2. Core Elements: DPP Curriculum DP Recruitment Yvette Roubideaux, MD, MPH

3. The Diabetes Prevention (DP) Demonstration Project We know “what” but we don’t know “how”

4. The Diabetes Prevention Demonstration Project  Core elements – “what”  Development of intensive intervention– “how” (details)  Collaborative process

5. The Diabetes Prevention (DP) Demonstration Project  8 Core elements - Intensive Intervention – “the what” Screen and Identify eligible individuals with Pre-Diabetes Recruit individuals with Pre-Diabetes to participate Initial physical exam and baseline measures Education on diabetes prevention using DPP 16-session curriculum

6. The Diabetes Prevention (DP) Demonstration Project  8 Core elements – Intensive Intervention – “the what” Individual education/coaching sessions Develop strategies to retain participants Gather data on required evaluation measures Target number of participants per year (minimum) = 48

7. Core Elements: Collaborative Process  Determining the “how” – so far: Planning Meeting Presentations/Training Sessions Grantee Panel Discussions/Questions Breakout Sessions/Input Comments during breaks, email communication Homework follow-up questions Idea maps IHS Advisory Committees - notes CGP Steering Committee IHS programmatic issues/direction

8. Core Elements: Collaborative Process – Big Picture Initial Presentations Training Input, Breakout Sessions, Grantee Panels Idea Maps Draft Protocol Review Committees Refine, Clarify Final Review Grantees Final Decision IHS DDTP

9. Core Elements: Draft  Draft Protocol/Required Activities Review the 1 st Draft today Questions Breakout Session Identify strengths, challenges Potential training needs

10. Core Elements: Draft  DPP Curriculum - components Diabetes Prevention Team Membership, Meetings Intensive Activities Screening for Prediabetes Eligible Participants DPP Curriculum Individual Coaching Sessions Lifestyle Goals for Individuals Motivational Activities Monitoring/Follow-up of Participants with Pre-Diabetes

11. Core Elements: Draft  Recruitment - components Recruitment Goals Minimum numbers Recruitment Activities Recruitment Team Settings for Recruitment Community, Clinical Methods of Recruiting individuals to participate Materials for Recruitment Process to help individuals participate in screening Invitation for eligible to participate – informed consent process Entry process – instructions, appointments Tracking of recruitment activities

12. Core Elements: Draft  Draft Protocol/Required Activities Review the 1 st Draft today Questions Breakout Session Identify strengths, challenges Potential training needs