National Center for Chronic Disease Prevention and Health Promotion
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Project DIRECT is a multiyear community diabetes demonstration project, funded primarily by the Centers for Disease Control and Prevention (CDC). DIRECT is an acronym for "Diabetes Intervention Reaching and Educating Communities Together."
It is intended to develop, implement, and evaluate strategies that can be incorporated into state-based diabetes prevention and control programs nationwide. DIRECT involves a partnership among the following: the community of southeast Raleigh, NC; the Division of Public Health in the North Carolina Department of Health and Human Services; Wake County Human Services; and the CDC.
To reduce the burden of diabetes and its complications in an African-American community through a community diabetes demonstration project
The African-American community in southeast Raleigh, NC
The three main intervention components are health promotion, outreach, and diabetes care. The planning and implementation of activities for each area are carried out by a coordinator in consultation with a workgroup. Workgroups include individuals from the community, health professionals, and representatives of local organizations.
The evaluation team has members of each workgroup area, community and agency representatives, and scientific and technical consultants. The workgroups and evaluation team assess the process and short-term impact of project activities, and perform the following tasks:
The external evaluator, Research Triangle Institute (RTI), is contracted to examine the impact of interventions at the population level. RTI representatives will survey a sample of the general population within the target area and a sample of people with diabetes to learn about social networks, diabetes-related knowledge, and beliefs about exercise and diet.
The CDCs National Center for Chronic Disease Prevention and Health Promotion, Division of Diabetes Translation, provides major funding and technical assistance.
The Division of Public Health in the N.C. Department of Health and Human Services has a cooperative agreement with the CDC, and is responsible for overall project administration, scientific and technical aspects, and for internal evaluation.
Wake County Human Services has a contract with the N.C. Division of Public Health to plan and implement interventions, and to organize and support coalitions.
A coalition supports the project in its mission. It involves key individuals and organizations in southeast Raleigh and the surrounding area. There is representation from community leaders, business and industry, community organizations and centers, media, public health agencies, professional organizations, health care providers, religious leaders, fraternities and sororities, and university faculty members including people from historically black colleges and universities.
DIRECTS Executive Committee is responsible for policy management, which includes the following:
The 13 members include the following: two from N.C. Department of Health and Human Services Division of Public Health; two from Wake County Human Services; two (chair and vice chair) are from the community plus seven at-large community members.
Gregg EW, Geiss LS, Saaddine J, et al. Use of diabetes preventive care and complications risk in two African-American communities. Am J Prev Med 2001;21(3):197-202.
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Page last reviewed: September 30, 2008
Page last modified: December 20, 2005
Content Source: National Center for Chronic Disease Prevention and Health Promotion
Division of Diabetes Translation