Abstract
The Cooperative Extension System translates research to practice and “brings the University to the people” throughout the U.S. However, the system suffers from program duplication and is challenged to scale-out effective programs. One program, Dining with Diabetes (DWD), stands out for its dissemination to multiple states. DWD is a community-based program aimed at improving diabetes management, nutrition, and physical activity behaviors. DWD was coordinated through a national working group and implemented by state Extension systems. A pragmatic, quasi-experimental study was conducted to determine the effectiveness of the national coordination model and the overall impact of DWD. Four states reported data representing 355 DWD participants. Significant differences were found in diabetes management behaviors and knowledge from pre to post-program. However, there were challenges with data analysis due to state differences in data management. We detail the transition from one state to a national workgroup, strengths and challenges of the national model, and implications for other Extension programs.
Document Type
Article
Publication Date
4-21-2022
Repository Citation
Balis, Laura; Gallup, Shari; Norman-Burgdolf, Heather; Buck, Julie; Daniels, Pam; Remley, Dan; Graves, Lisa; Jenkins, Margaret; and Price, Gayle, "Unifying Multi-State Efforts through a Nationally Coordinated Extension Diabetes Program" (2022). Dietetics and Human Nutrition Faculty Publications. 48.
https://uknowledge.uky.edu/foodsci_facpub/48
Included in
Community Health and Preventive Medicine Commons, Dietetics and Clinical Nutrition Commons, Endocrinology, Diabetes, and Metabolism Commons, Human and Clinical Nutrition Commons
