Official websites use .gov

A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS

A lock ( 🔒 ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

Need Help

Assessment of the contextual factors that influence implementation of a type 2 diabetes nutrition education curriculum in American Indian and Alaska Native-serving healthcare and community-based org

Award Number: R03DK147765
ORGANIZATION: NATIONAL INSTITUTE OF DIABETES & DIGESTIVE & KIDNEY DISEASES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 05/06/2026
PERIOD OF PERFORMANCE END DATE: 04/30/2028

Group Awards By:

View Award Description

Assessment of the contextual factors that influence implementation of a type 2 diabetes nutrition education curriculum in American Indian and Alaska Native-serving healthcare and community-based org - PROJECT SUMMARY / ABSTRACT American Indian and Alaska Native (AI/AN) adults experience disproportionately high rates of type 2 diabetes (T2D) and face significant barriers to effective diabetes management. Group-based nutrition education has proven effective for improving nutrition self-efficacy, dietary behaviors, and glycemic management, but tailored programs for AI/AN communities are limited. In response, our team developed and pilot tested “What Can I Eat?” Healthy Choices for AI/ANs with T2D (WCIE) with support from the PI’s K01 (K01DK128023). WCIE is a tailored, 5-session, group-based diabetes nutrition curriculum supported by social cognitive theory. It includes emphasis on peer-to-peer discussions, traditional AI/AN foods, and the American Diabetes Association (ADA) diabetes plate method for meal planning. WCIE has demonstrated feasibility, acceptability, and early evidence of effectiveness. It has been endorsed by the ADA and disseminated via “Train the Trainer” workshops across 50+ AI/AN-serving organizations across the United States. However, preliminary feedback from trained WCIE educators reveals a critical implementation gap: challenges to delivering WCIE with fidelity. Examples of these challenges include: staffing, scheduling, and resource limitations. These modifiable barriers threaten the scalability and sustained impact of WCIE. To address this challenge, this R03 project enhances the PI’s K01 randomized controlled trial evaluation of WCIE by applying implementation science methods to systematically identify contextual determinants of WCIE delivery and co-develop feasible implementation strategies. Guided by the Consolidated Framework for Implementation Research (CFIR 2.0), Aim 1 will involve semi-structured interviews with 40–60 key informants from 20 AI/AN-serving health organizations to explore barriers and facilitators of WCIE implementation. Aim 2 will conduct implementation mapping using the CFIR-Expert Recommendations for Implementing Change (ERIC) tool, including focus groups and consensus-building with participants from Aim 1 to generate and prioritize a context-sensitive menu of implementation strategies. Deliverables include a refined implementation strategy menu and a step-by-step guide for applying the CFIR- ERIC mapping tool in partnership with AI/AN organizations. This work will directly inform a future hybrid effectiveness-implementation R01 trial. By improving fidelity to group nutrition education in diverse AI/AN contexts, this project addresses a critical gap in diabetes care, enhances community-driven implementation efforts, and strengthens the Early Stage Investigator’s career as a diabetes translation researcher. The study is innovative in its use of CFIR 2.0 with AI/AN-serving organizations and the inclusion of a rigorous, community- engaged implementation mapping process. Its impact extends beyond the WCIE curriculum, offering a replicable model for scaling culturally tailored interventions in resource-constrained settings. Findings will directly benefit health organizations serving AI/AN populations by improving T2D outcomes through more sustainable, context- aware program delivery.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $119,536 )
2026	2026	COLORADO STATE UNIVERSITY	601 S HOWES ST	FORT COLLINS	CO	80521	LARIMER	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	000	1	5/6/2026	NEW	$119,536
														Subtotal = $119,536

Grand Total All Awards = $119,536

Top

All Categories

About

Search

Reports

Data Submission

Award Information

Assessment of the contextual factors that influence implementation of a type 2 diabetes nutrition education curriculum in American Indian and Alaska Native-serving healthcare and community-based org

Award Number: R03DK147765

ORGANIZATION: NATIONAL INSTITUTE OF DIABETES & DIGESTIVE & KIDNEY DISEASES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 05/06/2026

PERIOD OF PERFORMANCE END DATE: 04/30/2028

Federal Websites

Department of Health & Human Services

HHS Operating Divisions

HHS Staff Divisions

Download A Document Viewer