Feasibility and efficacy of a pilot family model of diabetes self-management intervention in the Republic of the Marshall Islands
Background: The Republic of the Marshall Islands (RMI) faces numerous health disparities, including one of the highest prevalence of type 2 diabetes mellitus (T2DM) in the world. Diabetes self-management education and support (DSMES) has shown efficacy in improving glycemic control and through incre...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-09-01
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| Series: | Contemporary Clinical Trials Communications |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451865421001253 |
| _version_ | 1818647517502373888 |
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| author | Jennifer A. Andersen Holly Felix James Selig Brett Rowland Wana Bing Jonell Hudson Jack Niedenthal Henry Otuafi Sheldon Riklon Edlen Azures Ainrik George Pearl A. McElfish |
| author_facet | Jennifer A. Andersen Holly Felix James Selig Brett Rowland Wana Bing Jonell Hudson Jack Niedenthal Henry Otuafi Sheldon Riklon Edlen Azures Ainrik George Pearl A. McElfish |
| author_sort | Jennifer A. Andersen |
| collection | DOAJ |
| description | Background: The Republic of the Marshall Islands (RMI) faces numerous health disparities, including one of the highest prevalence of type 2 diabetes mellitus (T2DM) in the world. Diabetes self-management education and support (DSMES) has shown efficacy in improving glycemic control and through increases in knowledge and self-management activities; however, there is limited research on DSMES in the RMI. This study evaluated the feasibility and efficacy of a culturally adapted family model of DSMES (F-DSMES) in the RMI. The F-DSME included 8 h of group educational classes delivered in churches by a community health worker. Methods: This pilot study assessed retention and dosage rates (e.g., class attendance) among the participants with T2DM (n = 41). Efficacy was evaluated by examining pre- and post-intervention differences in HbA1c, knowledge, family support, and self-management activities among those who completed the post-intervention data collection (n = 23). Results: The results indicate completion of post-intervention data collection and attendance were associated; 70% of participants who completed the post-intervention data collection received at least 6 h of intervention compared to 3 h for those who did not. Although the reduction in HbA1c was not statistically significant, participants demonstrated statically significant increases in knowledge, family support, and an increase in self-management including in checking of blood glucose and feet. Conclusions: This study provides important information to help address T2DM disparities in the RMI, including the feasibility and efficacy of F-DSMES. Additional research will help in understanding how to translate improvements in knowledge, family support, and self-management activities into improvements in HbA1c. This may include addressing social ecological factors that affect glycemic control. |
| first_indexed | 2024-12-17T01:03:48Z |
| format | Article |
| id | doaj.art-3f0308b57af04f44ba510b0db5e56b8b |
| institution | Directory Open Access Journal |
| issn | 2451-8654 |
| language | English |
| last_indexed | 2024-12-17T01:03:48Z |
| publishDate | 2021-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Contemporary Clinical Trials Communications |
| spelling | doaj.art-3f0308b57af04f44ba510b0db5e56b8b2022-12-21T22:09:20ZengElsevierContemporary Clinical Trials Communications2451-86542021-09-0123100824Feasibility and efficacy of a pilot family model of diabetes self-management intervention in the Republic of the Marshall IslandsJennifer A. Andersen0Holly Felix1James Selig2Brett Rowland3Wana Bing4Jonell Hudson5Jack Niedenthal6Henry Otuafi7Sheldon Riklon8Edlen Azures9Ainrik George10Pearl A. McElfish11College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, 72703, USAFay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, 72205, USAFay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, 72205, USAOffice of Community Health and Research, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, 72703, USAOffice of Community Health and Research, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, 72703, USACollege of Pharmacy, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, 72703, USARepublic of the Marshall Islands Ministry of Health & Human Services, Majuro, 96960, MH, USARepublic of the Marshall Islands Ministry of Health & Human Services, Majuro, 96960, MH, USACollege of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, 72703, USARepublic of the Marshall Islands Ministry of Health & Human Services, Majuro, 96960, MH, USARepublic of the Marshall Islands Ministry of Health & Human Services, Majuro, 96960, MH, USACollege of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, 72703, USA; Corresponding author.Background: The Republic of the Marshall Islands (RMI) faces numerous health disparities, including one of the highest prevalence of type 2 diabetes mellitus (T2DM) in the world. Diabetes self-management education and support (DSMES) has shown efficacy in improving glycemic control and through increases in knowledge and self-management activities; however, there is limited research on DSMES in the RMI. This study evaluated the feasibility and efficacy of a culturally adapted family model of DSMES (F-DSMES) in the RMI. The F-DSME included 8 h of group educational classes delivered in churches by a community health worker. Methods: This pilot study assessed retention and dosage rates (e.g., class attendance) among the participants with T2DM (n = 41). Efficacy was evaluated by examining pre- and post-intervention differences in HbA1c, knowledge, family support, and self-management activities among those who completed the post-intervention data collection (n = 23). Results: The results indicate completion of post-intervention data collection and attendance were associated; 70% of participants who completed the post-intervention data collection received at least 6 h of intervention compared to 3 h for those who did not. Although the reduction in HbA1c was not statistically significant, participants demonstrated statically significant increases in knowledge, family support, and an increase in self-management including in checking of blood glucose and feet. Conclusions: This study provides important information to help address T2DM disparities in the RMI, including the feasibility and efficacy of F-DSMES. Additional research will help in understanding how to translate improvements in knowledge, family support, and self-management activities into improvements in HbA1c. This may include addressing social ecological factors that affect glycemic control.http://www.sciencedirect.com/science/article/pii/S2451865421001253Type 2 diabetes mellitusDiabetes self-management educationHbA1cPre- and post-interventionMarshallese |
| spellingShingle | Jennifer A. Andersen Holly Felix James Selig Brett Rowland Wana Bing Jonell Hudson Jack Niedenthal Henry Otuafi Sheldon Riklon Edlen Azures Ainrik George Pearl A. McElfish Feasibility and efficacy of a pilot family model of diabetes self-management intervention in the Republic of the Marshall Islands Contemporary Clinical Trials Communications Type 2 diabetes mellitus Diabetes self-management education HbA1c Pre- and post-intervention Marshallese |
| title | Feasibility and efficacy of a pilot family model of diabetes self-management intervention in the Republic of the Marshall Islands |
| title_full | Feasibility and efficacy of a pilot family model of diabetes self-management intervention in the Republic of the Marshall Islands |
| title_fullStr | Feasibility and efficacy of a pilot family model of diabetes self-management intervention in the Republic of the Marshall Islands |
| title_full_unstemmed | Feasibility and efficacy of a pilot family model of diabetes self-management intervention in the Republic of the Marshall Islands |
| title_short | Feasibility and efficacy of a pilot family model of diabetes self-management intervention in the Republic of the Marshall Islands |
| title_sort | feasibility and efficacy of a pilot family model of diabetes self management intervention in the republic of the marshall islands |
| topic | Type 2 diabetes mellitus Diabetes self-management education HbA1c Pre- and post-intervention Marshallese |
| url | http://www.sciencedirect.com/science/article/pii/S2451865421001253 |
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