Patterns of Sustainability Capacity Among Organizations That Deliver the National Diabetes Prevention Program: A Latent Profile Analysis

• Type of Material: Article
• Authors: Lillian Madrigal, Emory University; Regine Haardoerfer, Emory University; Michelle C Kegler, Emory University; Sarah Ann Piper, Emory University; Linelle Blais, Emory University; Mary Beth Weber, Emory University; Ngoc Cam Escoffery, Emory University
• Language: English
• Date: 2023-10-12
• Publisher: CDC
• Publication Version: Final Published Version
• Copyright Statement: This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited.
• Final Published Version (URL): https://doi.org/10.5888%2Fpcd20.230067
• Title of Journal or Parent Work: Preventing Chronic Disease
• Volume: 20
• Start Page: E91
• Grant/Funding Information: This work was made possible by the partnership between Emory’s Diabetes Training and Technical Assistance Center and The Georgia Center for Diabetes Translation Research and funding from the Centers for Disease Control and Prevention (U48 DP006377).
• Keywords: Program Sustainability Assessment Tool; National diabetes Prevention Program; Centers for Disease Control and Prevention (U.S.)
• Research Categories: Health Sciences, Health Care Management

Abstract

Introduction Since the launch of the National Diabetes Prevention Program (DPP) in 2010, more than 3,000 organizations have registered with the Centers for Disease and Control and Prevention to deliver the program; today, however, only approximately 2,000 organizations are registered, indicating challenges with sustainability. We used the Program Sustainability Assessment Tool (PSAT) to explore patterns of sustainability capacity among National DPP delivery organizations. Methods We used data from a cross-sectional online survey conducted in August and September 2021 of staff members (N = 440) at National DPP delivery organizations. We conducted a latent profile analysis to identify latent subpopulations on the basis of respondent PSAT domain scores. Regression analyses were used to estimate associations between derived latent classes, PSAT scores, and respondent characteristics. Results The 4-class model included 4 groups of capacity for program sustainability, ranging from low to high: low (class 1) with 8.0% of the sample, medium-low (class 2) with 22.0%, medium-high (class 3) with 41.6%, and high (class 4) with 28.4%. Program evaluation (mean score = 5.1 [SD = 1.4]) and adaptation (mean score = 5.3 [SD = 1.3]) were the domains with the highest scores, while funding stability (mean score = 4.0 [SD = 1.6]) and Partnerships (mean score = 4.0 [SD = 1.7]) had the lowest scores. In our sample of National DPP delivery organizations, most reported relatively high capacity for program sustainability, and key indicators associated with sustainability capacity were virtual delivery, location of delivery, funding sources, and organization type. Discussion Similar to sustainability capacity findings from other PSAT studies, our study found that funding stability and partnerships are areas to strengthen. This insight is useful in sustainability planning at organizational and national levels across multiple programs.