Scope of Work National Diabetes Prevention Program (DPP) Lifestyle Change Program, Prevent T2 Curriculum

Training

Background: The Navajo Area Indian Health Service (NAIHS) provides healthcare services to over 200,000 members of the Navajo Nation across Arizona, New Mexico, and Utah. The NAIHS Special Diabetes Program for Indians (SDPI), established by Congress in 1997, supports initiatives aimed at preventing and managing diabetes among American Indian/Alaska Native (AI/AN) populations This requirement primarily supports the People & Communities IHS pillar committed to enhancing public health services focusing on improving community health outcomes through diabetes prevention, building local capacity of Lifestyle Coaches to serve within IHS and Navajo communities, and expanding access to evidence-based public health programs to at-risk populations.

Purpose: This Scope of Work supports SDPI funding requirements by delivering evidence-based diabetes prevention education. The focus is on long-term lifestyle changes to:

Reduce the risk of type 2 diabetes Improve healthy eating and physical activity Reduce diabetes-related complications Improve overall health outcomes

Objective: The objective of this contract is to obtain qualified lifestyle coaches/instructors to deliver two-day, in-person training to up to 18 Navajo Area staff and public health professionals, utilizing the CDC-recognized PreventT2 curriculum.

This training will support participants from various Navajo Area service sites in developing the skills necessary to implement the National Diabetes Prevention Program (National DPP) Lifestyle Change Program and to obtain or support attainment of nationally recognized DPP accreditation/recognition (e.g., CDC Diabetes Prevention Recognition Program (DPRP) or equivalent).

The program is designed to equip participants to effectively deliver evidence-based interventions that reduce the risk of developing type 2 diabetes among at-risk populations by up to 58% through:

o Modest weight loss (5–7%) o At least 150 minutes of physical activity per week (do not need to mention this)

This program is based on the National Institute of Health (NIH) and the Health and Human Services supported Diabetes Prevention Program (DPP) research study.

Deliverables: The Contractor shall provide one (1) 2-day in-person training for 18 participants on the National DPP Lifestyle Change Program using the PreventT2 Curriculum.

The Contractor shall provide all required training materials for lifestyle coach training, including instructor guides and participant materials.

The Contractor shall provide delivery of training in-person at a location designated by the NAIHS

Point of Contact.

The Contractor shall ensure curriculum standards aligns with current CDC-approved National

DPP curricula and standards.

The Contractor shall ensure capacity building to support development of new lifestyle coaches, including licensed and credentialed Navajo Area public health professionals engaged in diabetes prevention and management activities, as well as other qualified health professionals, including but are not limited to:

o Registered Nurses (RNs) o Registered Dietitians (RDs/RDNs) o Pharmacists o Physicians o Physician Assistants o Other licensed public health professionals are directly involved in clinical or population-based diabetes care.

o Other non-licensed health professionals working in diabetes prevention and intervention programs such as HPDP Specialist, Fitness Specialist, and Nutritionist.

o The Contractor shall provider instructional methods using interactive and engaging teaching methods, including group discussion, demonstrations, multimedia (videos), and technical assistance.

The Contractor shall provide educational resources with access to toolkits, instructor resources, and participant materials.

The Contractor shall communicate regularly with the NAIHS Navajo Area Office regarding training implementation, scheduling, and delivery of materials.

The Contractor shall submit a final report that includes training outcomes, participant completion and certification status, and evaluation results.

The Contractor shall provide Certificates of Completion, including applicable Continuing Education Units (CEUs), to participants who meet the professional eligibility requirements for participation in accredited continuing education activities.

Deliverable Description Due Date Training Delivery 2-day in-person PreventT2 training As scheduled

Training Materials All instructor and participant materials

At time of training

Final Report Summary of outcomes and evaluations

Within 15 days of post-training

Certificates Participant completion certificates/CEUs

At or after training

Period of Performance: The period of performance is September 30, 2026 – March 31, 2027.

Any schedule changes require at least two (2) weeks’ advance notice and approval from the Contracting Officer (CO) and Contracting Officer’s Representative (COR).

Location of Services: Training will be conducted in person within the Navajo Nation. Final location and dates will be coordinated with the NAIHS Navajo Area Office.

Contracting Officer’s Representative (COR): The COR, for this contract shall be Lt Commander Bernadine John. The COR is responsible for the following:

Authority to negotiate changes in terms, conditions, or amounts cited in this contract are reserved for the Contracting Officer. Only the Contracting Officer may authorize changes to the terms and conditions of this contract.

Monitoring the Contractor’s technical progress, including surveillance and assessment of performance and recommending changes in requirements to the Contracting Officer.

Performing technical evaluation as required.

Performing technical inspections and acceptance required by this contract; and Assisting the Contractor in the resolution of problems encountered in performance.

Point of Contact: The Point of Contact for this contract shall be Elfreida Barton, Fitness Specialist; responsibilities will also include coordination of training in logistics and communication.

Vendor Qualifications:

The Contractor shall meet the following minimum qualifications:

Experience using the CDC-approved PreventT2 Curriculum or equivalent National DPP curriculum

Minimum of 1 year of experience providing diabetes prevention, health education, or lifestyle coaching training

The Contractor shall provide instructors who are:

o Certified CDC-recognized National DPP Lifestyle Coaches, Master Lifestyle Coach Trainers or equivalent o Experience delivering adult education or professional training o Experience facilitating in-person group training sessions o Knowledge of diabetes prevention strategies, behavior change techniques, nutrition and physical activity guidance Be affiliated with or represent a CDC-recognized National DPP organization, or CMS approved as an accrediting organization of Diabetes Self-Management Education Support

(DSMES) programs to issue Certificates of Completion and Continuing Education Units (CEUs), if applicable.

Demonstrate experience working with American Indian/Alaska Native (AI/AN) communities Ability to deliver training in a culturally responsive and respectful manner

Payment: Payment shall be made in accordance with the Prompt Payment Act and applicable federal regulations upon acceptance of deliverables.

Invoice: The Contractor shall submit an original invoice (or electronic invoice, if authorized) to the address designated in the contract to receive invoices.

Invoices shall include:

Contractor name and invoice date Contract number and purchase order number Description of services and dates performed Itemized costs Supporting documentation or information as required by the contract.

Invoices shall be submitted to the address specified in the contract.

Security and Confidentiality

The Contractor shall safeguard any sensitive information and comply with all applicable federal privacy and security requirements.

Monitor and Evaluation:

Navajo Area Indian Health Service will monitor vendor performance through:

Routine check-ins and feedback sessions.

Quarterly review of materials developed and completed.