A Home-Visiting Diabetes Prevention and Management Program for American Indian Youth

Chambers, Rachel; Rosenstock, Summer; Neault, Nicole; Kenney, Anne R.; Richards, Jennifer; Begay, Kendrea; Blackwater, Thomasina; Laluk, Owen; Duggan, Christopher; Reid, Raymond; Barlow, Allison

doi:10.1177/0145721715608953

Cited by 18 publications

(64 citation statements)

References 38 publications

(27 reference statements)

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“…A total of 256 youth enrolled in the study; of these, 226 (88%) enrolled with designated caregivers ( 4 ). We found no demographic differences between youth with and without a caregiver (unpublished data).…”

Section: Resultsmentioning

confidence: 99%

“…Satisfaction surveys were completed by caregivers and youth at 12 months. Self-report surveys were completed by caregivers and youth at baseline and at 3, 6, and 12 months ( 4 , 5 ). Physiologic data was collected at baseline and at 3, 6, and 12 months.…”

Section: Methodsmentioning

confidence: 99%

“…Intergenerational designs may also strengthen public health efforts and cost effectiveness — key considerations for low-resource Native American communities in which 1 in 6 adults had diabetes in 2015 ( 3 ). We explored data from adult caregivers enrolled in the Together on Diabetes (TOD) study ( 4 ), a diabetes prevention and management program for Native American youth. We assessed feasibility and acceptability of enrolling adult caregivers in the program and examined pilot data from caregivers enrolled in the TOD study to understand the preliminary effect of the program on these caregivers.…”

Section: Objectivementioning

confidence: 99%

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Engaging Native American Caregivers in Youth-Focused Diabetes Prevention and Management

et al. 2018

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Native American youth aged 10 to 19 years are disproportionately affected by type 2 diabetes. Intergenerational programs may improve health in tribal communities. We evaluated Together on Diabetes, a diabetes prevention and management program, among 257 participating Native American youths with or at risk for type 2 diabetes and their adult caregivers. Feasibility, acceptability, and demographic data were collected from 226 adult caregivers. Data on physical measurements (weight, height, waist circumference) were collected from 37 of the caregivers. Results indicated that engaging adult caregivers was feasible, acceptable, and effective. Furthermore, a subset of adult caregivers reduced their body mass index (weight in kilograms divided by height in m2) significantly from the start to the end of the program, a 12 month period (P = .02). Findings suggest the feasibility of engaging adult caregivers in youth diabetes prevention programs.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Objectivementioning

confidence: 99%

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Engaging Native American Caregivers in Youth-Focused Diabetes Prevention and Management

et al. 2018

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“…33–36 We are aware of only one intervention designed to address diabetes in AI/AN adolescents, and it is currently in progress. 37 A completed intervention study with some relevance to AI/ANs is Treatment Options for Type 2 Diabetes in Adolescent and Youth, whose sample was 5.9% AI/AN. 38 Unfortunately, that study did not stratify analyses by race, 5,39 so the benefit of the intervention for AI/AN youth was unclear.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for pre-diabetes and diabetes in adolescence and their variability by race and ethnicity

Zamora-Kapoor

Fyfe‐Johnson

Omidpanah

et al. 2018

Preventive Medicine

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Adolescent risk factors for pre-diabetes and diabetes in young adulthood were examined in three minority groups and compared to those in non-Hispanic Whites. Retrospective cohort study with data on 8337 adolescent respondents from Add Health (1994-2008). Participants included 5131 non-Hispanic Whites, 1651 non-Hispanic Blacks, 1223 Hispanics, and 332 American Indians/Alaska Natives. Diabetes was defined as: hemoglobin A1C ≥ 6.5%, glucose > 125 mg/dl, self-reported diabetes, or self-reported diabetes medication use, in Wave 4 data. Pre-diabetes was defined as hemoglobin A1C ≥ 5.7%. Relative risk regression models were used to evaluate the association between risk factors and risk of diabetes and pre-diabetes, controlling for body mass index, sedentary and physical activity habits, fast food consumption, and parental education, parental diabetes status, and financial stability. 484 participants developed diabetes; 2878 developed pre-diabetes between 1994 and 2008. Pre-diabetes and diabetes were more prevalent in non-Hispanic Blacks (55% and 12%, respectively) than in American Indians/Alaska Natives (43% and 11%), Hispanics (37% and 6%), and non-Hispanic Whites (27% and 3%). In all races, higher body mass index and parental diabetes were associated with higher risk of pre-diabetes and diabetes, while female sex was associated with lower risk of pre-diabetes. Efforts to reduce the risk of pre-diabetes and diabetes in adolescents should emphasize parental diabetes and BMI in all races, independent of physical activity, sedentary behaviors, or fast food consumption. Future interventions might be interested in targeting households, rather than individuals, to prevent pre-diabetes and diabetes in adolescents and young adults.

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“…(4,(26)(27)(28) The educational strategy of home visits allowed the problematization (together with users) of the necessary knowledge and skills for adherence to self-care practices.…”

Section: Discussionmentioning

confidence: 99%

Avaliação da visita domiciliar para o empoderamento do autocuidado em diabetes

et al. 2017

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Objective: To evaluate the effect of home visits on adherence and empowerment of self-care practices in type 2 diabetes mellitus. Methods: Cluster randomized clinical trial involving 145 users with type 2 diabetes mellitus, of which 34 in the intervention group and 111 in the control group. The diabetes self-care questionnaire and the Diabetes Empowerment Scale-Short Form were used for comparison between groups at baseline, and intragroup between before and after the study period. The level of significance was set at 0.05. Results: The intervention group presented a statistically significant increase in the median score regarding adherence to diabetes self-care practices (p=0.005) and the empowerment scale (p<0.001). Conclusion: The home visit promoted adherence to self-care practices of type 2 diabetes mellitus. ResumoObjetivo: Avaliar o efeito da visita domiciliar na adesão e empoderamento das práticas de autocuidado em diabetes mellitus tipo 2. Métodos: Ensaio clínico randomizado por clusters, com a participação de 145 usuários com diabetes mellitus tipo 2, sendo 34 do Grupo intervenção e 111 do Grupo controle. Foram utilizados os questionários de Autocuidado com o diabetes e Diabetes Empowerment ScaleShort Form para comparação entre grupos na linha de base, assim como entre o antes e depois intragrupo. O nível de significância foi 0,05. Resultados: O grupo intervenção apresentou aumento estatisticamente significativo do escore mediano referente à adesão às práticas de autocuidado em diabetes (p=0,005) e à escala de empoderamento (p<0,001). Conclusão: A visita domiciliar promoveu à adesão às práticas de autocuidado com diabetes mellitus tipo 2.International Clinical Trials Registration Platform: NCT02132338 Registro Brasileiro de Ensaios Clínicos (ReBEC): RBR-92j38t

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A Home-Visiting Diabetes Prevention and Management Program for American Indian Youth

Abstract: Baseline results confirmed the need for family-based youth diabetes prevention interventions in rural AI communities and indicated that enrolling at-risk youth and family members is feasible and acceptable.

Cited by 18 publications

References 38 publications

Engaging Native American Caregivers in Youth-Focused Diabetes Prevention and Management

Engaging Native American Caregivers in Youth-Focused Diabetes Prevention and Management

Risk factors for pre-diabetes and diabetes in adolescence and their variability by race and ethnicity

Avaliação da visita domiciliar para o empoderamento do autocuidado em diabetes

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