Diabetes is a major health problem among Native American communities in New Mexico with estimated diabetes prevalence ranging from 10-28% and diabetes mortality increasing dramatically from 1958-1987. Although this is a trend noted nationwide, there has been little research to date in the area of diabetes interventions in Native American populations. diet and exercise are the cornerstones of diabetes care, however, long term behavior changes are difficult to achieve. Native American communities have special strengths which have not been fully explored to increase the likelihood of treatment success. The strong kinship ties within Pueblo communities make families an ideal target for diabetes treatment intervention. Previous work in Pueblo communities indicate families to be an appropriate target for diabetes intervention, but have also indicated the need for a multifaceted approach in order to effect change. thus, the aim of this project is to determine whether a diabetes lifestyle program delivered by a professional within the setting of family and friends meetings will have an impact on functional status, family functioning, nutrition and exercise habits, glycosylated hemoglobin, and medication and health care use among Native Americans with diabetes. A community-based, quasi-experimental research design will be used with three experimental groups: 1) diabetes lifestyle information delivered within family and friends meetings, 2) the same information delivered by a professional on a one-to-one basis or 3) usual care controls. IN addition to glucose control and exercise and nutrition behaviors, functional status will be measured using the Dartmouth COOP charts previously evaluated for use within Pueblo communities. Standard family functioning assessment tools will be evaluated and adapted for acceptability before use, and a nutrition and exercise behavior checklist specifically targeted to the intervention will be developed.

National Institute of Health (NIH)
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Research Project (R01)
Project #
Application #
Study Section
Diabetes, Endocrinology and Metabolic Diseases B Subcommittee (DDK)
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
University of New Mexico
Internal Medicine/Medicine
Schools of Medicine
United States
Zip Code
Thompson, Janice L; Allen, Peg; Helitzer, Deborah L et al. (2008) Reducing diabetes risk in American Indian women. Am J Prev Med 34:192-201
Helitzer, Deborah; Peterson, Arlana Bobo; Thompson, Janice et al. (2008) Development of a planning and evaluation methodology for assessing the contribution of theory to a diabetes prevention lifestyle intervention. Health Promot Pract 9:404-14
Allen, Peg; Thompson, Janice L; Herman, Carla J et al. (2008) Impact of periodic follow-up testing among urban American Indian women with impaired fasting glucose. Prev Chronic Dis 5:A76
Helitzer, Deborah L; Peterson, Arlana Bobo; Sanders, Margaret et al. (2007) Relationship of stages of change to attendance in a diabetes prevention program. Am J Health Promot 21:517-20
Gilliland, Susan S; Azen, Stanley P; Perez, Georgia E et al. (2002) Strong in body and spirit: lifestyle intervention for Native American adults with diabetes in New Mexico. Diabetes Care 25:78-83
Gilliland, Susan S; Carter, Janette S; Skipper, Betty et al. (2002) HbA(1c) levels among American Indian/Alaska Native adults. Diabetes Care 25:2178-83
Carter, J S; Gilliland, S S; Perez, G E et al. (2000) Public health and clinical implications of high hemoglobin A1c levels and weight in younger adult Native American people with diabetes. Arch Intern Med 160:3471-6
Griffin, J A; Gilliland, S S; Perez, G et al. (2000) Challenges to participating in a lifestyle intervention program: the Native American Diabetes Project. Diabetes Educ 26:681-9
Griffin, J A; Gilliland, S S; Perez, G et al. (1999) Participant satisfaction with a culturally appropriate diabetes education program: the Native American Diabetes Project. Diabetes Educ 25:351-63
Carter, J S; Perez, G E; Gilliland, S S (1999) Communicating through stories: experience of the Native American Diabetes Project. Diabetes Educ 25:179-88

Showing the most recent 10 out of 13 publications