title: Outcomes from a diabetes self-management intervention for Native Hawaiians and Pacific People: Partners in Care.
abstract: BACKGROUND
  Culturally adapted interventions are needed to reduce diabetes-related morbidity and mortality among Native Hawaiian and Pacific People.
  
  
  OBJECTIVE
  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.
authors.affiliation: Department of Native Hawaiian Health, University of Hawaii, Honolulu, 96813, USA. kaimisin@hawaii.edu
authors.forename: Ka'imi A
authors.initials: KA
authors.lastname: Sinclair
authors.forename: Emily K
authors.initials: EK
authors.lastname: Makahi
authors.forename: Cappy
authors.initials: C
authors.lastname: Shea-Solatorio
authors.forename: Sheryl R
authors.initials: SR
authors.lastname: Yoshimura
authors.forename: Claire K M
authors.initials: CK
authors.lastname: Townsend
authors.forename: J Keawe'aimoku
authors.initials: JK
authors.lastname: Kaholokula
mesh_terms: D015190:Blood Glucose Self-Monitoring; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000523:psychology / Q000628:therapy*; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006254:Hawaii; D006801:Humans; D008297:Male; D008875:Middle Aged; D044468:Native Hawaiian or Pacific Islander; D010353:Patient Education as Topic / Q000379:methods; D010865:Pilot Projects; D012648:Self Care / Q000379:methods*; D013315:Stress, Psychological / Q000150:complications; D014850:Waiting Lists
chemical_list: D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human