Evidence map›Paper›PMID 39477857›Full record

ArticleInternational journal of behavioral medicine2026

Understanding Community-Specific Health Behaviors to Prevent Type 2 Diabetes and Depression in Rural Adolescents: A Qualitative Study.

Megan J Moran, Talia Thompson, Virginia Jimenez, Ana M Gutierrez-Colina, Nicole Clark, Natalia Sanchez, Laura Schwartz, Matthew A Haemer, Lauren B Shomaker

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Article in International journal of behavioral medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Megan J MoranDepartment of Human Development and Family Studies, Colorado State University, Fort Collins, CO, USA. megan.joy.moran@colostate.edu.ORCID http://orcid.org/0000-0003-1460-3876
Talia ThompsonDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Virginia JimenezDepartment of Human Development and Family Studies, Colorado State University, Fort Collins, CO, USA.
Ana M Gutierrez-ColinaDepartment of Human Development and Family Studies, Colorado State University, Fort Collins, CO, USA.
Nicole ClarkColorado State University Extension, La Plata County, Durango, CO, USA.
Natalia SanchezDepartment of Human Development and Family Studies, Colorado State University, Fort Collins, CO, USA.
Laura SchwartzSalud Family Health Centers, Fort Collins, CO, USA.
Matthew A HaemerDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Lauren B ShomakerDepartment of Human Development and Family Studies, Colorado State University, Fort Collins, CO, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundType 2 diabetes (T2D) and depression co-occur, and rates are on the rise in adolescents, disproportionately affecting teenagers in rural communities and those who identify as members of historically disadvantaged racial/ethnic groups. Addressing the promotion of health behaviors is important for prevention of these comorbid health concerns; however, disparities in their prevalence highlight that a healthy lifestyle is not equally accessible for all individuals. Thus, holistic and multi-level approaches that address structural inequities, leverage cultural and family assets, and are effectively integrated into the community are critically needed. This project is an initial phase of a broader community-academic collaboration that aims to address preventable chronic diseases and mental health in adolescents living in the rural Mountain West by tailoring an evidence-based health behavior and lifestyle intervention for these communities.

methodInterviewers conducted semi-structured interviews with N = 19 individuals (n = 11 adolescents, 11-17 years, n = 8 mothers) who lived in neighboring counties in the rural Mountain Western USA and had a family history of T2D. Interview schedules were developed by an interdisciplinary team, with community input, and covered topics such as food and staying active, stress, T2D risk, and community and culture. Using thematic analysis, data were reduced through coding, categorization, and development of themes.

resultsData revealed three major themes: "Families Face Systemic Barriers to Health," "Family Routines Support Health," and "Connection is Crucial to Holistic Health."

conclusionFindings reveal opportunities for addressing health inequities and developing effective, integrated T2D and depression prevention strategies within this specific community. They also potentially contain insights that may be applicable to others interested in adapting interventions for diverse groups.

Indexed as

DepressionDiabetes Mellitus, Type 2Health BehaviorRural PopulationAdolescentChildFemaleHumansMaleQualitative ResearchAdolescenceDepressionQualitative researchRural communitiesType 2 diabetes

Identifiers

PMID39477857

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.