Objectives/Goals: Evaluate the feasibility, acceptability, and effectiveness of a community-based diabetes management program. Assess participant knowledge, confidence, and skills as initial outcomes, and iteratively refine the pilot program across three phases using participant, facilitator, and observer feedback. Methods/Study Population: The pilot program included cohorts of English and Spanish speaking adults diagnosed with or at high risk for type 2 diabetes. The 5-week training addressed diabetes education, self-management skills, health literacy, and SMART goal setting. Participants completed pre-training, weekly post-session, post-training, and 1-month follow-up surveys to assess knowledge, confidence, satisfaction, and application of skills. Training facilitators and observers from our community engagement team completed weekly post-session surveys to understand strengths, weaknesses, and points of improvement. Feedback from participants, facilitators, and observers were used to iteratively refine the training between phases. Results/Anticipated Results: Findings indicated comparative increases in participant knowledge, confidence, and skill application related to diabetes self-management between English and Spanish cohorts. One-month follow-up data suggested knowledge retention, progress toward SMART goals, and health improvements through application of self-management strategies. Improvements in participant knowledge, confidence, skill application, engagement, and satisfaction were demonstrated across refinement phases. Feedback from participants, facilitators, and observers guided iterative refinements to the training, including materials, format, and delivery across refinement phases, thus ensuring the training was tailored to the community, clear, and accessible. Discussion/Significance of Impact: The pilot demonstrates the feasibility, acceptability, and promising initial outcomes of a bilingual, community-based diabetes management program with potential public health significance. Iterative feedback informed refinements and improved implementation, supporting adaptation of this model for broader community health applications.
Do-Golden et al. (Wed,) studied this question.