Please select the eligibility criteria that correspond to the clinical trial below.
Title: Culturally Competent Behavioral Intervention for Diabetes Risk Reduction
Brief Summary: This pragmatic randomized clinical trial will assess the efficacy, cost, and sustainability of a culturally tailored weight-loss program targeting obese Hispanic women with pre-diabetes or T2D. The intervention will be integrated into patient care at a Federally Qualified Health Center serving over 30,000 low-income patients, and will be delivered by trained clinic staff, with minimal support from research staff. After the effectiveness clinical trial, two cohorts of clinic patients will receive the intervention in a sustainability test.


Options:
A: Inclusion Criteria:

* Korean American immigrant women
* Aged 40-79
* Residence in Minnesota
* Possession of mobile phone with text-message function
* Possession of active email account

Exclusion Criteria:

* Mammogram receipt within the past 2 years
B: Inclusion Criteria:

* Age greater than or equal to 18 and less than 90
* Chronic kidney disease stage 3, 4 or 5
* Adequate visual acuity with correction to allow discrimination of 14-point type
* Ability to read English
* Ability to provide informed consent

Exclusion Criteria:

* Anticipated need for renal replacement therapy within 60 days
* Prison population
C: Inclusion Criteria:

* All participants will be patients who receive their primary medical care at the Virginia Garcia Memorial Health Center (VGMHC)
* Self-identified as Spanish-speaking Latina or Hispanic
* Female
* Age 18 and older
* BMI greater than or equal to 27kg/m2
* Classified as diabetic or prediabetic in the electronic medical record by at least one of the following:

  * Fasting plasma glucose ≥ 100
  * 2-h post glucose level on the 75-g oral glucose tolerance test ≥ 140-199 mg/dL (7.8-11.0 mmol/L)
  * Hemoglobin HBA1c ≥ 5.7
  * Diagnosis of diabetes in patient's medical chart
  * Diagnosis of prediabetes in patient's medical chart
* Residing in the Portland metropolitan area, and having no plans to leave the area in the next 18 months.
* Willing and able to attend the 26-weekly group meetings and 6 monthly group meetings.
* Willing to accept random assignment to the active intervention or enhanced usual care control.
* Clearance by the patient's VGMHC primary care physician to participate in the intervention.

Exclusion Criteria:

* Treatment for cancer in the past two years (excluding non-melanoma skin cancers).
* Having conditions that require limitation of physical activity or that would be contraindicated for the DASH (Dietary Approaches to Stop Hypertension) diet patterns.
* Taking weight-loss medication currently or within the past 6 months.
* Current or recent (\< 12 months) pregnancy, breastfeeding, or planning pregnancy in the next 18 months.
D: Patient Inclusion Criteria:

* Self-identified as first-generation KA
* Age 65 years or older
* CDR 1.0+
* Has a caregiver who lives in the same household or has at least weekly interactions
* Able to consent or has a proxy available for consent
* Written consent to participate in the study

Caregiver Inclusion Criteria:

* Age 18 years or older
* Able to read and speak Korean
* Lives in the same household with the elder or has at least weekly interactions
* Written consent to participate in the study and to allow the team to audit medical records for linkage to medical service for dementia

Patient Exclusion Criteria:

* Previous diagnosis of dementia
* All Axis I diagnoses other than depressive disorders (e.g., schizophrenia, bipolar disorder, or substance use disorder)
* Neurological disorders other than Alzheimer's disease that might affect cognition (e.g., stroke)
* Use of psychotropic drugs including antipsychotics,

Caregiver Exclusion Criteria:

* Plan to move from the area within 6 months
* Active treatment for a terminal illness or in hospice

Answer: C