212655 Improving diabetes self-management and health among the Native Hawaiian population in Hawaii

Sunday, November 8, 2009

Christy M. Nishita, PhD , Center on Disability Studies, University of Hawaii, Honolulu, HI
Tammy Tom, MA, MS , Center on Disability Studies, University of Hawaii, Honolulu, HI
Background: Native Hawaiians have a high rate of type 2 diabetes, but little is known about the programs and interventions that can support diabetes management in this unique population.

Objective: To examine the efficacy of diabetes support services on improving self-efficacy and health among the diabetic population on Oahu and specifically its Native Hawaiian residents.

Methods: The Live Healthy… Work Well project, a federally-funded randomized control study, included 190 adults (mean age = 42.5) with diabetes living on Oahu, of which 34% were part or full Native Hawaiian. Treatment participants received life coaching, medication therapy management from a pharmacist, and other diabetes supports. Health (hemoglobin A1c, weight) and self-efficacy (Diabetes Empowerment Survey) data were collected at baseline and 6 months. Change scores were calculated to quantify change over six months. T-tests were used to compare Native Hawaiians to other participants in the sample.

Results: Native Hawaiians had higher A1c (t = -2.87, p=.005) and BMI (t = -2.38, p = .02) at baseline compared to the rest of the sample. Over 6 months, race differences disappeared. At the same time, overweight and obese treatment group participants lowered their BMI (t = -2.29, p=.02) and raised their diabetes self-efficacy (t = 2.07, p=.004).

Conclusions: Findings suggest the efficacy of life coaching and diabetes support services in empowering Native Hawaiians to manage their disease. Native Hawaiian participants may have benefited from these services to a greater extent such that race disparities in diabetes health indicators disappeared.

Learning Objectives:
To understand the potential for diabetes support services to help Native Hawaiians, a population with high rates of type 2 diabetes.

Keywords: Disease Management, Minority Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am an evaluator on this federally-funded project and am responsible for data analysis and interpretation.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.