Original Article

Annals of Behavioral Medicine

, Volume 45, Issue 1, pp 24-32

First online:

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.


Health disparities Native Hawaiian and Pacific People Diabetes self-management Intervention Culturally adapted Randomized controlled trial Community-based Peer educators