BetaEntity Annotation Prototype
← Back to institutions

Annotated abstract

26 Leveraging cooperative extension for community-based diabetes prevention: insights from the nj empower to prevent (NJEP) program

bmjnph · 2025-10-30 · canonical JSON source

14 visible annotations · policy: published · automated confidence ≥ 75.00%

Document resource

Background Diabetes is a major public health issue, with 38.4 million adults affected in the U.S., including 2.4 million in New Jersey. Access to effective diabetes prevention programs is limited, especially in underserved communities. To address this, Cooperative Extension programs have expanded the reach of the CDC’s National Diabetes Prevention Program (NDPP) through community-focused models. The NJ Empower to Prevent (NJEP) program, developed by Rutgers Cooperative Extension’s Family and Community Health Sciences (FCHS) department in collaboration with the Cooperative Extension NDPP Interest Group (CE-NDPP), exemplifies this approach with its virtual delivery model.Objectives This study assesses the NJEP program‘s effectiveness in promoting diabetes management outcomes, focusing on participant engagement, retention, and achievement of health goals, including weight loss, increased physical activity, and improved dietary habits.Methods A mixed-methods cohort study involved 59 participants across four NJEP cohorts. The program was delivered virtually via Zoom, featuring 16 weekly sessions followed by bi-monthly and monthly meetings. Quantitative data on weight loss, physical activity, and dietary habits were collected, alongside qualitative feedback from pre- and post-intervention surveys. Retention and attendance rates were also analyzed.Results The NJEP program showed strong community impact, with 54.4% of participants meeting at least one CDC Prevent T2 outcome. Participants achieved an average weight loss of 3.51% and engaged in 2393.18 minutes of physical activity weekly. The program’s retention rate of 87.86% surpassed national averages, and the virtual format facilitated high engagement during the pandemic. Although dietary habit improvements were modest, participants expressed increased confidence in managing their physical activity. Conclusions The NJEP program successfully used a community-based, virtual model to enhance diabetes prevention efforts, achieving high engagement and retention rates. This approach highlights the potential of Cooperative Extension models to bridge gaps in diabetes prevention, with future efforts aimed at expanding reach and refining strategies for underserved communities.