The Cherokee Choices program includes three main components: elementary school mentoring, worksite wellness for adults, and church-based health promotion. The Eastern Band of Cherokee Indians has higher rates of obesity and type 2 diabetes than the U.S. During the first year of the Cherokee Choices program, team members conducted formative research, formed coalitions, and developed a culturally appropriate community action plan for the prevention of type 2 diabetes, particularly among children. In 1999, the Centers for Disease Control and Prevention (CDC) provided Racial and Ethnic Approaches to Community Health 2010 (REACH 2010) funds to the Eastern Band of Cherokee Indians to develop a community-based intervention to improve the health of this rural, mountainous community in North Carolina.
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