Heart of the Family: A Cardiovascular Disease and Type 2 Diabetes Risk Reduction Intervention in High-Risk Rural Families

Eligibility Criteria

• * 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
• * 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
• * 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.
• * 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