5, 2017 |
| End Date: | June 2021 |
Enhancing Evidence-based Diabetes Control Among Local Health Departments
The purpose of this study is to identify and evaluate dissemination strategies to support the
uptake of evidence-based programs and policies (EBPPs) for diabetes prevention and control
among local-level public health practitioners. Dissemination strategies such as multi-day
in-person training workshops, electronic information exchange modalities, and remote
technical assistance are hypothesized to associate with improved access and use of public
health evidence and organizational supports for program and policy decision making based on
evidence-based public health.
uptake of evidence-based programs and policies (EBPPs) for diabetes prevention and control
among local-level public health practitioners. Dissemination strategies such as multi-day
in-person training workshops, electronic information exchange modalities, and remote
technical assistance are hypothesized to associate with improved access and use of public
health evidence and organizational supports for program and policy decision making based on
evidence-based public health.
Evidence-based public health approaches to prevent and control diabetes and other chronic
diseases have been identified in recent decades, and could have a profound effect on diabetes
incidence and quality and length of life of those diagnosed. However, barriers to implement
approaches continue because of lack of organizational support, limited resources, competing
priorities, and limited skill among the public health workforce. The purpose of this study is
to determine effective ways to promote the adoption of evidence based public health practice
related to diabetes and chronic disease prevention and control among local health departments
(LHDs). This stepped-wedge cluster randomized trial aims to evaluate active dissemination
strategies on local-level public health practitioners to increase adoption and use of
evidence-based programs and policies for diabetes and chronic disease prevention and control
among LHDs in Missouri. Twelve LHDs will be recruited and randomly assigned to one of three
groups that cross over from usual practice to receive the intervention (dissemination)
strategies at 8-month intervals; the intervention duration for groups ranges from 8 to 24
months. LHD staff and the university-based study team are jointly identifying, refining and
selecting dissemination strategies. Intervention strategies may include multi-day in-person
training workshops, electronic information exchange modalities, and remote technical
assistance. Evaluation methods include surveys at baseline and at each 8-month interval,
abstraction of LHD chronic disease prevention program plans and progress reports, and social
network analysis.
diseases have been identified in recent decades, and could have a profound effect on diabetes
incidence and quality and length of life of those diagnosed. However, barriers to implement
approaches continue because of lack of organizational support, limited resources, competing
priorities, and limited skill among the public health workforce. The purpose of this study is
to determine effective ways to promote the adoption of evidence based public health practice
related to diabetes and chronic disease prevention and control among local health departments
(LHDs). This stepped-wedge cluster randomized trial aims to evaluate active dissemination
strategies on local-level public health practitioners to increase adoption and use of
evidence-based programs and policies for diabetes and chronic disease prevention and control
among LHDs in Missouri. Twelve LHDs will be recruited and randomly assigned to one of three
groups that cross over from usual practice to receive the intervention (dissemination)
strategies at 8-month intervals; the intervention duration for groups ranges from 8 to 24
months. LHD staff and the university-based study team are jointly identifying, refining and
selecting dissemination strategies. Intervention strategies may include multi-day in-person
training workshops, electronic information exchange modalities, and remote technical
assistance. Evaluation methods include surveys at baseline and at each 8-month interval,
abstraction of LHD chronic disease prevention program plans and progress reports, and social
network analysis.
Inclusion Criteria:
- Local Health Departments (LHDs, cluster) in the state of Missouri and corresponding
public health workforce (individuals within cluster); screenings.
Exclusion Criteria:
- LHDs that have less than 5 employees working in or supporting diabetes or chronic
disease control, which includes program areas of diabetes prevention and management,
obesity prevention, physical activity, nutrition, cardiovascular health, and cancer
We found this trial at
1
site
1 Brookings Dr
Saint Louis, Missouri 63130
Saint Louis, Missouri 63130
Principal Investigator: Ross C Brownson, PhD
Phone: 314-935-0148
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