Protocol: Implementation and evaluation of an adolescent-mediated intervention to improve glycemic control and diabetes self-management among Samoan adults.
<h4>Background</h4>Diagnoses of Type 2 Diabetes in the United States have more than doubled in the last two decades. One minority group at disproportionate risk are Pacific Islanders who face numerous barriers to prevention and self-care. To address the need for prevention and treatment...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2023-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0279084 |
| _version_ | 1797777439740395520 |
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| author | Nicola L Hawley Anna C Rivara Joshua Naseri Kitiona Faumuina Noelle Potoa'e-Solaita Francine Iopu Mata'uitafa Faiai Eminoni Naveno Susie Tasele Temukisa Lefale Ryan Lantini Jenna C Carlson Tracy L Rabin Penny Semaia Phyllis Mugadza Rochelle K Rosen |
| author_facet | Nicola L Hawley Anna C Rivara Joshua Naseri Kitiona Faumuina Noelle Potoa'e-Solaita Francine Iopu Mata'uitafa Faiai Eminoni Naveno Susie Tasele Temukisa Lefale Ryan Lantini Jenna C Carlson Tracy L Rabin Penny Semaia Phyllis Mugadza Rochelle K Rosen |
| author_sort | Nicola L Hawley |
| collection | DOAJ |
| description | <h4>Background</h4>Diagnoses of Type 2 Diabetes in the United States have more than doubled in the last two decades. One minority group at disproportionate risk are Pacific Islanders who face numerous barriers to prevention and self-care. To address the need for prevention and treatment in this group, and building on the family-centered culture, we will pilot test an adolescent-mediated intervention designed to improve the glycemic control and self-care practices of a paired adult family member with diagnosed diabetes.<h4>Methods</h4>We will conduct a randomized controlled trial in American Samoa among n = 160 dyads (adolescent without diabetes, adult with diabetes). Adolescents will receive either a six-month diabetes intervention or a leadership and life skills-focused control curriculum. Aside from research assessments we will have no contact with the adults in the dyad who will proceed with their usual care. To test our hypothesis that adolescents will be effective conduits of diabetes knowledge and will support their paired adult in the adoption of self-care strategies, our primary efficacy outcomes will be adult glycemic control and cardiovascular risk factors (BMI, blood pressure, waist circumference). Secondarily, since we believe exposure to the intervention may encourage positive behavior change in the adolescent themselves, we will measure the same outcomes in adolescents. Outcomes will be measured at baseline, after active intervention (six months post-randomization) and at 12-months post-randomization to examine maintenance effects. To determine potential for sustainability and scale up, we will examine intervention acceptability, feasibility, fidelity, reach, and cost.<h4>Discussion</h4>This study will explore Samoan adolescents' ability to act as agents of familial health behavior change. Intervention success would produce a scalable program with potential for replication in other family-centered ethnic minority groups across the US who are the ideal beneficiaries of innovations to reduce chronic disease risk and eliminate health disparities. |
| first_indexed | 2024-03-12T23:03:59Z |
| format | Article |
| id | doaj.art-ba00604771a24926ae747149eb94f0c4 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-03-12T23:03:59Z |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-ba00604771a24926ae747149eb94f0c42023-07-19T05:31:37ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01182e027908410.1371/journal.pone.0279084Protocol: Implementation and evaluation of an adolescent-mediated intervention to improve glycemic control and diabetes self-management among Samoan adults.Nicola L HawleyAnna C RivaraJoshua NaseriKitiona FaumuinaNoelle Potoa'e-SolaitaFrancine IopuMata'uitafa FaiaiEminoni NavenoSusie TaseleTemukisa LefaleRyan LantiniJenna C CarlsonTracy L RabinPenny SemaiaPhyllis MugadzaRochelle K Rosen<h4>Background</h4>Diagnoses of Type 2 Diabetes in the United States have more than doubled in the last two decades. One minority group at disproportionate risk are Pacific Islanders who face numerous barriers to prevention and self-care. To address the need for prevention and treatment in this group, and building on the family-centered culture, we will pilot test an adolescent-mediated intervention designed to improve the glycemic control and self-care practices of a paired adult family member with diagnosed diabetes.<h4>Methods</h4>We will conduct a randomized controlled trial in American Samoa among n = 160 dyads (adolescent without diabetes, adult with diabetes). Adolescents will receive either a six-month diabetes intervention or a leadership and life skills-focused control curriculum. Aside from research assessments we will have no contact with the adults in the dyad who will proceed with their usual care. To test our hypothesis that adolescents will be effective conduits of diabetes knowledge and will support their paired adult in the adoption of self-care strategies, our primary efficacy outcomes will be adult glycemic control and cardiovascular risk factors (BMI, blood pressure, waist circumference). Secondarily, since we believe exposure to the intervention may encourage positive behavior change in the adolescent themselves, we will measure the same outcomes in adolescents. Outcomes will be measured at baseline, after active intervention (six months post-randomization) and at 12-months post-randomization to examine maintenance effects. To determine potential for sustainability and scale up, we will examine intervention acceptability, feasibility, fidelity, reach, and cost.<h4>Discussion</h4>This study will explore Samoan adolescents' ability to act as agents of familial health behavior change. Intervention success would produce a scalable program with potential for replication in other family-centered ethnic minority groups across the US who are the ideal beneficiaries of innovations to reduce chronic disease risk and eliminate health disparities.https://doi.org/10.1371/journal.pone.0279084 |
| spellingShingle | Nicola L Hawley Anna C Rivara Joshua Naseri Kitiona Faumuina Noelle Potoa'e-Solaita Francine Iopu Mata'uitafa Faiai Eminoni Naveno Susie Tasele Temukisa Lefale Ryan Lantini Jenna C Carlson Tracy L Rabin Penny Semaia Phyllis Mugadza Rochelle K Rosen Protocol: Implementation and evaluation of an adolescent-mediated intervention to improve glycemic control and diabetes self-management among Samoan adults. PLoS ONE |
| title | Protocol: Implementation and evaluation of an adolescent-mediated intervention to improve glycemic control and diabetes self-management among Samoan adults. |
| title_full | Protocol: Implementation and evaluation of an adolescent-mediated intervention to improve glycemic control and diabetes self-management among Samoan adults. |
| title_fullStr | Protocol: Implementation and evaluation of an adolescent-mediated intervention to improve glycemic control and diabetes self-management among Samoan adults. |
| title_full_unstemmed | Protocol: Implementation and evaluation of an adolescent-mediated intervention to improve glycemic control and diabetes self-management among Samoan adults. |
| title_short | Protocol: Implementation and evaluation of an adolescent-mediated intervention to improve glycemic control and diabetes self-management among Samoan adults. |
| title_sort | protocol implementation and evaluation of an adolescent mediated intervention to improve glycemic control and diabetes self management among samoan adults |
| url | https://doi.org/10.1371/journal.pone.0279084 |
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