Overview
The goal of this research is to evaluate a scientifically rigorous diabetes intervention, Together Overcoming Diabetes (TOD), that has been tailored to address the unique underlying risk and protective factors and social determinants of diabetes among American Indian/Alaska Native (AI/AN) populations.
Eligibility
Inclusion Criteria - Adult Index Participants:
- 18 years and older
- Self-identifies as American Indian or Alaska Native
- Rapid City-based participants who reside within 1 hour transportation range of the Oyate Health Center
- Verification from a health provider to confirm Type 2 Diabetes diagnosis by laboratory test.
- Caregiver to a 10- to 25-year-old in their home at the time of screening.
- Willing to complete all implementation and follow-up assessments.
- Willing to be randomized for the intervention.
Exclusion Criteria - Adult Index Participants:
- Inability to participate in full intervention or evaluation (e.g., planned move, residential treatment, etc.)
- Willing to serve as 'support person' for the adult participant.
- Has a circumstance that might impact successful participation based on provider judgment considering instances where diabetes control can become more difficult with advanced disease or special conditions including: pregnant, nursing, or planning to become pregnant, end-stage renal disease on dialysis, diabetes due to secondary causes such as Cushing's or Cystic Fibrosis, or any condition that may inhibit participation
Inclusion Criteria - Youth Support Participants:
- Between 10 years and 25 years old
- Self-identifies as American Indian or Alaska Native.
- Willing to serve as 'support person' for the adult participant.
- Willing to complete all implementation and follow-up assessments.
- Willing to be randomized for the intervention.
Exclusion Criteria - Youth Support Participants:
- Cognitively or visually impaired
- Youth in foster care (due to potential mobility of foster youth).