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

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...

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Bibliographic Details
Published in:Annals of behavioral medicine 2013-02, Vol.45 (1), p.24-32
Main Authors: Sinclair, Ka`imi A., Makahi, Emily K., Shea-Solatorio, Cappy, Yoshimura, Sheryl R., Townsend, Claire K. M., Kaholokula, J. Keawe`aimoku
Format: Article
Language:English
Subjects:
Blood Glucose Self-Monitoring
Cultural differences
Diabetes
Diabetes Mellitus, Type 2 - blood
Diabetes Mellitus, Type 2 - psychology
Diabetes Mellitus, Type 2 - therapy
Disease management
Family Medicine
Female
General Practice
Glycated Hemoglobin A - metabolism
Hawaii
Health education
Health Psychology
Humans
Intervention
Male
Medicine
Medicine & Public Health
Middle Aged
Native peoples
Oceanic Ancestry Group
Original Article
Patient Education as Topic - methods
Pilot Projects
Self Care - methods
Stress, Psychological - complications
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Summary: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  
ISSN:0883-6612
1532-4796
DOI:10.1007/s12160-012-9422-1