Clinical Research Directory

Inclusion Criteria: Adolescent * 14-17 years of age * Samoan ethnicity * Shares a household with a parent, legal guardian, or grandparent with type II diabetes * Willing and able to consent to participation * Able to participate in group sessions after school or on Saturday mornings Adult * Samoan ethnicity * Diagnosed with type II diabetes at least 12 months prior to study enrollment * HbA1c \>= 6.5% * Prescribed medication (tablets or insulin) to control their diabetes * Willing and able to consent to participation * Willing and able to consent to adolescent's participation Exclusion Criteria: Adolescent * Planning to become pregnant during the study period (any adolescent who becomes pregnant will be excluded from analysis) * Planning to leave American Samoa in the next 18 months * Participants will be excluded if they report any of the following: * Uncontrolled hypertension (systolic \>180 mmHg or diastolic \>105 mmHg) * Heart attack, stroke, or transient ischemic attack in the past year * Treatment for cancer * Chest pain or shortness of breath with minimal activity * Chronic lung disease, or asthma requiring home oxygen therapy * Contraindications to moderate physical activity * Inability to read/speak Samoan and/or English. * Overt diabetes (HbA1c ≥6.5%) based on point-of-care testing during the screening process Adult * Planning to become pregnant during the study period (any adult who becomes pregnant will be excluded from analysis) * Planning to leave American Samoa in the next 18 months * Participants will be excluded if they report any of the following: * Uncontrolled hypertension (systolic \>180 mmHg or diastolic \>105 mmHg) * Heart attack, stroke, or transient ischemic attack in the past year * Treatment for cancer * Chest pain or shortness of breath with minimal activity * Chronic lung disease, or asthma requiring home oxygen therapy * Contraindications to moderate physical activity * Inability to read/speak Samoan and/or English.