<qa>  What is the focus group used to design and implement a Zuni culture specific educational interventionThe information gathered during these focus groups 5 is used to design and implement a Zuni culture specific educational intervention in diabetes. The investigators have devised an innovative educational intervention based on the coordination of four key elements: a delivering healthcare that incorporated collaborative communication within the healthcare team and emphasized greater autonomy in care, adherence to the medical regimen, and patient-centered goal setting, all while retaining the ability to address the needs of patients, family members, the healthcare team, andor the healthcare system; b providing innovative educational and organizational approaches, as well as behavior change strategies, that enhanced adherence; c addressing health beliefs that reduced adherence by over- or under-predicting maladaptive thoughts e.g., catastrophizing, minimizing, cognitive dissonance, invincibility, or fatalism or that interfered with weight control; and d using technology to address barriers to achieving desired health outcomes. 