The literature regarding the prevention of diabetes provides few standards for community-based initiatives. The present article offers four principles for engaging communities in comprehensive community approaches to diabetes prevention including (1) facilitating meaningful and central roles for communities, (2) giving primary attention to participatory processes rather than to best practices, (3) emphasizing cultural relevance in designing interventions particularly in racial and ethnic communities, and (4) incorporating social ecology approaches that are holistic and that address larger environmental influences rather than individual behavioral change alone. In order that community public health practitioners may operationalize the principles, models are provided for each.
This article offers four principles for engaging communities in comprehensive community approaches to diabetes prevention and provides models for community public health practitioners to operationalize them.
Robert M. Goodman, PhD, is Professor and Chair, Department of Behavioral and Community Health, Sciences, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania.
Seunghyun Yoo, Dr PH, is Assistant Professor, Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania.
Leonard Jack, Jr., PhD, formerly Team Leader, Applied Behavioral Research, Epidemiology, Surveillance, and Evaluation Team, Program Development Branch, Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia. Currently, Professor and Associate Dean, School of Health Sciences, Jackson State University, Jackson, Mississippi.
Corresponding author: Robert M. Goodman, PhD, 130 DeSoto Str, 208 Parran Hall, Pittsburgh, PA 15261 (e-mail: email@example.com).