Implementation outcomes of a culturally adapted diabetes self-management education intervention for Native Hawaiians and Pacific islanders
| العنوان: | Implementation outcomes of a culturally adapted diabetes self-management education intervention for Native Hawaiians and Pacific islanders |
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| المؤلفون: | Claire Townsend-Ing, Pearl A. McElfish, Anna Zamora-Kapoor, Kaʻimi A. Sinclair, Joseph Keaweʻaimoku Kaholokula |
| المصدر: | BMC Public Health BMC Public Health, Vol 20, Iss 1, Pp 1-11 (2020) |
| بيانات النشر: | Springer Science and Business Media LLC, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, Implementation research, Native Hawaiian or Other Pacific Islander, common, Psychological intervention, Pilot Projects, 030209 endocrinology & metabolism, Hawaii, Peer Group, Pacific Islander, 03 medical and health sciences, Community-engaged research, 0302 clinical medicine, Patient Education as Topic, Native Hawaiians, Intervention (counseling), Health care, Humans, Medicine, Diabetes self-management education, 030212 general & internal medicine, Medical education, business.industry, lcsh:Public aspects of medicine, Self-Management, Implementation outcomes, common.demographic_type, Public Health, Environmental and Occupational Health, lcsh:RA1-1270, Peer educator, Focus Groups, Middle Aged, Culturally Competent Care, Focus group, Culturally adapted, Diabetes Mellitus, Type 2, Pacific islanders, Female, Native Hawaiian, Biostatistics, business, Research Article |
| الوصف: | Background Native Hawaiians and Pacific Islanders (NHPIs) experience a disproportionate burden of type 2 diabetes and related complications. Although diabetes self-management education and support (DSMES) interventions have generally yielded positive results, few NHPIs have been included in these studies, and even fewer studies have been evaluated using a randomized controlled trial design and/or implementation research methods. The purpose of this pilot study was to evaluate implementation outcomes of a culturally adapted diabetes self-management education intervention delivered by peer educators to Native Hawaiians and Pacific Islanders residing in Honolulu, Hawai’i. Methods In three study sites, the peer educators and 48 participants randomized to the intervention were invited to participate in the mixed methods implementation research. We used a convergent parallel design to collect implementation data including fidelity, feasibility, acceptability, appropriateness, adoption, and sustainability. Data were collected from class observations, participants’ class feedback, and post-intervention focus groups with participants and peer educators. Results In 314 end-of-class feedback surveys, 97% of respondents expressed that they were satisfied or highly satisfied with the class content and activities, 98% reported that the classes and materials were very useful, 94% reported very applicable, and 93% reported materials were culturally appropriate. Respondents identified several aspects of the program as especially enjoyable: interactions with peer educators, meeting in groups, learning about other participants’ experiences with diabetes, and the information presented in each class. Major themes that emerged from the end-of-intervention focus groups were the relevance of the educational materials, strategies to manage blood glucose, hands-on activities, cultural aspects of the program, including the stories and analogies used to convey information, and appreciation of the group format and peer educators. Conclusions Results from this research support a culturally tailored, peer educator approach to DSMES among NHPIs. Delivery of the Partners in Care program is feasible in health care and community settings and is a reimbursable DSMES program. Trial registration Clinicaltrials.gov Identifier: NCT01093924 prospectively registered 01.20.09. |
| تدمد: | 1471-2458 0109-3924 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::cd5fd18d374a5e74599cf8d628ee7813Test https://doi.org/10.1186/s12889-020-09690-6Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....cd5fd18d374a5e74599cf8d628ee7813 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14712458 01093924 |
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