Reducing Diabetes Risk Factors in American Indian Children: Tribal Turning Point

The objectives of tis study are to rigorously evaluate the effect of Tribal Turning Point
(TTP) on diabetes risk factors in Native youth. The investigators will enroll up to 360 youth
who are aged 7-10 years, overweight/obese (BMI >85th percentile), self-identify as American
Indian, and have >1 parent/primary caregiver willing to actively participate in the program.
Within each community, youth will be randomized to the TTP program or a general health and
safety control program. The multi-component TTP intervention is a youth-centered adaptation
of the Diabetes Prevention Program designed to reduce diabetes risk factors by improving
activity and dietary behaviors. Informed by the pediatric weight management literature, the
12-month intervention includes 12 active learning group classes, 7 individual youth/parent
motivational interviewing counseling sessions, and community-specific resource toolboxes. In
this trial, the investigators will assess the effect of TTP on anthropometric, metabolic, and
behavioral risk factors for type 2 diabetes at the end of the intervention (12mo) and after 1
year of follow-up (24mo).

Inclusion Criteria:

- self-identify as American Indian

- BMI >=85th percentile for age and sex

- have at least one parent/primary caregiver (parent) willing to actively participate

Exclusion Criteria:

- diabetes

- any serious youth/parent health concerns that would interfere with participation

- plans to move out of the area during the study period