CDC Four Domains
What are the "Four Domains"? In chronic disease prevention, they are the four key action areas to target to achieve a comprehensive approach to chronic disease prevention.
Domain 1: Epidemiology and Surveillance
This domain focuses on activities that provide states and communities with necessary expertise to collect data and information and to develop and deploy effective interventions, identify and address gaps in program delivery, and monitor and evaluate progress in achieving program goals.
Domain 2: Environmental Approaches
This domain promotes health and supports and reinforces healthful behaviors in schools, worksites, and communities. Improvements in social and physical environments make healthy behaviors easier and more convenient for Americans.
Domain 3: Health System Interventions
This domain includes work to improve the effective delivery and use of clinical and other preventive services to prevent disease, detect diseases early, and reduce or eliminate risk factors and manage complications.
Domain 4: Community Clinical Linkages
This domain focuses on strategies to improve community-clinical linkages so that communities support and clinics refer patients to programs that improve management of chronic conditions. This allows for those with or at high risk for chronic diseases to have access to quality community resources to best manage their conditions or risk factors.
To learn more about the four domains, you can download a more detailed document, which includes example activities.
The Guide to Community Preventive Services
The Community Guide is a free resource to help you choose programs and policies to improve health and prevent disease in your community. Below are some key topics related to chronic disease and its risk factors.
Center for Training and Research Translation
The Center TRT aims to enhance the public health impact of state and community obesity prevention efforts by providing the training and evidence public health practitioners need to improve health behaviors, environments, and policies in ways that are equitable, efficient, and sustained over time. Below are links to some of their resources.
CDC Recommendations, Best Practices, and Guidelines
CDC has compiled a list of recommendations, best practices and guidelines covering a range of topics, such as school health, concessions and vending operations, promoting heart-healthy and stroke-free communities, and nutrition and physical activity and obesity policy resources. You can also view CDC's policy resources for nutrition, physical activity, and overweight/obesity.
Prevention Resources and Toolkits
CDC National Diabetes Prevention Program
The National Diabetes Prevention Program encourages collaboration among federal agencies, community-based organizations, employers, insurers, health care professionals, academia, and other stakeholders to prevent or delay the onset of type 2 diabetes among people with prediabetes in the United States. Visit the below links to learn more.
Community Health Promotion Handbook
This Action Guide provides information on the resources and key steps to establish a community-based diabetes self-management education (DSME) program to improve glycemic control among adults with type 2 diabetes.
IOM Report: Integrated Framework for Assessing the Value of Community-Based Prevention
This IOM report proposes a framework to assess the value of community-based, non-clinical prevention policies and wellness strategies. The framework represents a valuable step toward realizing the elusive goal of appropriately and comprehensively valuing community-based prevention.
The National Association of City and County Health Officials (NACCHO) offers a number of resources related to chronic disease prevention and health promotion. Here are a few.
Leadership for Healthy Communities
Leadership for Healthy Communities
is a national program of the Robert Wood Johnson Foundation designed to support local and state government leaders nationwide in their efforts to reduce childhood obesity through public policies that promote active living, healthy eating and access to healthy foods.
Early Care and Education and School Health (children)
Worksite and Community Health (adults and all ages)
Healthcare Interventions and Community Clinical Linkages