Center for American Indian Health, International Health Department, Johns Hopkins Bloomberg School of Public Health, 415 N Washington Street, 4th Floor, Baltimore, MD 21231. Email:
Center for American Indian Health, International Health Department, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Prev Chronic Dis. 2018 Jun 21;15:E85. doi: 10.5888/pcd15.170521.
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 m) 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.
美国原住民青少年（10 至 19 岁）受到 2 型糖尿病的影响不成比例。代际项目可能会改善部落社区的健康状况。我们评估了 257 名患有或有患 2 型糖尿病风险的美国原住民青少年及其成年照顾者参与的糖尿病预防和管理计划 Together on Diabetes。从 226 名成年照顾者那里收集了可行性、可接受性和人口统计数据。对 37 名照顾者的身体测量数据（体重、身高、腰围）进行了收集。结果表明，让成年照顾者参与是可行的、可接受的，也是有效的。此外，在为期 12 个月的项目开始到结束期间，一部分成年照顾者的体重指数（体重以千克为单位除以身高以米为单位）显著下降（P =.02）。研究结果表明，让成年照顾者参与青少年糖尿病预防计划是可行的。
