Marshallese Pacific Islander adults experience high rates of overweight, obesity, prediabetes, and type 2 diabetes mellitus (T2DM). Community engagement efforts identified T2DM prevention and improving health behaviors as a top health concern. Using a community-based research approach, we engaged community stakeholders to help design and carry out a cluster randomized controlled trial (cRCT) designed to reduce body weight as an approach to preventing T2DM.
