February 1, 2013

Outcomes from a diabetes self-management intervention for Native Hawaiians and Pacific People: Partners in Care

Ka’imi A. Sinclair, PhD, MPH; C. Thompson; Emily K. Makahi, MSW; Cappy Shea-Solatorio, BA; Sheryl R. Yoshimura, RD, MPH; Claire K.M. Townsend, MPH; and J. Keawe’aimoku Kaholokula, PhD

Annals of Behavioral Medicine

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

Purpose: 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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