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

PurposeThe purpose of this study was to examine the impact of a home-based diabetes prevention and management program on high-risk American Indian youth.MethodsTogether 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.ResultsA 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 6.5% (P = .036).ConclusionsThe TOD program was feasible, acceptable, an...