PMID- 36817737
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230224
IS  - 2451-8654 (Electronic)
IS  - 2451-8654 (Linking)
VI  - 32
DP  - 2023 Apr
TI  - Lessons learned from the pilot family model of diabetes self-management 
      intervention in the Republic of the Marshall Islands.
PG  - 101086
LID - 10.1016/j.conctc.2023.101086 [doi]
LID - 101086
AB  - BACKGROUND: The Republic of the Marshall Islands (RMI) has a high rate of type 2 
      diabetes mellitus (T2DM). To address the high rate of T2DM, we tested a 
      culturally adapted family model of diabetes self-management education and support 
      (F-DSMES). We report the results of the 12-month post-intervention data 
      collection and describe the lessons learned from the delivery of the F-DSMES 
      intervention. METHODS: Recruitment took place in four churches in Majuro and 
      included 10 h of content delivered over 8-10 weeks. Forty-one participants with 
      T2DM were included. The primary study outcome was glycemic control measured by a 
      change in HbA1c. We also conducted participant interviews to document the 
      participant-reported barriers encountered during the F-DSMES intervention. 
      RESULTS: Participants did not show improvements in their biometric markers; 
      however, participants did show improvement on multiple measures of diabetes 
      knowledge and family support. We identified five areas to improve future 
      interventions: 1) issues with recruitment, retention, and attendance; 2) needing 
      help accessing information and additional healthcare provider counseling; 3) 
      struggles with adhering to diet recommendations; 4) difficulty getting exercise, 
      and 5) improving lessons within the intervention. CONCLUSION: Although the 
      biomarker data did not show improvement, valuable information was gained to 
      improve the development of larger-scale trials. The results provide evidence of 
      the need for these trials and the desire of participants to continue pursuing 
      this effort. Others doing similar work in other low-to-middle income countries 
      will need to take into consideration the potential barriers and facilitators 
      within participants' social and physical environments.
CI  - (c) 2023 The Authors. Published by Elsevier Inc.
FAU - Andersen, Jennifer A
AU  - Andersen JA
AD  - College of Medicine, University of Arkansas for Medical Sciences Northwest, 
      Springdale, AR, 72762, USA.
FAU - Purvis, Rachel S
AU  - Purvis RS
AD  - College of Medicine, University of Arkansas for Medical Sciences Northwest, 
      Springdale, AR, 72762, USA.
FAU - Scott, Aaron J
AU  - Scott AJ
AD  - Office of Community Health and Research, University of Arkansas for Medical 
      Sciences Northwest, Springdale, AR, 72762, USA.
FAU - Henske, Joseph
AU  - Henske J
AD  - College of Medicine, University of Arkansas for Medical Sciences, Little Rock, 
      AR, 72205, USA.
FAU - Edem, Dinesh
AU  - Edem D
AD  - College of Medicine, University of Arkansas for Medical Sciences, Little Rock, 
      AR, 72205, USA.
FAU - Selig, James P
AU  - Selig JP
AD  - Fay W. Boozman College of Public Health, University of Arkansas for Medical 
      Sciences Northwest, Springdale, AR, 72762, USA.
FAU - Hudson, Jonell
AU  - Hudson J
AD  - College of Pharmacy, University of Arkansas for Medical Sciences Northwest, 
      Fayetteville, AR, 72703, USA.
FAU - Bing, Williamina Ioanna
AU  - Bing WI
AD  - Office of Community Health and Research, University of Arkansas for Medical 
      Sciences Northwest, Springdale, AR, 72762, USA.
FAU - Niedenthal, Jack
AU  - Niedenthal J
AD  - Republic of the Marshall Islands Ministry of Health & Human Services, Majuro, MH, 
      96960, USA.
FAU - Otuafi, Henry
AU  - Otuafi H
AD  - Republic of the Marshall Islands Ministry of Health & Human Services, Majuro, MH, 
      96960, USA.
FAU - Riklon, Sheldon
AU  - Riklon S
AD  - College of Medicine, University of Arkansas for Medical Sciences Northwest, 
      Springdale, AR, 72762, USA.
FAU - Anzures, Edlen
AU  - Anzures E
AD  - Republic of the Marshall Islands Ministry of Health & Human Services, Majuro, MH, 
      96960, USA.
FAU - George, Ainrik
AU  - George A
AD  - Republic of the Marshall Islands Ministry of Health & Human Services, Majuro, MH, 
      96960, USA.
FAU - Alik, Derek
AU  - Alik D
AD  - College of Medicine, University of Arkansas for Medical Sciences Northwest, 
      Fayetteville, AR, 72703, USA.
FAU - McElfish, Pearl A
AU  - McElfish PA
AD  - College of Medicine, University of Arkansas for Medical Sciences Northwest, 
      Springdale, AR, 72762, USA.
LA  - eng
PT  - Journal Article
DEP - 20230206
PL  - Netherlands
TA  - Contemp Clin Trials Commun
JT  - Contemporary clinical trials communications
JID - 101671157
PMC - PMC9929673
OTO - NOTNLM
OT  - Diabetes self-management education and support
OT  - Family model
OT  - Intervention
OT  - Republic of the Marshall Islands
OT  - Type 2 diabetes
COIS- The authors declare that they have no known competing financial interests or 
      personal relationships that could have appeared to influence the work reported in 
      this paper.
EDAT- 2023/02/24 06:00
MHDA- 2023/02/24 06:01
PMCR- 2023/02/06
CRDT- 2023/02/23 09:41
PHST- 2022/08/09 00:00 [received]
PHST- 2023/01/25 00:00 [revised]
PHST- 2023/02/02 00:00 [accepted]
PHST- 2023/02/23 09:41 [entrez]
PHST- 2023/02/24 06:00 [pubmed]
PHST- 2023/02/24 06:01 [medline]
PHST- 2023/02/06 00:00 [pmc-release]
AID - S2451-8654(23)00032-7 [pii]
AID - 101086 [pii]
AID - 10.1016/j.conctc.2023.101086 [doi]
PST - epublish
SO  - Contemp Clin Trials Commun. 2023 Feb 6;32:101086. doi: 
      10.1016/j.conctc.2023.101086. eCollection 2023 Apr.