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The Impact of a Home-Based Diabetes Prevention and Management Program on High-Risk American Indian Youth.
Kenney, Anne; Chambers, Rachel A; Rosenstock, Summer; Neault, Nicole; Richards, Jennifer; Reid, Raymond; Nelson, Leonela; Begay, Marissa; Grass, Ryan; Parker, Sean; Barlow, Allison.
Affiliation
  • Kenney A; Johns Hopkins Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA (Ms Kenney, Ms Chambers, Dr Rosenstock, Dr Barlow)
  • Chambers RA; Johns Hopkins Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA (Ms Kenney, Ms Chambers, Dr Rosenstock, Dr Barlow)
  • Rosenstock S; Johns Hopkins Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA (Ms Kenney, Ms Chambers, Dr Rosenstock, Dr Barlow)
  • Neault N; Johns Hopkins Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA (Ms Kenney, Ms Chambers, Dr Rosenstock, Dr Barlow)
  • Richards J; Johns Hopkins Center for American Indian Health: Albuquerque Office, Johns Hopkins Bloomberg School of Public Health, Albuquerque, New Mexico, USA (Ms Neault)
  • Reid R; Johns Hopkins Center for American Indian Health: Tuba City Office, Johns Hopkins Bloomberg School of Public Health, Tuba City, Arizona, USA (Ms Richards, Mr Grass)
  • Nelson L; Johns Hopkins Center for American Indian Health: Shiprock Office, Johns Hopkins Bloomberg School of Public Health, Shiprock, New Mexico, USA (Dr Reid, Ms Nelson)
  • Begay M; Johns Hopkins Center for American Indian Health: Shiprock Office, Johns Hopkins Bloomberg School of Public Health, Shiprock, New Mexico, USA (Dr Reid, Ms Nelson)
  • Grass R; Johns Hopkins Center for American Indian Health: Chinle Office, Johns Hopkins Bloomberg School of Public Health, Chinle, Arizona, USA (Ms Begay)
  • Parker S; Johns Hopkins Center for American Indian Health: Tuba City Office, Johns Hopkins Bloomberg School of Public Health, Tuba City, Arizona, USA (Ms Richards, Mr Grass)
  • Barlow A; Johns Hopkins Center for American Indian Health: Whiteriver Office, Johns Hopkins Bloomberg School of Public Health, Whiteriver, Arizona, USA (Mr Parker)
Diabetes Educ ; 42(5): 585-95, 2016 10.
Article in En | MEDLINE | ID: mdl-27422151
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.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Program Evaluation / Patient Education as Topic / Diabetes Mellitus / Self-Management / Home Care Services Type of study: Clinical_trials / Etiology_studies / Evaluation_studies / Qualitative_research / Risk_factors_studies Aspects: Patient_preference Limits: Adolescent / Female / Humans / Male Country/Region as subject: America do norte Language: En Journal: Diabetes Educ Year: 2016 Document type: Article Country of publication:
Fulltext
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Print
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Program Evaluation / Patient Education as Topic / Diabetes Mellitus / Self-Management / Home Care Services Type of study: Clinical_trials / Etiology_studies / Evaluation_studies / Qualitative_research / Risk_factors_studies Aspects: Patient_preference Limits: Adolescent / Female / Humans / Male Country/Region as subject: America do norte Language: En Journal: Diabetes Educ Year: 2016 Document type: Article Country of publication: