CDC’s State Public Health Actions 1305 Cooperative Agreement funded all 50 state health departments and DC for 5 years to increase the use of diabetes self-management education and support (DSMES) programs and the National Diabetes Prevention Program (National DPP) lifestyle change program (LCP) through strategies such as implementing referral policies in health care systems.

Objectives: (1) Describe activities implemented by states to increase awareness, access, utilization, and coverage of DSMES and CDC-recognized LCPs; (2) share findings from baseline to year 5 for CDC-recognized LCPs and DSMES-related activities, and (3) describe facilitators and barriers to implementing prevention and management programs. Qualitative and quantitative data were abstracted from state health departments’ annual evaluation and progress reports and health impact statements. Qualitative data were analyzed using thematic analysis. Quantitative data were analyzed to determine year-to-year percent change from baseline to Year 5. Common activities implemented by recipients included establishing new programs, securing insurance coverage for programs, and using marketing strategies to educate patients about the National DPP LCP and DSMES programs. Outcomes from baseline to year 5 will be shared on the total number of American Diabetes Association recognized/American Association of Diabetes Educators accredited DSMES programs and the number of people who had at least one encounter with a program. Key facilitators for and challenges to increasing program utilization for DMSES and the National DPP will be shared. Findings provide relevant data on best practices to support and scale the National DPP and DSMES programs for improved health outcomes in diabetes. Findings will inform the implementation of sustainable strategies for National DPP and DSMES programs and shape future technical assistance to recipients.


A. Mensa-Kwao: None. Y. Mensa-Wilmot: None. K.D. Farris: None. S. Bowen: None. S. Thummalapally: None. M.D. Murphy: None. G.E. Rutledge: None.

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