Empowering native adolescents: Responsibility for their health behaviors

Rachel A. Chambers, Dane Hautala, Anne Kenney, Summer Rosenstock, Marissa Begay, Nicole Neault, Leonela Nelson, Raymond Reid, Jennifer Richards, Novalene Goklish, Dike Van De Mheen, Allison Barlow, Melissa Walls

Research output: Contribution to journalArticlepeer-review


Objectives: In this study, we assess the impact of a home-based diabetes prevention program, Together on Diabetes (TOD), on adolescent responsibility-taking for tasks related to diabetes risk. Methods: Participants were Native American youth ages 10-19 with or at risk of type 2 diabetes who participated in a 12-session, 6-month diabetes prevention program with an adult caretaker. Assessments completed at baseline, 6-month, and 12-month follow-up include demographics and the Diabetes and Obesity Task Sharing (DOTS) Questionnaire. We used latent class analysis (LCA) at baseline to examine heterogeneity in DOTS responses. We identified 3 classes (adolescent, shared, caretaker). We used latent transition analysis to examine stability and change in latent status at baseline, 6- and 12-month follow-up. Results: At baseline, the mean age of participants was 13.6 years and 55.9% were boys. From baseline to 6-month followup, the adolescent class was most stable, whereas the shared and caretaker classes were less stable. For participants who transition from the adolescent class, most transition to shared class compared to caretaker class. Conclusions: TOD helps to empower Native American adolescents to take responsibility for their health and engage with their caregivers in these decisions.

Original languageEnglish (US)
Pages (from-to)3-16
Number of pages14
JournalAmerican Journal of Health Behavior
Issue number1
StatePublished - 2021


  • Adolescent health
  • Diabetes
  • Health promotion
  • Native Americans
  • Obesity

ASJC Scopus subject areas

  • Health(social science)
  • Social Psychology
  • Public Health, Environmental and Occupational Health


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