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Journal of Diabetes Research
Volume 2016 (2016), Article ID 7913258, 8 pages
http://dx.doi.org/10.1155/2016/7913258
Research Article

Social Support Groups in the Maintenance of Glycemic Control after Community-Based Intervention

1Department of Native Hawaiian Health, John A. Burns School of Medicine, University of Hawai‘i at Mānoa, 651 Ilalo Street, MEB 307L, Honolulu, HI 96813, USA
2Office of Biostatistics & Quantitative Health Sciences, John A. Burns School of Medicine, University of Hawai‘i at Mānoa, 651 Ilalo Street, MEB 211, Honolulu, HI 96813, USA
3Kula no na Po‘e Hawai‘i, P.O. Box 2368, Honolulu, HI 96823, USA
4Kōkua Kalihi Valley Comprehensive Family Services, 2239 North School Street, Honolulu, HI 96819, USA
5Hawai‘i Maoli, Association of Hawaiian Civic Clubs, P.O. Box 3866, Honolulu, HI 96812, USA
6Ke Ola Mamo, Dillingham Plaza, 1505 Dillingham Boulevard No. 205, Honolulu, HI 96817, USA
7College of Nursing, Washington State University, 1100 Olive Way, Suite 1200, Seattle, WA 98101, USA

Received 8 April 2016; Accepted 30 June 2016

Academic Editor: Bernadette Bartlam

Copyright © 2016 Claire Townsend Ing et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Native Hawaiians and other Pacific Islanders (NH/PI; e.g., Samoan and Chuukese) have higher type 2 diabetes prevalence compared to other groups in Hawai‘i. Partners in Care (PIC), a culturally tailored, community-based, diabetes self-management education intervention (DSME), is effective at improving participants’ glycemic control and self-care behaviors. Maintenance of improvements is challenging. Diabetes-related social support groups (SSG) are a promising maintenance component for DSME. This study examined the effects of a diabetes-specific SSG component relative to a control group, after the receipt of the 3-month PIC intervention, which was delivered to 47 adult NH/PI with type 2 diabetes. Participants were then randomized to either a 3-month, 6-session SSG or a control group. Hemoglobin A1c (HbA1c), blood pressure, triglycerides, cholesterol, and diabetes self-management knowledge and behaviors were assessed at baseline, 3 months, and 6 months. Results indicated significant improvements in HbA1c, diabetes-related self-management knowledge, and behaviors from baseline to 3-month assessment. However, no differences between the SSG and control group from 3-month to 6-month assessment suggest that all participants were able to maintain initial improvements. The SSG group had a significant decrease in systolic blood pressure from 3-month to 6-month assessment while the control group did not. Study limitations and future directions are discussed.