Culturally Grounded Diabetes Intervention With Lakota Populations in South Dakota
Overview
- Phase
- Not Applicable
- Intervention
- Waitlist Standard of Care
- Conditions
- Diabetes
- Sponsor
- Johns Hopkins Bloomberg School of Public Health
- Enrollment
- 140
- Locations
- 1
- Primary Endpoint
- Glycated hemoglobin (HbA1c)
- Status
- Recruiting
- Last Updated
- 3 months ago
Overview
Brief Summary
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.
Investigators
Eligibility Criteria
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.
Arms & Interventions
Waitlist Standard of Care
Participants who are waitlisted to receive the TOD intervention will receive Standard of Care.
Intervention: Waitlist Standard of Care
Together Overcoming Diabetes Intervention
Together Overcoming Diabetes curriculum adapted for Lakota caregivers and the caregivers families
Intervention: TOD Great Plains
Outcomes
Primary Outcomes
Glycated hemoglobin (HbA1c)
Time Frame: Baseline, 3 months, 6 months, and 12 months
Glycated hemoglobin as measured by a point-of-care A1c test