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Randomized Controlled Trial
. 2013 Feb;45(1):24-32.
doi: 10.1007/s12160-012-9422-1.

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

Ka'imi A Sinclair  1 , Emily K Makahi, Cappy Shea-Solatorio, Sheryl R Yoshimura, Claire K M Townsend, J Keawe'aimoku Kaholokula
Affiliations
Randomized Controlled Trial

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

Ka'imi A Sinclair et al. Ann Behav Med. 2013 Feb.

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.

Trial registration: ClinicalTrials.gov NCT01042886 NCT01093924.

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Figure 1
Figure 1
CONSORT diagram of Partners in Care study participation.
See this image and copyright information in PMC

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References

    1. National Institutes of Health Strategic Plan on Minority Health Disparities. Retrieved November 20, 2011 from http://www2.niddk.nih.gov/AboutNIDDK/ReportsAndStrategicPlanning/Strateg....
    1. American Diabetes Association Economic consequences of diabetes mellitus in the US in 2002. Diabetes Care. 2003;26:917–932. - PubMed
    1. 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.
    1. 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.
    1. Grandinetti A, Kaholokula JK, Theriault AG, et al. Prevalence of diabetes and glucose intolerance in an ethnically diverse rural community of Hawaii. Ethn Dis. 2007;17:250–255. - PubMed

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