title: Social Support Groups in the Maintenance of Glycemic Control after Community-Based Intervention.
abstract: Native Hawaiians and other Pacific Islanders (NH/PI; e.g., Samoan and Chuukese) have higher type 2 diabetes prevalence compared to other groups in Hawai'i. Partners in Care (PIC), a culturally tailored, community-based, diabetes self-management education intervention (DSME), is effective at improving participants' glycemic control and self-care behaviors. Maintenance of improvements is challenging. Diabetes-related social support groups (SSG) are a promising maintenance component for DSME. This study examined the effects of a diabetes-specific SSG component relative to a control group, after the receipt of the 3-month PIC intervention, which was delivered to 47 adult NH/PI with type 2 diabetes. Participants were then randomized to either a 3-month, 6-session SSG or a control group. Hemoglobin A1c (HbA1c), blood pressure, triglycerides, cholesterol, and diabetes self-management knowledge and behaviors were assessed at baseline, 3 months, and 6 months. Results indicated significant improvements in HbA1c, diabetes-related self-management knowledge, and behaviors from baseline to 3-month assessment. However, no differences between the SSG and control group from 3-month to 6-month assessment suggest that all participants were able to maintain initial improvements. The SSG group had a significant decrease in systolic blood pressure from 3-month to 6-month assessment while the control group did not. Study limitations and future directions are discussed.
authors: Department of Native Hawaiian Health, John A. Burns School of Medicine, University of Hawai'i at Mānoa, 651 Ilalo Street, MEB 307L, Honolulu, HI 96813, USA.
authors: Claire Townsend
authors: 0000-0002-4632-5973
authors: CT
authors: Ing
authors: Office of Biostatistics & Quantitative Health Sciences, John A. Burns School of Medicine, University of Hawai'i at Mānoa, 651 Ilalo Street, MEB 211, Honolulu, HI 96813, USA.
authors: Guangxing
authors: G
authors: Zhang
authors: Office of Biostatistics & Quantitative Health Sciences, John A. Burns School of Medicine, University of Hawai'i at Mānoa, 651 Ilalo Street, MEB 211, Honolulu, HI 96813, USA.
authors: Adrienne
authors: 0000-0002-7078-3552
authors: A
authors: Dillard
authors: Kula no na Po'e Hawai'i, P.O. Box 2368, Honolulu, HI 96823, USA.
authors: Sheryl R
authors: 0000-0001-5637-5539
authors: SR
authors: Yoshimura
authors: Kōkua Kalihi Valley Comprehensive Family Services, 2239 North School Street, Honolulu, HI 96819, USA.
authors: Claire
authors: C
authors: Hughes
authors: Hawai'i Maoli, Association of Hawaiian Civic Clubs, P.O. Box 3866, Honolulu, HI 96812, USA; Ke Ola Mamo, Dillingham Plaza, 1505 Dillingham Boulevard No. 205, Honolulu, HI 96817, USA.
authors: Donna-Marie
authors: 0000-0002-2067-3515
authors: DM
authors: Palakiko
authors: Office of Biostatistics & Quantitative Health Sciences, John A. Burns School of Medicine, University of Hawai'i at Mānoa, 651 Ilalo Street, MEB 211, Honolulu, HI 96813, USA.
authors: Bridget Puni
authors: BP
authors: Kehauoha
authors: College of Nursing, Washington State University, 1100 Olive Way, Suite 1200, Seattle, WA 98101, USA.
authors: Ka'imi A
authors: KA
authors: Sinclair
authors: Department of Native Hawaiian Health, John A. Burns School of Medicine, University of Hawai'i at Mānoa, 651 Ilalo Street, MEB 307L, Honolulu, HI 96813, USA.
authors: Joseph Keawe'aimoku
authors: 0000-0001-5076-6141
authors: JK
authors: Kaholokula
mesh_terms: D000328:Adult; D000368:Aged; D001786:Blood Glucose / Q000378:metabolism; D001794:Blood Pressure; D002784:Cholesterol / Q000378:metabolism; D003924:Diabetes Mellitus, Type 2 / Q000378:metabolism / Q000523:psychology / Q000628:therapy*; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008075:Lipoproteins, HDL / Q000378:metabolism; D008077:Lipoproteins, LDL / Q000378:metabolism; D008297:Male; D008875:Middle Aged; D044468:Native Hawaiian or Pacific Islander; D010353:Patient Education as Topic; D012648:Self Care; D012657:Self-Help Groups; D012944:Social Support; D013315:Stress, Psychological / Q000523:psychology; D014280:Triglycerides / Q000378:metabolism
chemical_list: D001786:Blood Glucose; D002784:Cholesterol; D006442:Glycated Hemoglobin; D008075:Lipoproteins, HDL; D008077:Lipoproteins, LDL; D014280:Triglycerides; C517652:hemoglobin A1c protein, human