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Rural communities face unique challenges in accessing healthcare and prevention resources, contributing to rising rates of Type 2 diabetes. A recent study from the University of Georgia highlights a promising solution: involving local leaders and churches in delivering diabetes prevention programs. By building on existing social networks, this approach fosters healthier habits and addresses barriers to care in underserved populations.
The University of Georgia researchers collaborated with the UGA Archway Partnership to implement the CDC’s Diabetes Prevention Program (DPP) in rural Georgia. The year-long program, designed to help participants develop and maintain healthier habits, was adapted to fit the needs of rural populations by incorporating local churches and training community leaders as lifestyle coaches.
The study revealed that social connections, such as those formed in church settings, were instrumental in supporting lifestyle changes. Participants met regularly to discuss topics like physical activity and healthy eating, sharing tips, recipes, and encouragement. According to co-author Henry Young, the community’s enthusiasm for the program was palpable: “The community was very involved, very engaged, and very excited to participate.”
Lifestyle changes, particularly in rural communities where traditions and habits are deeply ingrained, can be difficult to sustain. The study showed that integrating trusted community institutions, like churches, and involving local leaders helped bridge this gap.
The program trained 33 life coaches—many of whom were affiliated with the 20 participating churches—to lead sessions, facilitate discussions, and support participants. According to Smita Rawal, the study’s lead author, the high level of participant engagement stood out: “The participants always went above one hour because they were so engaged in the discussion.” The interpersonal support extended beyond sessions, with participants walking together, sharing recipes, and motivating one another to adopt healthier lifestyles.
Transportation and health-related obstacles often prevent rural residents from accessing healthcare programs. To counter these challenges, community members organized carpools and provided transportation, while some coaches even made home visits for those unable to attend sessions.
By addressing these barriers, the program not only made participation possible for more people but also strengthened community ties. This approach underscores the importance of tailoring healthcare interventions to the specific needs and resources of underserved populations. As Henry Young noted, success requires both identifying barriers and leveraging local resources to support healthier lifestyles.
The findings, published in the Journal of Rural Health, provide a blueprint for implementing similar programs in other rural communities. With the rise of chronic diseases like Type 2 diabetes, this collaborative and community-centered approach could be a critical tool in improving health outcomes across underserved regions.