Overview of Changes

Overview of Data Collection Changes from 2018 Diabetes Prevention Recognition Program (DPRP) Standards

(OMB No. 0920-0909, exp. 02/28/2021) for 2021 DPRP Standards (revision)

Type of Change	Rationale	Detailed Description of Change(s)	Affected Form(s)
Collect additional organizational information from applicant organizations	Improve CDC’s ability to better understand delivery platform structure Will allow CDC to link Coach ID to evaluation data to further assess performance Will allow CDC to ensure Coaches are trained by a CDC-approved training entity holding a Memorandum of Understanding (MOU) with CDC	Drop down questions per delivery mode (intensity of live coach interaction per session; how curriculum is delivered; how/when weight and physical activity [PA] minutes are collected via virtual programs; and participant module delivery options) Coach ID (organization-assigned unique identifier that does not contain PII) Coach Training Entity (Includes all CDC-approved entities holding MOUs)	DPRP Application Form
Collect Gender information in addition to currently-collected Sex-at-birth information	Will allow for CDC to offer a more gender-inclusive variable, as requested by key stakeholders; recent research shows greater odds of being diagnosed with type 2 diabetes based on gender identity	Gender (described as how you identify) – Male/Female/Other/Not reported	DPRP Evaluation Data
Collect class cohort-level information	Will allow CDC to evaluate outcomes by annual participant cohorts; further allows organizations to better understand their data submissions and evaluation timelines by a specific annual group of participants	Add variable: Class ID (organization-assigned unique identifier that represents one, yearlong group of participants at a time and does not contain PII)	DPRP Evaluation Data
Collect coach identifier by class cohort	Will allow CDC to link Coach ID to evaluation data to further assess cohort performance for quality improvement; further allows CDC-recognized organizations to better understand participant outcomes by Coach characteristics such as place trained and type of training received	Add variable: Coach ID (organization-assigned unique identifier that does not contain PII)	DPRP Evaluation Data
Remove session level variable	Will help minimize data collection burden on CDC-recognized organizations by eliminating a session variable per each participant per session (min. of 22 in the yearlong intervention); session ID data analysis has not been found to yield useful information compared to all other participant variables collected	Remove variable: Session ID (numbering of ordered sessions as delivered within the yearlong lifestyle change program)	DPRP Evaluation Data
Revise ENROLL-HC variable; break into two variables	DPRP data indicated that organizations and participants did not understand the previous collapsed variable. The 2018 ENROLL variable included both people who had referred participants to the intervention and participants’ motivations for having enrolled in the intervention, making it difficult to draw appropriate conclusions from these data. Information on healthcare provider referrals (ENROLL-HC) is needed by key National DPP stakeholders and is also used as a metric for an agency-wide priority under CDC’s Strategic Framework.	Add Enrollment Motivation (new): Organizations will identify the main motivation which led the participant to enroll in the yearlong program. Revise Enrollment Source (revised): Organizations will identify whether a healthcare professional was the source which led the participant to enroll in the yearlong program.	DPRP Evaluation Data
Collect pre- and post-outcome data for CDC recognition	Literature reviews indicate that a 0.2% reduction in hemoglobin A1C (HbA1C) in persons with prediabetes corresponds to a 30 to 40% reduction in type 2 diabetes incidence, similar to a 5% reduction in body weight. Therefore, we are proposing to allow HbA1c reporting as an additional (optional) means for organizations to achieve full recognition.	Add optional variable: Hemoglobin A1C; HbA1C (pre-intervention and post-yearlong-intervention to assess improvement in prediabetes HbA1C level as an alternative to weight loss for those organizations interested in this option); HbA1C value per participant must be collected and submitted prior to final data submission for that year; must be included in last session record.	DPRP Evaluation Data

NOTE: None of these changes alter the critical elements of the lifestyle change program shown to prevent or delay type 2 diabetes in research studies –participant eligibility requirements, lifestyle program intensity and duration, participant weight loss (at least 5% of body weight), documentation of physical activity minutes (with a goal of 150 minutes per week), and documentation of required attendance throughout the entire 12-month intervention.

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