Dataset Information

Lessons learned from the pilot family model of diabetes self-management intervention in the Republic of the Marshall Islands.

ABSTRACT:

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.

SUBMITTER: Andersen JA

PROVIDER: S-EPMC9929673 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature

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Publications

Lessons learned from the pilot family model of diabetes self-management intervention in the Republic of the Marshall Islands.

Andersen Jennifer A JA Purvis Rachel S RS Scott Aaron J AJ Henske Joseph J Edem Dinesh D Selig James P JP Hudson Jonell J Bing Williamina Ioanna WI Niedenthal Jack J Otuafi Henry H Riklon Sheldon S Anzures Edlen E George Ainrik A Alik Derek D McElfish Pearl A PA

Contemporary clinical trials communications 20230206

<h4>Background</h4>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.<h4>Methods</h4>Recruitment took place in four churches in Majuro and included 10 h of content d ...[more]

PMID: 36817737

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Dataset Information

Lessons learned from the pilot family model of diabetes self-management intervention in the Republic of the Marshall Islands.

Background

Methods

Results

Conclusion

Publications

Lessons learned from the pilot family model of diabetes self-management intervention in the Republic of the Marshall Islands.

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