262642 Improving diabetes self-management behaviors and clinical measures in indigenous and minority adults at a community health center

Tuesday, October 30, 2012 : 9:00 AM - 9:15 AM

Michiyo Tomioka, MS , Office of Public Health Studies, University of Hawaii at Manoa, Honolulu, HI
Valerie Ah Cook, MPH , Diabetes Prevention and Control Program, Hawaii State Department of Health, Kapolei, HI
Kristin Wertin, MPH , Diabetes Prevention and Control Program, Hawaii State Department of Health, Kapolei, HI
Merlita Compton, MPH , Elder Services, Kokua Kalihi Valley Comprehensive Family Services, Honolulu, HI
Kathryn L. Braun, DrPH , Office of Public Health Studies, University of Hawaii, Honolulu, HI
Diabetes is fifth leading cause of death in Hawaii. However, distinct socioeconomic and ethnic disparities in prevalence of diabetes, self-management behaviors, and diabetes-related complications exist. In Hawai`i, diabetes disproportionately affects Native Hawaiians, Filipinos, residents with low educational attainment, and households with low income. To reduce these disparities, a collaborative partnership among the Hawaii State Department of Health, Kokua Kalihi Valley Community Health Center (KKV), and the University of Hawaii has adapted the evidence-based Stanford Diabetes Self-Management Program. The program aligns with the chronic care model and is designed to empower adults to improve self-management behaviors and reduce diabetes-related complications. We incorporated cultural components into the program to enhance acceptability in the culturally diverse community at KKV. We assessed the fidelity of program delivery and examined clinical measures, such as BMI, blood pressure, blood cholesterol, and A1c, and health behavior change among persons with diabetes in this ethnically-diverse population. We will provide information on how we adapted the program, share tools and evaluation results, and discuss challenges and successes.

Learning Areas:
Chronic disease management and prevention
Diversity and culture
Implementation of health education strategies, interventions and programs

Learning Objectives:
1. Explain diabetes-related health disparities and complications among different racial and ethnic groups 2. Discuss the importance of attending to cultural factors in implementing Stanfordís Diabetes Self-Management Program 3. Describe the impact of Stanfordís Diabetes Self-Management Program in a culturally diverse community

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: 5 years of experience in evaluation and research for state-wide programs with presenting at local and national conferences.
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.