Expansion of Together We Can to California

A Partnership Between the Johns Hopkins Center for American Indian Health and the Lake County Tribal Health Consortium to Address Diabetes

Nutrition Promotion and Obesity and Diabetes Prevention

Together We Can – formerly known as Together on Diabetes – is a family- and home-based approach the Center designed for American Indian youth at risk for type 2 diabetes. It focuses on the individual, the family, healthcare providers, and the overall community. Our Center is pleased to share that we are now working with the Lake County Tribal Health Consortium in California to reach diabetic or at-risk young people by training the communities to use Together We Can.

An evaluation of the original Together on Diabetes program conducted by our Center in partnership with the Navajo Nation and White Mountain Apache Tribe indicates that the positive impacts of the program on diabetes risk factors include:

  • Decreased body mass index (BMI)
  • Lower blood pressure
  • Reduced depressive symptoms
  • Increased quality of life
  • Improved youth knowledge about diabetes prevention and management behaviors
  • Increased physical activity and lower consumption of sugary drinks

The Lake County Tribal Health Consortium works with six tribal communities – Big Valley Rancheria, Elem Indian Colony, Upper Lake Rancheria, Middletown Rancheria, Robinson Rancheria, and Scotts Valley Rancheria – and represents a first-time partner of our Center.

The Center will train local paraprofessionals known as “Family Health Coaches” to deliver the Together We Can program to youth with or at risk of type 2 diabetes and their adult family members. The program is intended to promote nutrition, exercise, problem-solving skills, and a home environment that facilitates wellness. We look forward to future opportunities to train additional tribes. 


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