544-P: Effect of Organization Type on Priority Population Outcomes in the National Diabetes Prevention Program (National DPP)

In 2012, the CDC Diabetes Prevention Recognition Program approved its first recognized organization. Since then, it has recognized 4,000+ organizations to deliver the National DPP lifestyle change program to 600,000+ participants at type 2 diabetes risk. This analysis examined data from 624,422 participants to determine the impact of 5 organization types on priority population outcomes: community centers, higher education, government, healthcare providers, and for-profit/insurers. Most participants (65.7%) enrolled in for-profit/insurer organizations. Community centers enrolled the highest percentage of participants who identified as Hispanic/Latino (20.8%) and Native Hawaiian/other Pacific Islander (3%), and government organizations the highest percentage of Black/African American (17.7%) and American Indian/Alaska Native participants (10.8%). Higher education organizations enrolled the highest percentage of Asian/Asian American participants (3.4%). Men primarily enrolled in for-profit/insurer organizations (25.3%), and those aged 65+ enrolled mainly in healthcare-based programs (30.6%). Time in the program is associated with type 2 diabetes risk reduction. Those enrolled in higher education organizations stayed in the program the longest, with a mean of 233 days. Community centers and government organizations, which lead in the enrollment of some priority populations, had means of 196 and 218 days, respectively. Native Hawaiian/other Pacific Islander participants stayed in community center programs above the mean of 226 days. In government organizations, Black/African American and American Indian/Alaska Native participants remained for an average of 227 and 219 days, respectively. Understanding which types of organizations better serve priority populations, and assisting them in recruitment and retention, is key to reducing the risk of developing type 2 diabetes among these groups and reducing disparities in outcomes.