The Impact of a Home-Based Diabetes Prevention and Management Program on High-Risk American Indian Youth

Anne Kenney, Rachel A. Chambers, Summer Rosenstock, Nicole Neault, Jennifer Richards, Raymond Reid, Leonela Nelson, Marissa Begay, Ryan Grass, Sean Parker, Allison Barlow

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)585-595
Number of pages11
JournalDiabetes Educator
Issue number5
StatePublished - Oct 1 2016

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Health Professions (miscellaneous)


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