Trial and Participant Characteristics of a Home-Visiting Diabetes Intervention: The Together Overcoming Diabetes Study

Background

American Indians face significant health challenges, particularly high rates of Type 2 diabetes (T2D). To address this issue, we launched a program called Together Overcoming Diabetes (TOD), which focuses on culturally relevant, home-based prevention strategies.

Study Overview

This study involves collaboration between five tribal nations and university researchers, starting in 2021. We are conducting a randomized control trial (RCT) to evaluate the effectiveness of our intervention. Participants are adults with T2D who identify as American Indian and are caregivers to children aged 10-16.

Participant Details

A total of 162 individuals participated in the study, including 81 adults and 81 youth. Most adult participants were women (77.8%) and had an average age of 49.5 years. The youth had an average age of 13.2 years, with an equal mix of boys and girls. The average level of HbA1c for adults, which indicates blood sugar control, was 7.93.

Key Findings

About 19% of youth reported having T2D or prediabetes. The results highlight the importance of promoting healthier behaviors, such as better diet and increased physical activity. This also points to the need for policy changes that address broader health-related factors.

Next Steps

We recommend defining clear, measurable outcomes for clinics and patients based on our findings. This includes:

  • Setting specific health improvement goals.
  • Selecting AI tools that meet clinical needs effectively.
  • Implementing a pilot project to test these solutions, while tracking their real-world impact.

Contact Us

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