TY  - JOUR
AU  - Kepper, Maura
AU  - Stamatakis, Katherine A.
AU  - Mudd, Natalie
AU  - Deitch, Ariel
AU  - Terhaar, Ally
AU  - Liu, Julia
AU  - Gates, Emerald
AU  - Williams, Bobie
AU  - Cole, Gabrielle
AU  - French, Carolyn S.
AU  - Hampton, Amy
AU  - Eyler, Amy
PY  - 2023
TI  - A Communitywide Collaboration to Increase Enrollment, Retention, and Success in Evidence-Based Lifestyle-Change Programs in Racial and Ethnic Minority Populations
T2  - Preventing Chronic Disease
JO  - Prev Chronic Dis
SP  - E67
VL  - 20
CY  - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
N2  - PURPOSE AND OBJECTIVES  Chronic diseases (eg, diabetes, hypertension) are the leading causes of death in the US and disproportionally affect racial and ethnic minority populations. This disparity is partially due to the unequal burden of unmet social needs that stem from several factors, including racism. INTERVENTION APPROACH  The Alliance is a collaboration among health care, public health, and community organizations formed to improve referral, enrollment, and successful completion of evidence-based lifestyle-change programs, particularly among Black people. The Alliance built 1) a system to assess and address social barriers through the screening and referral process and 2) a training center for frontline staff (eg, community health workers). EVALUATION METHODS  From January 2020 through September 2022, we conducted an evaluation that included both quantitative and qualitative methods. We developed an electronic database to make referrals and track key barriers to participation. Additionally, we conducted a focus group among frontline staff (N = 15) to understand the challenges in making referrals and discussing, documenting, and addressing barriers to participation. We used surveys that collected quantitative and open-ended qualitative responses to evaluate the training center and to understand perceptions of training modules as well as the skills gained. RESULTS  Frontline staff engaged with 6,036 people, of whom 847 (14%) were referred to a lifestyle-change program from January 2020 through September 2022. Of those referred, 257 (30%) were eligible and enrolled in a program. Food access and unreliable internet were the most common barriers to participation. Thirteen of 15 frontline staff participated in trainings, and, on average, trainees completed 4.2 trainings and gained several skills (eg, ability to monitor personal bias, de-escalate a crisis, educate on mental health, understand community and environmental factors). IMPLICATIONS FOR PUBLIC HEALTH  The Alliance is an example of how health care, public health, and community partners can work together to increase enrollment in lifestyle-change programs of residents disproportionately affected by chronic diseases. Lessons learned from implementation and evaluation can inform other complex partnerships to improve public health.
SN  - 1545-1151
UR  - https://doi.org/10.5888/pcd20.220352
DO  - 10.5888/pcd20.220352
ER  - 
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