Family-based diabetes prevention and management for AI youth
Locations: Chinle, Arizona, Shiprock, New Mexico, Tuba City, Arizona, and Whiteriver, Arizona.
Through its Together on Diabetes initiative, the Johns Hopkins Center for American Indian Health sought to address the urgent need for American Indian youth-focused, culturally-appropriate diabetes care and improve health outcomes within four communities: 1) Chinle, Arizona, 2) Shiprock, New Mexico, 3) Tuba City, Arizona, and 4) Whiteriver, Arizona. American Indian Family Health Coaches delivered one-on-one, in-home lessons to youth participants, along with the youth’s support person, usually a family member. The support person’s task was to help reinforce behavior change and enhance communication between the diabetes team and the youth participant’s family.
- Chinle, Arizona (Navajo; population 17,000)
- Shiprock, New Mexico (Navajo; population 45,000)
- Tuba City, Arizona (Navajo; population 15,000)
- Whiteriver, Arizona (Apache; population 15,500)
- The Family Health Coach model was successful in reducing A1C among those youth with Baseline values >7, as well as several other clinical outcomes (i.e., BMI and BP).
- Family involvement is key, while also challenging and means different things for each family
- Different intervention is content needed for younger and older age groups
- Family and environmental strengths and stressors must be considered