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Annals of Behavioral Medicine
Published in: Annals of Behavioral Medicine 1/2013

01-02-2013 | Original Article

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

Authors: Ka`imi A. Sinclair, Ph.D., MPH, Emily K. Makahi, MSW, Cappy Shea-Solatorio, BA, Sheryl R. Yoshimura, RD, MPH, Claire K. M. Townsend, MPH, J. Keawe`aimoku Kaholokula, Ph.D.

Published in: Annals of Behavioral Medicine | Issue 1/2013

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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.
Appendix
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Metadata
Title
Outcomes from a Diabetes Self-management Intervention for Native Hawaiians and Pacific People: Partners in Care
Authors
Ka`imi A. Sinclair, Ph.D., MPH
Emily K. Makahi, MSW
Cappy Shea-Solatorio, BA
Sheryl R. Yoshimura, RD, MPH
Claire K. M. Townsend, MPH
J. Keawe`aimoku Kaholokula, Ph.D.
Publication date
01-02-2013
Publisher
Springer-Verlag
Published in
Annals of Behavioral Medicine / Issue 1/2013
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-012-9422-1

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