Improving behavioral and clinical indicators in Asians and Pacific Islanders with diabetes: Findings from a community clinic-based program

Details

• Alternative Title:
  Diabetes Res Clin Pract
• Personal Author:
  Tomioka, Michiyo ; Braun, Kathryn L. ; Cook, Valerie Ah ; Compton, Merlita ; Wertin, Kristin
• Description:
  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.
  
  
• Subjects:
  Adult Aged Aged, 80 And Over Asian Blood Glucose Blood Pressure Blood Pressure Determination Body Mass Index Diabetes Mellitus Exercise Female Follow-Up Studies Health Behavior Health Promotion Humans Male Middle Aged Minority Groups Native Hawaiian Or Other Pacific Islander Patient Education As Topic Pilot Projects Prevalence Retrospective Studies Self Care Self Efficacy

  More +
• Source:
  Diabetes Res Clin Pract. 104(2):220-225.
• Pubmed ID:
  24636628
• Pubmed Central ID:
  PMC4703033
• Document Type:
  Journal Article
• Funding:
  U54 MD007584/MD/NIMHD NIH HHS/United States ; U58DP001962/DP/NCCDPHP CDC HHS/United States
• Place as Subject:
  Hawaii
• Volume:
  104
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:bae9e462273376aa325fdf9cf0dbf278a7e76f46f0e2dac29d27d3d1709f1d2d
• Download URL:
  https://stacks.cdc.gov/view/cdc/37352/cdc_37352_DS1.pdf
• File Type:
  [PDF - 175.27 KB ]