Weill Medical College of Cornell University
The goal of this study is to learn whether FUERTE (Federally qUalified Health Centers Engaging Hispanic Men at Risk of diabeTEs) can facilitate referrals of Hispanic men with prediabetes to the Diabetes Prevention Program (DPP) and support their continued engagement in the program. The main questions it aims to answer are: Does implementation of the FUERTE strategy increase the number of DPP-eligible Hispanic men who are referred to and enrolled in the DPP? Does implementation of the FUERTE strategy improve engagement in the DPP and result in greater improvements in weight and hemoglobin A1C among Hispanic men participating in the program? FUERTE consists of three components: 1. Information sessions for healthcare providers to increase awareness of the DPP. 2. Text messages sent to DPP-eligible Hispanic men reminding them of appointments and encouraging discussions about prediabetes with healthcare providers. 3. Interactive WhatsApp group messages for Hispanic men referred to the DPP, providing tailored content and discussion prompts related to each core DPP session. Participants will: * Complete a survey before enrolling in the DPP. * Complete a survey after completing the DPP. * Those participating post-implementation of FUERTE will (1) receive text-messages, reminding them of their appointments and encouraging discussions about prediabetes with providers, and (2) receive interactive group-messages, delivered through WhatsApp, to supplement the standard of care DPP with tailored topics and prompts.
The goal of this single-site pilot implementation trial is to learn if FUERTE (Federally qUalified Health Centers Engaging Hispanic Men at Risk of diabeTEs), a multi-component implementation strategy for Federally Qualified Health Centers, can feasibly facilitate referrals of Hispanic men with prediabetes to the Diabetes Prevention Program (DPP) and support their continued engagement in the program. FUERTE consists of 3 components: Component 1, information sessions to providers, to increase awareness of the DPP; Component 2, text-messages, delivered through existing appointment notification sy…
Inclusion Criteria: * Self-reported Hispanic ethnicity and men * At least 18 years old * Have a body mass index (BMI) =\>25 kg/m2 * Have a documented HbA1c of 5.7%-6.4% within one year Exclusion Criteria: * Life expectancy \<12 months * not planning to stay in the geographic area for at least 6 months * diabetes based on an ICD-10 code in the previous 3 years * does not speak English or Spanish * present with a condition or abnormality (e.g., significant neurocognitive dysfunction) that in the opinion of the Investigator would compromise the ability of the patient to provide informed consen…
Participants will complete a survey before enrolling in the Diabetes Prevention Program (DPP), and after completing the program. Participants will receive interactive group-messages, delivered through WhatsApp, to supplement standard of care (i.e. standard DPP) with tailored topics and prompts relating to each core session of the DPP.
Participants will complete a survey before enrolling in the Diabetes Prevention Program (DPP), and after completing the program.
Referring Providers are assessed Pre and Post Implementation for the proportion of Providers seeing Diabetes Prevention Program (DPP) eligible men who then referred eligible men for Prediabetes Management.