Rural families fight heart disease and diabetes together in new study

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

Inclusion Criteria: Primary participants are rural-dwelling Hispanic and non-Hispanic adults who are at-risk for type 2 diabetes or cardiovascular disease and have a family member who is willing to participate if the primary participant is randomly selected to participate with a family member. Inclusion criteria for the primary participant: * Is Hispanic or non-Hispanic adult * Is 18 years of age and older * Is a primary Spanish or English speaker * Has internet access * Has two or more risk factors for type 2 diabetes or cardiovascular disease including: 1. clinical diagnosis of hypertension; 2. clinical diagnosis of hyperlipidemia; 3. clinical diagnosis of prediabetes; 4. overweight or obese (body mass index ≥ 25 kg/m2); 5. is a current cigarette smoker; 6. male 45 years of age or older or female 55 years of age or older; 7. family history in first degree relative of type 2 diabetes or cardiovascular disease; or 8. is a female with a history of gestational diabetes mellitus or polycystic ovary syndrome. * Lives in rural Kentucky * Is willing to participate in the study for the next 12 months Inclusion criteria for the co-participating family member if primary participant is randomly selected to participate with a family member * Is 18 years of age and older * Is a primary Spanish or English speaker * Lives in the same household or in close proximity (no further than 25 miles distance) to the primary participant * Has internet access * Is willing to participate in the study for the next 12 months Exclusion Criteria: Exclusion criteria for family dyads: Primary participant and family member participant will be excluded if they: * Have cognitive impairment that preclude them from understanding the consent process, answering questionnaires, or participating in the intervention; * Have a major psychiatric (e.g., schizophrenia) condition; * Are pregnant or nursing or plan on becoming pregnant within the next year since dietary needs will be different. Exclusion criteria that apply only to the primary participant: * Have known coronary artery or cerebrovascular disease; * Have a diagnosis of type 1 or type 2 diabetes; * Have medical contraindications to participate in a lifestyle intervention that includes unsupervised physical activity and weight loss