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                Quality aspect on diabetes prevention programs can be an increase in productivities in school, decreased absenteeism, and overall-better health and education to those affected by the intervention brought about with this EBP project (American Diabetes Association, 2013). It puts patients at the center of communication and permits them to collaborate and participate in their own care. One clinical aspect to keep in mind when developing my EBP project, is to keep track of clinical outcomes up to 3 years post-baseline and the relationship between program engagement and clinical outcomes in a digital diabetes prevention program, since I am able to follow students for years in the school district (Sepah, Jiang, Ellis, McDermott, Peters, 2017).

                Indirect and direct impact to financial, quality, and clinical aspects to culturally appropriate diabetes prevention programs according to the, the American Diabetes Association reported that the total medical costs and lost school days for people diagnosed with diabetes is directly related to poorer educational outcomes. Direct medical costs come to $176 billion and indirect costs, such as disability, loss of productivity, and premature death, equal $69 billion. Diabetes prevention programs will lead to lifestyle changes that can help students to lose weight through eating better and being more physically active, and decrease one’s risk of type 2 diabetes (CDC, 2016).