The Impact of a Home-Based Diabetes Prevention and Management Program on High-Risk American Indian Youth. (October 2016)

• Record Type: Journal Article
• Authors: Kenney, Anne; Chambers, Rachel A.; Rosenstock, Summer; Neault, Nicole; Richards, Jennifer; Reid, Raymond; Nelson, Leonela; Begay, Marissa; Grass, Ryan; Parker, Sean; Barlow, Allison
• Is Part Of: Diabetes educator. Volume 42:Number 5(2016:Oct.)
• Page Start: 585
• Page End: 595
• Publication Date: 2016-10
• Subjects: Diabetes -- Study and teaching -- Periodicals; 616.462005
• DOI: 10.1177/0145721716658357
• Languages: English
• ISSNs: 0145-7217

Abstract

Purpose: The purpose of this study was to examine the impact of a home-based diabetes prevention and management program on high-risk American Indian youth. Methods: Together on Diabetes (TOD) was designed via a participatory approach with 4 tribal communities in the southwestern United States. A multisite pre- and postevaluation design was used to evaluate the efficacy of the TOD intervention on improving youth's psychosocial, knowledge, behavioral, and physiological outcomes at 4 time points from baseline to 12 months postenrollment. Results: A total of 256 youth and 225 support persons were enrolled in the TOD program. At 12 months postenrollment, improvements were observed in youth's quality of life ( P < .001), depressive symptoms ( P < .001), knowledge related to TOD content ( P < .001), standardized body mass index scores ( P = .004), and hypertension ( P = .026). Improvements in mean A1C were observed among diabetic youth with baseline A1C >6.5% ( P = .036). Conclusions: The TOD program was feasible, acceptable, and effective in lowering diabetes risk among reservation-based American Indian youth. It is the first efficacious youth-focused diabetes prevention and management program developed and implemented in partnership with tribal communities.