Evidence map›Paper›PMID 42288862›Full record

ArticleBMC health services research2026

Community-engaged design of a virtual diabetes prevention program intervention with care coordination.

Katherine LaMonaca, Meredith Campbell-Britton, Kathleen O'Connor Duffany, Beth P Comerford, Sofia I Morales, Rockiy G Ayettey, Katia Astudillo, Mary Swansiger, Claudette Kidd, Bailee Rue and 5 more

Registry-linked trialAbstract read
In one paragraph

Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04195477 (Improving Health in Low Income Communities), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04195477 nacompletednot on this map

Improving Health in Low Income Communities: Virtual Delivery of a Diabetes Prevention Program Facilitated With Community Care Coordination

TypeinterventionalSponsorYale UniversityRan2020 to 2024Enrolled96ConditionsDiabetes PreventionArmsvDPP
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Katherine LaMonacaYale School of Public Health, 135 College Street, Suite 200, New Haven, CT, 06510, USA. katherine.lamonaca@yale.edu.
Meredith Campbell-BrittonYale School of Public Health, 135 College Street, Suite 200, New Haven, CT, 06510, USA.
Kathleen O'Connor DuffanyYale School of Public Health, 135 College Street, Suite 200, New Haven, CT, 06510, USA.
Beth P ComerfordGriffin Hospital, 130 Division Street, Second Floor, Derby, CT, 06418, USA.
Sofia I MoralesYale School of Public Health, 135 College Street, Suite 200, New Haven, CT, 06510, USA.
Rockiy G AyetteyGriffin Hospital, 130 Division Street, Second Floor, Derby, CT, 06418, USA.
Katia AstudilloProject Access New Haven, 63 York St, New Haven, CT, 06511, USA.
Mary SwansigerGriffin Hospital, 130 Division Street, Second Floor, Derby, CT, 06418, USA.
Claudette KiddYale School of Public Health, 135 College Street, Suite 200, New Haven, CT, 06510, USA.
Bailee RueCollege of Health and Human Services, Southern Connecticut State University, 493 Fitch St, New Haven, CT, 06514, USA.
Alycia SantilliCollege of Health and Human Services, Southern Connecticut State University, 493 Fitch St, New Haven, CT, 06514, USA.
Valentine Y NjikeGriffin Hospital, 130 Division Street, Second Floor, Derby, CT, 06418, USA.
Todd McGuireIncentaHEALTH, LLC, 9605 S. Kingston Court, Suite 130, Englewood, CO, 80112, USA.
Maryann DeylingYale School of Public Health, 135 College Street, Suite 200, New Haven, CT, 06510, USA.
Rafael Pérez-EscamillaYale School of Public Health, 135 College Street, Suite 200, New Haven, CT, 06510, USA.

Funding

CDC HHS 5U48DP006380JG CDC HHS 5U48DP006380NCCDPHP CDC HHS U48 DP006380
6 · The paper itself

Abstract

backgroundThe Diabetes Prevention Program (DPP) is an evidence-based approach to prevent Type 2 Diabetes (T2D), the leading cause of morbidity and mortality in the United States. Despite demonstrated benefits, acceptability and uptake of DPPs remain low, especially among communities with low incomes at increased risk for diabetes. The Yale-Griffin Prevention Research Center led the design of a community-engaged virtual DPP (vDPP) intervention and assessed its feasibility of implementation in two contrasting settings.

methodsThe vDPP design followed an iterative, multi-partner mixed methods approach guided by a community-engaged research framework. The steps involved were: (1) application of the socio-ecological model theoretical framework to vDPP design (2) interviews and a technology survey with community residents and providers to assess feasibility (3) development of a program impact pathway (PIP) for ongoing process evaluation (4) five-week pilot study followed by participant focus groups, and (5) triage of findings to make necessary adaptations.

resultsThis process led to a vDPP intervention that included an online platform with asynchronous programming and a health coach as well as an added care coordination component provided by local community health workers and hospital-based community nurses. Thematic analysis showed that community members and providers valued the concept of a structured program with personalized guidance and emphasized the importance of addressing social needs and considering broad health goals. The pilot study identified program facilitators and barriers around engagement, communication, and feelings of personal accountability that informed program adaptations made prior to full implementation testing, including clarification of support roles and addition of detailed orientation materials.

conclusionsThis formative research demonstrated initial program feasibility and identified ways to improve the quality of program delivery. Pairing the PIP with a community-engaged approach led to the development of a novel health promotion intervention that is now being tested through a subsequent implementation science study.

trial registrationNCT04195477, clinicaltrials.gov, registered 7 October, 2020; https://www. CLINICALTRIALS: gov/study/NCT04195477?term=NCT04195477&rank=1 .

Indexed as

Diabetes Mellitus, Type 2Health PromotionCommunity-Based Participatory ResearchDigital HealthFeasibility StudiesFemaleFocus GroupsHumansInterviews as TopicMaleMiddle AgedPilot ProjectsProgram DevelopmentProgram EvaluationTelemedicinePrediabetesPreventionTelemedicineType 2 Diabetes

Identifiers

PMID42288862
PMCPMC13491910

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.