Michiyo Tomioka1, Kathryn L Braun2, Valerie Ah Cook3, Merlita Compton4, Kristin Wertin3. 1. Office of Public Health Studies, University of Hawai'i at Mānoa, 1960 East-West Road, Biomed, Honolulu, HI 96822, United States. Electronic address: mtomioka@hawaii.edu. 2. Office of Public Health Studies, University of Hawai'i at Mānoa, 1960 East-West Road, Biomed, Honolulu, HI 96822, United States. 3. Hawai'i State Department of Health, Diabetes Prevention and Control Program, 601 Kamokila Boulevard, Room 344, Kapolei, HI 96707, United States. 4. Kokua Kalihi Valley Comprehensive Family Services, Elder Care Services Program, 1846 Gulick Avenue, Honolulu, HI 96819, United States.
Abstract
AIMS: This project tested the six-month impact of Stanford's Diabetes Self-Management Program (DSMP), adapted for Asians and Pacific Islanders (APIs), on behavioral and clinical indicators. METHODS: Participants attended DSMP workshops at a community health center. Employing a one-group, pre-post-test design, data were collected at baseline and six-months. Ninety-six eligible API adults were enrolled. All attended four or more of the six weekly sessions, and 82 completed data collection. Measures included body mass index, blood pressure, blood lipids, blood glucose, HbA1c, as well as health behaviors. Data were analyzed by descriptive statistics and paired t-tests. RESULTS: Adaptations to DSMP were minimal, but critical to the local acceptance of the program. At six-months, significant behavioral improvements included: (1) increased minutes in stretching and aerobic exercise per week (p<0.001); (2) reduced symptoms of hypoglycemia and hyperglycemia (p<0.001); (3) increased self-efficacy (p<0.001); and (4) increased number of days and times testing blood sugar levels (p<0.001). Significant clinical improvements included: (1) lower BMI (p<0.001); (2) lower HbA1c (p<0.001); (3) lower total cholesterol, triglycerides, and LDL (p<0.001); and (4) lower blood pressure (p<0.001). CONCLUSIONS: Findings suggest that the DSMP can be successfully adapted to API populations and can improve clinical measures as well as health behaviors.
AIMS: This project tested the six-month impact of Stanford's Diabetes Self-Management Program (DSMP), adapted for Asians and Pacific Islanders (APIs), on behavioral and clinical indicators. METHODS:Participants attended DSMP workshops at a community health center. Employing a one-group, pre-post-test design, data were collected at baseline and six-months. Ninety-six eligible API adults were enrolled. All attended four or more of the six weekly sessions, and 82 completed data collection. Measures included body mass index, blood pressure, blood lipids, blood glucose, HbA1c, as well as health behaviors. Data were analyzed by descriptive statistics and paired t-tests. RESULTS: Adaptations to DSMP were minimal, but critical to the local acceptance of the program. At six-months, significant behavioral improvements included: (1) increased minutes in stretching and aerobic exercise per week (p<0.001); (2) reduced symptoms of hypoglycemia and hyperglycemia (p<0.001); (3) increased self-efficacy (p<0.001); and (4) increased number of days and times testing blood sugar levels (p<0.001). Significant clinical improvements included: (1) lower BMI (p<0.001); (2) lower HbA1c (p<0.001); (3) lower total cholesterol, triglycerides, and LDL (p<0.001); and (4) lower blood pressure (p<0.001). CONCLUSIONS: Findings suggest that the DSMP can be successfully adapted to API populations and can improve clinical measures as well as health behaviors.
Authors: Chai Bin Park; Kathryn L Braun; Brian Y Horiuchi; Caryn Tottori; Alvin T Onaka Journal: Public Health Rep Date: 2009 Jul-Aug Impact factor: 2.792
Authors: Ka'imi A Sinclair; Emily K Makahi; Cappy Shea-Solatorio; Sheryl R Yoshimura; Claire K M Townsend; J Keawe'aimoku Kaholokula Journal: Ann Behav Med Date: 2013-02