Abstract
With a high incidence of type 2 diabetes in indigenous populations and limited access to healthcare, an interactive Web site may improve disease control. Input from Northern Plains' tribe members was used for the creation of a culturally sensitive Web site. The site was implemented for 24 weeks, with data collected at baseline and follow-up. Hemoglobin A1c (HbA1c), exercise, diet, cultural activities, and social activities were recorded by participants and tested for statistical significance to assess the effectiveness of the program. Control of HbA1c was better in the intervention group than in the control group (P = .025), suggesting improved disease control and program effectiveness.