An adolescent-mediated intervention to improve diabetes prevention and management in pacific islander families

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

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.