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
NIDDK - National Institute of Diabetes and Digestive and Kidney Diseases
About This Grant
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.
Grant Summary
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 is a NIDDK - National Institute of Diabetes and Digestive and Kidney Diseases grant providing up to $120K for university, nonprofit, healthcare org. Applications are due 2028-04-30 (open). Check eligibility and apply with FindGrants.
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Focus Areas
Eligibility
How to Apply
Up to $120K
2028-04-30
- 1Confirm your organization is eligible for 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 from NIDDK - National Institute of Diabetes and Digestive and Kidney Diseases, checking organization type, location, and any population or project requirements.
- 2Gather the required documents and information, including your organization details, project plan, and budget figures.
- 3Draft your application narrative and budget addressing the funder's priorities and review criteria. FindGrants can draft each section for you to review and edit.
- 4Review every section against the requirements checklist, then export a submission-ready application pack and submit it to NIDDK - National Institute of Diabetes and Digestive and Kidney Diseases before the deadline.
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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: Frequently Asked Questions
Who is eligible for the 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?
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 is offered by NIDDK - National Institute of Diabetes and Digestive and Kidney Diseases and is generally open to university, nonprofit, healthcare org. It is open to organizations nationwide unless the funder specifies otherwise. Review the specific eligibility terms before applying, since funders set their own requirements around organization type, location, and the population or project being served.
How much funding does the 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 provide?
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 provides up to $120K per award from NIDDK - National Institute of Diabetes and Digestive and Kidney Diseases. Actual award sizes depend on the scope of your project, available program funds, and the number of applicants, so build a budget that reflects realistic, allowable costs rather than the maximum figure.
When is the 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 deadline?
Applications for 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 are due 2028-04-30 (open). Because deadlines can change, verify the date with the funder, NIDDK - National Institute of Diabetes and Digestive and Kidney Diseases, and give yourself enough time to prepare a complete, competitive application before the close date.
How do you apply for the 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?
To apply for 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, confirm your eligibility, gather the required documents, and prepare a narrative and budget that address the funder's priorities. FindGrants guides you step by step and can draft each section, then exports a submission-ready application pack for this grant from NIDDK - National Institute of Diabetes and Digestive and Kidney Diseases.