Outcomes from a Diabetes Self-management Intervention for Native Hawaiians and Pacific People: Partners in Care
- Ka`imi A. SinclairAffiliated withDepartment of Native Hawaiian Health, University of Hawaii Email author
- , Emily K. MakahiAffiliated withKe Ola Mamo
- , Cappy Shea-SolatorioAffiliated withKula No Na Po’e Hawai’i
- , Sheryl R. YoshimuraAffiliated withKokua Kalihi Valley Community Health Center
- , Claire K. M. TownsendAffiliated withDepartment of Native Hawaiian Health, University of Hawaii
- , J. Keawe`aimoku KaholokulaAffiliated withDepartment of Native Hawaiian Health, University of Hawaii
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Culturally adapted interventions are needed to reduce diabetes-related morbidity and mortality among Native Hawaiian and Pacific People.
The purpose of this study is to pilot test the effectiveness of a culturally adapted diabetes self-management intervention.
Participants were randomly assigned in an unbalanced design to the Partners in Care intervention (n = 48) or wait list control group (n = 34). Assessments of hemoglobin A1c, understanding of diabetes self-management, performance of self-care activities, and diabetes-related distress were measured at baseline and 3 months (post intervention). Analysis of covariance was used to test between-group differences. The community steering committee and focus group data informed the cultural adaptation of the intervention.
There were significant baseline adjusted differences at 3 months between the Partners in Care and wait list control group in intent-to-treat (p < 0.001) and complete case analyses (p < 0.0001) for A1c, understanding (p < 0.0001), and performing diabetes self-management (p < 0.0001).
A culturally adapted diabetes self-management intervention of short duration was an effective approach to improving glycemic control among Native Hawaiian and Pacific Islanders.
KeywordsHealth disparities Native Hawaiian and Pacific People Diabetes self-management Intervention Culturally adapted Randomized controlled trial Community-based Peer educators
- Outcomes from a Diabetes Self-management Intervention for Native Hawaiians and Pacific People: Partners in Care
Annals of Behavioral Medicine
Volume 45, Issue 1 , pp 24-32
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- Health disparities
- Native Hawaiian and Pacific People
- Diabetes self-management
- Culturally adapted
- Randomized controlled trial
- Peer educators
- Industry Sectors
- Author Affiliations
- 1. Department of Native Hawaiian Health, University of Hawaii, 651 Ilalo Street, Honolulu, HI, 96813, USA
- 2. Ke Ola Mamo, 1505 Dillingham Blvd, Honolulu, HI, USA
- 3. Kula No Na Po’e Hawai’i, 2150 Tantalus Drive, Honolulu, HI, 96813, USA
- 4. Kokua Kalihi Valley Community Health Center, 2239 N. School St., Honolulu, HI, 96819, USA