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This project seeks to enhance the implementation of the Diabetes Prevention Program in the following innovative ways: 1.) a focus on socio-ecological needs 2.) addresses the disparities in access to the Diabetes Prevention Program in rural areas and 3.) a multi-level and tailored approach to the DPP. Specific Aim #1 : Develop a tailored 3-month modification of the DPP, guided by a core socio-ecological needs assessment of younger women, ages 18-50, at high risk for developing Type 2 diabetes, living in the Augusta Perinatal Region of GA. Specific Aim #2: Examine the preliminary effectiveness of a tailored 3-month modification of the DPP to meet the specific needs of younger women, ages 18--50, at high risk for developing Type 2 diabetes, living in the Augusta Perinatal Region of GA Hypothesis: The tailored DPP 3 -month modification will produce similar outcomes to the traditional DPP program