On the road to the national objectives: a case study of Diabetes Prevention and Control Programs.

The purpose of this case study research was to understand common characteristics of high-performing Diabetes Prevention and Control Programs (DPCPs) that enable them to achieve national diabetes objectives within a Model of Influence. The case consisted of five selected DPCPs in California, Kentucky, Minnesota, New York, and Utah. Visits to each site facilitated data collection including document reviews, interviews, and observations. Data analysis involved content analysis, developing typologies, pattern matching, member checking, and triangulation. Results indicate that high-performing DPCPs share the following common characteristics in efforts to achieve national objectives: (1) fit the context, (2) assume multiple roles, (3) build relationships, (4) negotiate systems, (5) frame with a public health perspective, and (6) understand that there is "something about diabetes." Results provide insights for public health leadership to strengthen capacities of comparable state-based programs.