Social Support Groups in the Maintenance of Glycemic Control after Community-Based Intervention

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 improvin...

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Main Authors: Claire Townsend Ing, Guangxing Zhang, Adrienne Dillard, Sheryl R. Yoshimura, Claire Hughes, Donna-Marie Palakiko, Bridget Puni Kehauoha, Ka‘imi A. Sinclair, Joseph Keawe‘aimoku Kaholokula
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2016/7913258
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author Claire Townsend Ing
Guangxing Zhang
Adrienne Dillard
Sheryl R. Yoshimura
Claire Hughes
Donna-Marie Palakiko
Bridget Puni Kehauoha
Ka‘imi A. Sinclair
Joseph Keawe‘aimoku Kaholokula
author_facet Claire Townsend Ing
Guangxing Zhang
Adrienne Dillard
Sheryl R. Yoshimura
Claire Hughes
Donna-Marie Palakiko
Bridget Puni Kehauoha
Ka‘imi A. Sinclair
Joseph Keawe‘aimoku Kaholokula
author_sort Claire Townsend Ing
collection DOAJ
description 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.
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spelling doaj-art-8d2dba0949274789ad21cf0a0a55d3d92025-02-03T01:32:57ZengWileyJournal of Diabetes Research2314-67452314-67532016-01-01201610.1155/2016/79132587913258Social Support Groups in the Maintenance of Glycemic Control after Community-Based InterventionClaire Townsend Ing0Guangxing Zhang1Adrienne Dillard2Sheryl R. Yoshimura3Claire Hughes4Donna-Marie Palakiko5Bridget Puni Kehauoha6Ka‘imi A. Sinclair7Joseph Keawe‘aimoku Kaholokula8Department of Native Hawaiian Health, John A. Burns School of Medicine, University of Hawai‘i at Mānoa, 651 Ilalo Street, MEB 307L, Honolulu, HI 96813, USAOffice 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, USAOffice 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, USAKula no na Po‘e Hawai‘i, P.O. Box 2368, Honolulu, HI 96823, USAKōkua Kalihi Valley Comprehensive Family Services, 2239 North School Street, Honolulu, HI 96819, USAHawai‘i Maoli, Association of Hawaiian Civic Clubs, P.O. Box 3866, Honolulu, HI 96812, USAOffice 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, USACollege of Nursing, Washington State University, 1100 Olive Way, Suite 1200, Seattle, WA 98101, USADepartment of Native Hawaiian Health, John A. Burns School of Medicine, University of Hawai‘i at Mānoa, 651 Ilalo Street, MEB 307L, Honolulu, HI 96813, USANative 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.http://dx.doi.org/10.1155/2016/7913258
spellingShingle Claire Townsend Ing
Guangxing Zhang
Adrienne Dillard
Sheryl R. Yoshimura
Claire Hughes
Donna-Marie Palakiko
Bridget Puni Kehauoha
Ka‘imi A. Sinclair
Joseph Keawe‘aimoku Kaholokula
Social Support Groups in the Maintenance of Glycemic Control after Community-Based Intervention
Journal of Diabetes Research
title Social Support Groups in the Maintenance of Glycemic Control after Community-Based Intervention
title_full Social Support Groups in the Maintenance of Glycemic Control after Community-Based Intervention
title_fullStr Social Support Groups in the Maintenance of Glycemic Control after Community-Based Intervention
title_full_unstemmed Social Support Groups in the Maintenance of Glycemic Control after Community-Based Intervention
title_short Social Support Groups in the Maintenance of Glycemic Control after Community-Based Intervention
title_sort social support groups in the maintenance of glycemic control after community based intervention
url http://dx.doi.org/10.1155/2016/7913258
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