Background Culturally-adapted interventions are needed to reduce diabetes-related morbidity and mortality among Native Hawaiian and Pacific People. Purpose To pilot test the effectiveness of a culturally-adapted diabetes self-management intervention. Methods Participants were randomly assigned in an unbalanced design to the Partners in Care intervention (n=48) or wait list control group (n=34). Assessments of hemoglobin A1c, understanding of diabetes self-management, performance of self-care activities, and diabetes-related distress were measured at baseline and 3 months (post intervention). Analysis of covariance was used to test between-group differences. The community steering committee and focus group data informed the cultural adaptation of the intervention. Results There were significant baseline adjusted differences at 3 months between the Partners in Care and wait list control group in intent-to-treat (p<0.001) and complete case analyses (p<0.0001) for A1c, understanding (p<0.0001), and performing diabetes self-management (p<0.0001). Conclusions A culturally-adapted diabetes self-management intervention of short duration was an effective approach to improving glycemic control among Native Hawaiian and Pacific Islanders.
Objectives To describe the perspectives of community participants about engaging in community-based participatory research, and then to use the information to develop a model to depict the community participants’ perceptions of interfacing with academic researchers. Method A diverse group of Native Hawaiian community-dwelling participants engaged in open-ended and semi-structured focus group interviews, addressing community members’ perceptions of community-based participatory research. Results Three key areas were identified: (1) reciprocal trustable is needed; (2) perceptions about the purpose, research intent and expectations; (3) expectations of roles and responsibilities of the researcher(s). A model showing the reciprocity between the academic partner and the community partner is needed to establish the full CBPR process is proposed. Conclusion The three themes implied the community participants’ expectations of reciprocal relationships. The dimensions influencing community members’ perceptions of community-based research need to be taken into account when academic researchers interface with community participants. Successful community-based participatory research approaches for addressing the challenges of translating research findings into community actions is enhanced when the expectations of community members are taken into account.
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