Outcomes from a Diabetes Self-management Intervention for Native Hawaiians and Pacific People: Partners in Care
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
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.
- National Institutes of Health: Strategic Plan on Minority Health Disparities. Retrieved November 20, 2011 from http://www2.niddk.nih.gov/AboutNIDDK/ReportsAndStrategicPlanning/Strategic_Plan_Minority_Health_Disparities.htm
- Economic consequences of diabetes mellitus in the US in 2002. Diabetes Care 26: pp. 917-932 CrossRef
- U.S. Census Bureau: State of Hawaii 2010 Census Demographic Profile. Retrieved May 6, 2012 from http://hawaii.gov/dbedt/info/census/Census_2010/demographic
- The Kaiser Family Foundation: State Health Facts. Data Source: Behavioral Risk Factor Surveillance System, 2008; analysis by the National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition and Physical Activity, Centers for Disease Control and Prevention, available at http://apps.nccd.cdc.gov/BRFSS/list.asp?cat=DB&yr=2008&qkey=1363&state=All. Retrieved September, 2009, from statehealthfacts.org
- Grandinetti, A, Kaholokula, JK, Theriault, AG (2007) Prevalence of diabetes and glucose intolerance in an ethnically diverse rural community of Hawaii. Ethn Dis 17: pp. 250-255
- Salvail F, Nguyen D: Have you ever been told by a doctor that you have diabetes? Retrieved April 6, 2009
- Grandinetti, A, Mau, M, Curb, J (1998) Prevalence of glucose intolerance among Native Hawaiians in two rural communities. Diabetes Care 21: pp. 549-554 CrossRef
- Maskarinec, G (1997) Diabetes in Hawaii: estimating prevalence from insurance claims data. AJPH 87: pp. 1717-1720 CrossRef
- TransPacific Renal Network: Selected Demographics 2000. San Rafael, CA: TransPacific Renal Network, 2001.
- United States Census Bureau: Census 2000 profiles of general demographic characteristics: Hawaii. In U.S. Census Bureau (ed). Washington, D.C., 2001.
- Cox, D, Gonder-Frederick, L (1992) Major developments in behavioral diabetes research. J Cons Clin Psych 60: pp. 628-638 CrossRef
- Funnell, M, Brown, T, Childs, B (2007) National standards for diabetes self-management education. Diabetes Care 30: pp. 1630-1637 CrossRef
- Huang T, Salvail F, Nguyen D, et al: Adult diabetes prevalence measured from the HBRFSS. Honolulu, HI: Hawaii State Department of Health, 2004.
- Furubayashi, J, Look, M (2005) Type 2 diabetes in Native Hawaiians and Pacific Islanders in Hawaii. Pac Health Dialog 12: pp. 103-110
- Brown, S (1988) Effects of educational interventions in diabetes care: A meta-analysis of findings. Nurs Res 37: pp. 223-230
- Norris, S, Engelgau, M, Narayan, V (2001) Effectiveness of self-management training in type 2 diabetes: A systematic review of randomized controlled trials. Diabetes Care 24: pp. 561-587 CrossRef
- Norris, S, Lau, J, Smith, S, Schmid, C, Engelgau, M (2002) Self-management education for adults with type 2 diabetes. Diabetes Care 25: pp. 1159-1171 CrossRef
- Wing, R, Goldstein, M, Acton, K, Birch, L (2001) Behavioral science research in diabetes: Lifestyle changes related to obesity, eating behavior, and physical activity. Diabetes Care 24: pp. 117-123 CrossRef
- Whittemore, R (2000) Strategies to facilitate lifestyle change associated with diabetes mellitus. J Nurs Scholarship 32: pp. 225-232 CrossRef
- Appel, L (2003) Lifestyle modification as a means to prevent and treat high blood pressure. J Am Soc Nephrol 14: pp. S99-S102 CrossRef
- Program, TDP (2002) Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. NEJM 346: pp. 393-403 CrossRef
- Boule, N, Haddad, E, Kenny, G, Wells, G, Sigal, R (2001) Effects of exercise on glycemic control and body mass in type 2 diabetes mellitus. JAMA 286: pp. 1218-1227 CrossRef
- Gary, T, Genkinger, J, Guallar, E, Peyrot, M, Brancati, F (2003) Meta-analysis of randomized educational and behavioral intervention in type 2diabetes. Diabetes Educator 29: pp. 488-501 CrossRef
- The Diabetes Prevention Program: Description of the lifestyle intervention. Diabetes Care 25: pp. 2165-2171 CrossRef
- Mau, M, Sinclair, K, Saito, E, Baumhofer, K, Kaholokula, J (2009) Cardiometabolic health disparities in Native Hawaiians and other Pacific People. Epidmiol Rev 31: pp. 113-129 CrossRef
- Nacapoy, AH, Kaholokula, JK, West, MR (2008) Partnerships to address obesity disparities in Hawai'i: the PILI 'Ohana Project. Hawaii Med J 67: pp. 237-241
- Two Feathers J, Kieffer E, Palmisano G, et al.: Racial and Ethnic Approaches to Community Health (REACH) Detroit Partnership: Improving diabetes-related outcomes among African American and Latino adults. AJPH. 2005, 95.
- Spencer, M, Rosland, A, Kieffer, E (2011) Effectiveness of a community health worker intervention among African American and Latino adults with type 2 diabetes: A randomized controlled trial. AJPH 101: pp. 2253-2260 CrossRef
- Two Feathers, J, Kieffer, E, Palmisano, G (2007) The development, implementation and process evaluation of the REACH Detroit diabetes lifestyle intervention. Diabetes Educator 33: pp. 509-520 CrossRef
- Kreuter, M, Lukwago, S, Bucholtz, D, Clark, E, Sanders-Thompson, V (2003) Achieving cultural appropriateness in health promotion programs: Targeted and tailored approaches. Health Educ Behav 30: pp. 133-146 CrossRef
- Standards of medical care in diabetes. 2010; Diabetes Care. 2010: 33 Suppl 1:S11–61.
- Bandura A: Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice Hall, 1986.
- Baranowski T, Perry C, Parcel G: How individuals, environments, and health behavior interact: Social Cognitive Theory (2nd Ed.). San Francisco: Jossey-Bass, 1997.
- Fitzgerald, J, Davis, W, Connell, C (1996) Development and validation of the Diabetes Care Profile. Eval Health prof 19: pp. 208-230 CrossRef
- Fitzgerald, JT, Anderson, RM, Gruppen, LD (1998) The reliability of the Diabetes Care Profile for African Americans. Eval Health prof 21: pp. 52-65 CrossRef
- Cunningham, V, Mohler, M, Wendel, C (2005) Reliability and validity of the DCP among hispanic veterans. Eval Health prof 28: pp. 447-463 CrossRef
- Toobert, D, Hampson, S, Glasgow, R (2000) The summary of diabetes self-care activities measure: results from 7 studies and a revised scale. Diabetes Care 23: pp. 943-950 CrossRef
- Polonsky, W, Anderson, B, Lohrer, P (1995) Assessment of diabetes-related distress. Diabetes Care 18: pp. 754-760 CrossRef
- Intensive blood glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes. Lancet 352: pp. 837-853 CrossRef
- Brown, S (1992) Meta-analysis of diabetes patient education research: Variations in intervention effects across subjects. Res Nurs Health 15: pp. 409-419 CrossRef
- Gilliland, S, Azen, S, Perez, G, Carter, J (2002) Strong in body and spirit: Lifestyle intervention for Native American adults with diabetes in New Mexico. Diabetes Care 25: pp. 78-83 CrossRef
- Brown, S, Garcia, A, Kouzekanani, K, Hanis, C (2002) Culturally competent diabetes self-management education for Mexican Americans. Diabetes Care 25: pp. 259-268 CrossRef
- Ciliska, D, Miles, E, O'Brien, M, Turl, C (2000) Effectiveness of community-based interventions to increase fruit and vegetable consumption. J Nutr Educ Behav 32: pp. 341-352 CrossRef
- Agurs-Collins, T, Kumanyika, S, Have, T, Adams-Campbell, L (1997) A randomized controlled trial of weight reduction and exercise for diabetes management in older African American subjects. Diabetes Care 20: pp. 1503-1511 CrossRef
- Lorig, KR, Holman, H (2003) Self-management education: history, definition, outcomes, and mechanisms. Ann Behav Med 26: pp. 1-7 CrossRef
- Warsi, A, Wang, P, LaValley, M, Avorn, J, Solomon, D (2004) Self-management education programs in chronic disease. Arch Intern Med 164: pp. 1641-1649 CrossRef
- Norris, S, Nichols, P, Caspersen, C (2002) Increasing diabetes self-management education in community settings. Am J Prev Med 22: pp. 39-66 CrossRef
- Brown, S, Hannis, C (1999) Culturally competent diabetes education for Mexican Americans: The Starr County Study. Diabetes Educ 25: pp. 226-236 CrossRef
- Khaw, K, Wareham, N, Luben, R (2001) Glycated haemoglobin, diabetes, and mortality in men in Norfolk cohort of European Prospective Investigation of Cancer and Nutrition (EPIC-Norfolk). BMJ 322: pp. 15-18 CrossRef
- Wagner, E (2001) Effect of improved glycemic control on health care costs and utilization. JAMA 285: pp. 182-189 CrossRef
- 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