Grant: Team Grant: Prevention and Treatment of Type 2 Diabetes - full application

The research proposed will test whether the Community Health Assessment Program in the Philippines (CHAPP) will be effective in decreasing the number of people who have high risk of having the diabetes. The CHAPP is a community program which will be implemented by trained volunteers. In the program, the volunteers will invite community residents to attend CHAPP sessions where the volunteer will ask the residents questions about their health practices and also check their blood pressure, weight and height. The information of the residents will be entered into a computer and the computer program will show if the residents have a high risk of having diabetes. Those who have high risk of having diabetes will be seen by the public health midwife present during the CHAPP session to check the blood sugar of the resident. Residents who have high blood sugar will be asked to come back to have a repeat blood sugar check after they have fasted for 8-hours. Residents who have a high blood sugar after fasting will be asked to have a check-up with the public health doctor. If the residents consent, all information collected during the CHAPP sessions will be given to the public health office to help those who are at risk of having diabetes. In the first year of this research, the researchers will check how to best make the CHAPP fit in the community setting. In the second year, the CHAPP will be tested in 2 communities to check if there are problems in running the program. In the third and fourth year, the CHAPP will be tested if it decreases the number of people who have high risk of having the diabetes in 20 communities. If the CHAPP is effective, the fifth year will be used to inform government officials and health workers about how CHAPP can be implemented long term and in other communities. The CHAPP researchers will also talk to researchers and health workers from low and middle income countries like the Philippines regarding how CHAPP can be applied in their setting.