PMID- 34401596
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240403
IS  - 2451-8654 (Electronic)
IS  - 2451-8654 (Linking)
VI  - 23
DP  - 2021 Sep
TI  - Feasibility and efficacy of a pilot family model of diabetes self-management 
      intervention in the Republic of the Marshall Islands.
PG  - 100824
LID - 10.1016/j.conctc.2021.100824 [doi]
LID - 100824
AB  - 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.
CI  - (c) 2021 Published by Elsevier Inc.
FAU - Andersen, Jennifer A
AU  - Andersen JA
AD  - College of Medicine, University of Arkansas for Medical Sciences Northwest, 
      Fayetteville, AR, 72703, USA.
FAU - Felix, Holly
AU  - Felix H
AD  - Fay W. Boozman College of Public Health, University of Arkansas for Medical 
      Sciences, Little Rock, AR, 72205, USA.
FAU - Selig, James
AU  - Selig J
AD  - Fay W. Boozman College of Public Health, University of Arkansas for Medical 
      Sciences, Little Rock, AR, 72205, USA.
FAU - Rowland, Brett
AU  - Rowland B
AD  - Office of Community Health and Research, University of Arkansas for Medical 
      Sciences Northwest, Fayetteville, AR, 72703, USA.
FAU - Bing, Wana
AU  - Bing W
AD  - Office of Community Health and Research, University of Arkansas for Medical 
      Sciences Northwest, Fayetteville, AR, 72703, USA.
FAU - Hudson, Jonell
AU  - Hudson J
AD  - College of Pharmacy, University of Arkansas for Medical Sciences Northwest, 
      Fayetteville, AR, 72703, USA.
FAU - Niedenthal, Jack
AU  - Niedenthal J
AD  - Republic of the Marshall Islands Ministry of Health & Human Services, Majuro, 
      96960, MH, USA.
FAU - Otuafi, Henry
AU  - Otuafi H
AD  - Republic of the Marshall Islands Ministry of Health & Human Services, Majuro, 
      96960, MH, USA.
FAU - Riklon, Sheldon
AU  - Riklon S
AD  - College of Medicine, University of Arkansas for Medical Sciences Northwest, 
      Fayetteville, AR, 72703, USA.
FAU - Azures, Edlen
AU  - Azures E
AD  - Republic of the Marshall Islands Ministry of Health & Human Services, Majuro, 
      96960, MH, USA.
FAU - George, Ainrik
AU  - George A
AD  - Republic of the Marshall Islands Ministry of Health & Human Services, Majuro, 
      96960, MH, USA.
FAU - McElfish, Pearl A
AU  - McElfish PA
AD  - College of Medicine, University of Arkansas for Medical Sciences Northwest, 
      Fayetteville, AR, 72703, USA.
LA  - eng
PT  - Journal Article
DEP - 20210730
PL  - Netherlands
TA  - Contemp Clin Trials Commun
JT  - Contemporary clinical trials communications
JID - 101671157
PMC - PMC8349743
OTO - NOTNLM
OT  - Diabetes self-management education
OT  - HbA1c
OT  - Marshallese
OT  - Pre- and post-intervention
OT  - Type 2 diabetes mellitus
COIS- The authors have no potential conflicts of interest.
EDAT- 2021/08/18 06:00
MHDA- 2021/08/18 06:01
PMCR- 2021/07/30
CRDT- 2021/08/17 07:33
PHST- 2020/10/26 00:00 [received]
PHST- 2021/07/06 00:00 [revised]
PHST- 2021/07/24 00:00 [accepted]
PHST- 2021/08/17 07:33 [entrez]
PHST- 2021/08/18 06:00 [pubmed]
PHST- 2021/08/18 06:01 [medline]
PHST- 2021/07/30 00:00 [pmc-release]
AID - S2451-8654(21)00125-3 [pii]
AID - 100824 [pii]
AID - 10.1016/j.conctc.2021.100824 [doi]
PST - epublish
SO  - Contemp Clin Trials Commun. 2021 Jul 30;23:100824. doi: 
      10.1016/j.conctc.2021.100824. eCollection 2021 Sep.