TY - JOUR
T1 - The Impact of a Home-Based Diabetes Prevention and Management Program on High-Risk American Indian Youth
AU - Kenney, Anne
AU - Strom, Rachel A
AU - Rosenstock, Summer
AU - Neault, Nicole
AU - Richards, Jennifer
AU - Reid, Raymond
AU - Nelson, Leonela
AU - Begay, Marissa
AU - Grass, Ryan
AU - Parker, Sean
AU - Barlow, Allison
PY - 2016/10/1
Y1 - 2016/10/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=84988357992&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84988357992&partnerID=8YFLogxK
U2 - 10.1177/0145721716658357
DO - 10.1177/0145721716658357
M3 - Article
C2 - 27422151
AN - SCOPUS:84988357992
SN - 0145-7217
VL - 42
SP - 585
EP - 595
JO - Diabetes Educator
JF - Diabetes Educator
IS - 5
ER -