Design and Implementation of the Diabetes Impact Project: A Multisector Partnership to Reduce Diabetes Burden in Indianapolis Communities

dc.contributor.authorStaten, Lisa K.
dc.contributor.authorWeathers, Tess D.
dc.contributor.authorNicholas, Celeste
dc.contributor.authorGrain, Tedd
dc.contributor.authorHaut, Dawn P.
dc.contributor.authorDuckett-Brown, Patrice
dc.contributor.authorHalverson, Paul K.
dc.contributor.authorCaine, Virginia
dc.contributor.departmentCommunity and Global Health, School of Public Health
dc.date.accessioned2024-02-05T18:51:24Z
dc.date.available2024-02-05T18:51:24Z
dc.date.issued2023
dc.description.abstractContext: Community-level health disparities have not arisen suddenly but are the result of long-term systemic inequities. This article describes the design and implementation of a community-engaged multisector partnership to address health disparities by reducing the diabetes burden in 3 Indianapolis communities through the implementation of evidence-based strategies across the prevention continuum. Program: The project has 5 foundational design principles: engage partners from multiple sectors to address community health, focus on geographic communities most affected by the health disparity, practice authentic community engagement, commit for the long term, and utilize a holistic approach spanning the prevention continuum. Implementation: The design principles are incorporated into the following project components in each community: (1) health system community health workers (hCHWs), (2) neighborhood CHWs (nCHWs), (3) community health promotion initiatives, and (4) resident steering committees, as well as a backbone organization responsible for overall coordination, project communication, evaluation, and partnership coordination. Evaluation: This complex multilevel intervention is being evaluated using data sources and methodologies suited to each project component and its purpose overall. Each component is being evaluated independently and included holistically to measure the impact of the project on the health and culture of health in the communities. Key Performance Indicators were established upon project initiation as our common metrics for the partnership. Because complex interventions aiming at population-level change take time, we evaluate Diabetes Impact Project-Indianapolis Neighborhoods (DIP-IN), assuming its impact will take many years to achieve. Discussion: Health disparities such as the diabetes prevalence in project communities have not arisen suddenly but are the result of long-term systemic inequities. This complex issue requires a complex holistic solution with long-term commitment, trusted partnerships, and investment from diverse sectors as seen in this project. Implications for policy and practice include the need to identify stable funding mechanisms to support these types of holistic approaches.
dc.eprint.versionFinal published version
dc.identifier.citationStaten LK, Weathers TD, Nicholas C, et al. Design and Implementation of the Diabetes Impact Project: A Multisector Partnership to Reduce Diabetes Burden in Indianapolis Communities. J Public Health Manag Pract. 2023;29(5):675-685. doi:10.1097/PHH.0000000000001779
dc.identifier.urihttps://hdl.handle.net/1805/38299
dc.language.isoen_US
dc.publisherWolters Kluwer
dc.relation.isversionof10.1097/PHH.0000000000001779
dc.relation.journalJournal of Public Health Management and Practice
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.sourcePMC
dc.subjectChronic disease
dc.subjectCommunity development
dc.subjectCommunity engagement
dc.subjectCommunity health workers
dc.subjectHealth equity
dc.titleDesign and Implementation of the Diabetes Impact Project: A Multisector Partnership to Reduce Diabetes Burden in Indianapolis Communities
dc.typeArticle
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