2023
Protocol: Implementation and evaluation of an adolescent-mediated intervention to improve glycemic control and diabetes self-management among Samoan adults
Hawley N, Rivara A, Naseri J, Faumuina K, Potoa’e-Solaita N, Iopu F, Faiai M, Naveno E, Tasele S, Lefale T, Lantini R, Carlson J, Rabin T, Semaia P, Mugadza P, Rosen R. Protocol: Implementation and evaluation of an adolescent-mediated intervention to improve glycemic control and diabetes self-management among Samoan adults. PLOS ONE 2023, 18: e0279084. PMID: 36795707, PMCID: PMC9934313, DOI: 10.1371/journal.pone.0279084.Peer-Reviewed Original ResearchConceptsGlycemic controlPrimary efficacy outcomeCardiovascular risk factorsChronic disease riskType 2 diabetesSelf-care strategiesSelf-care practicesHealth behavior changeBehavior changeEfficacy outcomesUsual careDiabetes InterventionsAdult family membersRisk factorsDiabetes knowledgeSamoan adultsIntervention acceptabilityFamily-centered culturePositive behavior changeDisease riskHealth disparitiesActive interventionDisproportionate riskInterventionEthnic minority groups
2022
Associations between diabetes-related symptoms, glycemic control, and health-related quality of life in adult Samoans
Rivara A, Pomer A, Wetzel A, Viali S, Naseri T, Reupena M, Kershaw E, McGarvey S, Hawley N. Associations between diabetes-related symptoms, glycemic control, and health-related quality of life in adult Samoans. Pacific Health Dialog 2022, 21: 638-655. DOI: 10.26635/phd.2022.142.Peer-Reviewed Original ResearchHealth-related qualityDiabetes-related symptomsGlycemic controlAdult SamoansSymptom presenceDiabetes self-care behaviorsSymptom checklist questionnairesHigh symptom burdenDiabetes-related complicationsMultivariate logistic regressionType 2 diabetesSelf-care behaviorsMann-Whitney U testEarly evaluationChi-square testSymptom burdenDiabetes statusCommon symptomsDiabetes symptomsWhitney U testHeart painSeries of anthropometricHigh prevalenceDiabetes experiencePrediabetes
2021
Cascades of diabetes and hypertension care in Samoa: Identifying gaps in the diagnosis, treatment, and control continuum – a cross-sectional study
LaMonica LC, McGarvey ST, Rivara AC, Sweetman CA, Naseri T, Reupena MS, Kadiamada H, Kocher E, Rojas-Carroll A, DeLany JP, Hawley NL. Cascades of diabetes and hypertension care in Samoa: Identifying gaps in the diagnosis, treatment, and control continuum – a cross-sectional study. The Lancet Regional Health - Western Pacific 2021, 18: 100313. PMID: 35024652, PMCID: PMC8669362, DOI: 10.1016/j.lanwpc.2021.100313.Peer-Reviewed Original ResearchNon-communicable diseasesChronic conditionsCommunity-based primary careCascade of careNational screening campaignPrimary care effortsCross-sectional studyRecent prevalence estimatesHypertension careGlycemic controlMiddle-income countriesInitial diagnosisPrimary careDistrict nursesHigh burdenSamoan adultsHypertensionCare approachDiabetesPrevalence estimatesSignificant burdenUnmet needCare effortsMinority HealthConvenience sample1108-P: Care Cascade Engagement and Characteristics of Diabetes Awareness in Adult Samoans in 2010 and 2018
RIVARA A, RUSSELL E, VIALI S, REUPENA M, NASERI T, POMER A, MINSTER R, WEEKS D, MCGARVEY S, HAWLEY N. 1108-P: Care Cascade Engagement and Characteristics of Diabetes Awareness in Adult Samoans in 2010 and 2018. Diabetes 2021, 70 DOI: 10.2337/db21-1108-p.Peer-Reviewed Original ResearchGlycemic controlMedication useDiabetes awarenessAdult SamoansUnmet needSocioeconomic positionCare cascadeLifestyle scoreDiabetes prevalenceHigher BMICare engagementDiabetes careHigher oddsDisease awarenessLower oddsGreater oddsLogistic regressionDiabetesDoctor's diagnosisTime pointsNational InstituteOddsGenetic variantsDiagnosisCare