255154 Outcomes from a diabetes self-management intervention for Native Hawaiians and Pacific People: Partners in Care

Tuesday, October 30, 2012 : 8:30 AM - 8:45 AM

Kaimi Sinclair, PhD, MPH , Department of Native Hawaiian Heatlh, University of Hawaii, Honolulu, HI
Interventions are needed to reduce diabetes-related morbidity and mortality among Native Hawaiian and Pacific People. The purpose of our study was to pilot test the effectiveness of a culturally-tailored diabetes self-management intervention delivered in community settings. Participants were randomly assigned to an intervention (n=48) or delayed treatment (n=34). Trained community peer educators delivered 12 weekly one hour lessons to small groups of participants in a community setting. Curriculum content was informed by focus groups conducted with Native Hawaiians and Pacific Islanders in Honolulu. Social cognitive theory provides the theoretical framework. All of the lessons adhere to the American Diabetes Association 2010 Clinical Guidelines. Assessments were completed at baseline, and 3- and 6-months. Diabetes-related distress, knowledge, and self-care behaviors were assessed. Clinical measures of hemoglobin A1c, blood pressure, and lipids were measured. There were significant between group differences at the 3 month assessment in hemoglobin A1c (P=.002), diabetes-related knowledge (P<0.001), and self-care activities (P<0.001) for the intervention group compared to the delayed group. At 6 months the intervention group maintained a significant improvement in A1c from baseline (P=0.001). After receiving the intervention, the delayed group had significant improvement in A1c (P=0.03). Participant retention was 80% and process evaluation results indicate high satisfaction with the intervention. There have been few diabetes self-management randomized controlled trials that included Native Hawaiians and Pacific People. Partners in Care improved clinical, knowledge, and behavioral outcomes and has the potential to reduce diabetes-related morbidity and mortality among participants.

Learning Areas:
Chronic disease management and prevention
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related education
Social and behavioral sciences

Learning Objectives:
Describe aspects of an effective peer educator delivered diabetes self-management intervention delivered to Native Hawaiians and Pacific People in Hawaii. Discuss the role of peer educators in diabetes managament.

Keywords: Diabetes, Intervention

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the principal investigator on the study described in the abstract and conducted all analyses. I have developed and evaluated several diabetes self-management interventions with health disparity populations in the United States.
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.