Document Type

Capstone Experience

Graduation Date

12-2022

Degree Name

Master of Public Health

Department

Health Promotion

First Committee Member

David A. Dzewaltowski, PhD

Second Committee Member

Marisa Rosen, PhD, MPH

Third Committee Member

Regina Idoate, PhD

Abstract

Prediabetes and type 2 diabetes mellitus (DM) are highly prevalent conditions with new diagnoses occurring each year (Centers for Disease Control and Prevention, 2022a). Type 2 DM negatively impacts many aspects of life, to include social, financial, cultural, and everyday living. Asset mapping is a useful tool to build upon existing resources to help community members identify and expand services based on understanding the interconnected systems that influence type 2 DM prevention, screening, education, and care management. An Asset Mapping Protocol was created and piloted through a rural community coalition in Nebraska. The protocol includes an activity for community stakeholders to identify and discuss assets for diabetes prevention, screening, and care management and why they are valuable to their community. A process evaluation was completed to assess the usefulness and effectiveness of the activity. A mixed-methods assessment was completed by participants with a follow up qualitative interview. A fidelity checklist was also completed based on a recording of the coalition members completing the activity. While limited participation in the follow-up assessments provided few results, the data provided insight into protocol adjustment and future direction. Recommendations include clarifying the activity instructions, providing greater details between coalition meetings, incorporating additional interview feedback focusing on minority community resources, and strengthening community health needs assessments. Additional research in rural communities that addresses the reduction in rates of type 2 DM is necessary.

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