Together Overcoming Diabetes - Great Plains

NCT ID: NCT06770673

Last Updated: 2026-01-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-03-11

Study Completion Date

2028-10-31

Brief Summary

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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.

Detailed Description

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Conditions

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Diabetes

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Waitlist randomized control trial
Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors
Independent Evaluators are masked to the study participants' randomized group status/

Study Groups

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Together Overcoming Diabetes Intervention

Together Overcoming Diabetes curriculum adapted for Lakota caregivers and the caregivers families

Group Type EXPERIMENTAL

TOD Great Plains

Intervention Type BEHAVIORAL

The adapted TOD intervention is rooted in the original TOD structure, delivery system, and home-visiting teaching schedule. Local enhancements include intervention topics and activities to address local adult caregivers' diabetes management and to promote families' modifiable risk and protective factors targeted by this proposal and informed by the Wicozani wellness concept and measurement. The TOD intervention includes targeted content taught approximately bi-weekly by family health coaches over a 16-week period.

Waitlist Standard of Care

Participants who are waitlisted to receive the TOD intervention will receive Standard of Care.

Group Type PLACEBO_COMPARATOR

Waitlist Standard of Care

Intervention Type BEHAVIORAL

Participants who are waitlisted to receive the TOD intervention will receive Standard of Care.

Interventions

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TOD Great Plains

The adapted TOD intervention is rooted in the original TOD structure, delivery system, and home-visiting teaching schedule. Local enhancements include intervention topics and activities to address local adult caregivers' diabetes management and to promote families' modifiable risk and protective factors targeted by this proposal and informed by the Wicozani wellness concept and measurement. The TOD intervention includes targeted content taught approximately bi-weekly by family health coaches over a 16-week period.

Intervention Type BEHAVIORAL

Waitlist Standard of Care

Participants who are waitlisted to receive the TOD intervention will receive Standard of Care.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* 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.


* 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.

Exclusion Criteria

* 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


* Cognitively or visually impaired
* Youth in foster care (due to potential mobility of foster youth).
Minimum Eligible Age

10 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The NIH Community Engagement Alliance

UNKNOWN

Sponsor Role collaborator

Oyate Health Center

UNKNOWN

Sponsor Role collaborator

National Heart, Lung, and Blood Institute (NHLBI)

NIH

Sponsor Role collaborator

Johns Hopkins Bloomberg School of Public Health

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Donald Warne, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

Johns Hopkins University

Locations

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Center for Indigenous Health - Great Plains Hub

Rapid City, South Dakota, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Courtney Claussen, PhD

Role: CONTACT

605-200-0043

Facility Contacts

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Courtney Claussen, PhD

Role: primary

Other Identifiers

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OT2HL158287

Identifier Type: NIH

Identifier Source: secondary_id

View Link

IRB00029399

Identifier Type: -

Identifier Source: org_study_id

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