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Outcomes from a Diabetes Self-management Intervention for Native Hawaiians and Pacific People: Partners in Care

  • Original Article
  • Published:
Annals of Behavioral Medicine

Abstract

Background

Culturally adapted interventions are needed to reduce diabetes-related morbidity and mortality among Native Hawaiian and Pacific People.

Purpose

The purpose of this study is to pilot test the effectiveness of a culturally adapted diabetes self-management intervention.

Methods

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.

Results

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).

Conclusions

A culturally adapted diabetes self-management intervention of short duration was an effective approach to improving glycemic control among Native Hawaiian and Pacific Islanders.

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Acknowledgments

We are grateful to the Partners in Care study participants, and the community researchers who served as the critical link between the participants and the research team. We also thank our community partners Ke Ola Mamo, Kula no nā Po'e Hawai'i, and Kōkua Kalihi Valley Comprehensive Family Services for their guidance and participation.

Funding

This work was supported by the National Institute on Minority Health and Health Disparities (grant number R24MD001660-S1) of the National Institutes of Health and registered on ClinicalTrials.gov (NCT01042886), and the National Institute of Diabetes, Digestive, and Kidney Diseases (1K01DK090091-01). The content is solely the responsibility of the authors and does not necessarily represent the official views of National Center on Minority Health and Health Disparities or National Institutes of Health.

Conflict of Interest

The authors have no conflict of interest to disclose.

Author information

Authors and Affiliations

  1. Department of Native Hawaiian Health, University of Hawaii, 651 Ilalo Street, Honolulu, HI, 96813, USA

    Ka`imi A. Sinclair Ph.D., MPH, Claire K. M. Townsend MPH & J. Keawe`aimoku Kaholokula Ph.D.

  2. Ke Ola Mamo, 1505 Dillingham Blvd, Honolulu, HI, USA

    Emily K. Makahi MSW

  3. Kula No Na Po’e Hawai’i, 2150 Tantalus Drive, Honolulu, HI, 96813, USA

    Cappy Shea-Solatorio BA

  4. Kokua Kalihi Valley Community Health Center, 2239 N. School St., Honolulu, HI, 96819, USA

    Sheryl R. Yoshimura RD, MPH

Authors
  1. Ka`imi A. Sinclair Ph.D., MPH
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  2. Emily K. Makahi MSW
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  3. Cappy Shea-Solatorio BA
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  4. Sheryl R. Yoshimura RD, MPH
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  5. Claire K. M. Townsend MPH
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  6. J. Keawe`aimoku Kaholokula Ph.D.
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Corresponding author

Correspondence to Ka`imi A. Sinclair Ph.D., MPH.

Additional information

Trial Registration: clinicaltrials.gov Identifier: NCT01093924

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Sinclair, K.A., Makahi, E.K., Shea-Solatorio, C. et al. Outcomes from a Diabetes Self-management Intervention for Native Hawaiians and Pacific People: Partners in Care. ann. behav. med. 45, 24–32 (2013). https://doi.org/10.1007/s12160-012-9422-1

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  • DOI: https://doi.org/10.1007/s12160-012-9422-1

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