Annals of Behavioral Medicine

, Volume 45, Issue 1, pp 24–32

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

  • Ka`imi A. Sinclair
  • Emily K. Makahi
  • Cappy Shea-Solatorio
  • Sheryl R. Yoshimura
  • Claire K. M. Townsend
  • J. Keawe`aimoku Kaholokula
Original Article



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 

Supplementary material

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Copyright information

© The Society of Behavioral Medicine 2012

Authors and Affiliations

  • Ka`imi A. Sinclair
    • 1
  • Emily K. Makahi
    • 2
  • Cappy Shea-Solatorio
    • 3
  • Sheryl R. Yoshimura
    • 4
  • Claire K. M. Townsend
    • 1
  • J. Keawe`aimoku Kaholokula
    • 1
  1. 1.Department of Native Hawaiian HealthUniversity of HawaiiHonoluluUSA
  2. 2.Ke Ola MamoHonoluluUSA
  3. 3.Kula No Na Po’e Hawai’iHonoluluUSA
  4. 4.Kokua Kalihi Valley Community Health CenterHonoluluUSA

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