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 sampleSocial Support for Self-Care: Patient Strategies for Managing Diabetes and Hypertension in Rural Uganda
Tusubira AK, Nalwadda CK, Akiteng AR, Hsieh E, Ngaruiya C, Rabin TL, Katahoire A, Hawley NL, Kalyesubula R, Ssinabulya I, Schwartz JI, Armstrong-Hough M. Social Support for Self-Care: Patient Strategies for Managing Diabetes and Hypertension in Rural Uganda. Annals Of Global Health 2021, 87: 86. PMID: 34458110, PMCID: PMC8378074, DOI: 10.5334/aogh.3308.Peer-Reviewed Original ResearchConceptsNon-communicable diseasesSelf-care practicesPrescribed medicinesConventional medicinePatient's social support networkRural UgandaSelf-care activitiesBlood sugar levelsCross-sectional qualitative studyResource-limited settingsSelf-care effortsSocial support networksSocial supportNCD clinicsNineteen patientsAdult patientsHealth facilitiesPatientsPatient strategiesManaging diabetesHypertensionSelf-CareDiabetesDiagnostic testsLow-income countriesImproving services for chronic non‐communicable diseases in Samoa: an implementation research study using the care cascade framework
Fraser‐Hurt N, Naseri LT, Thomsen R, Matalavea A, Ieremia‐Faasili V, Reupena MS, Hawley NL, Pomer A, Rivara AC, Obure DC, Zhang S. Improving services for chronic non‐communicable diseases in Samoa: an implementation research study using the care cascade framework. Australian And New Zealand Journal Of Public Health 2021, 46: 36-45. PMID: 34309937, DOI: 10.1111/1753-6405.13113.Peer-Reviewed Original ResearchConceptsChronic non-communicable diseasesNon-communicable diseasesChronic care servicesCare continuumNon-communicable disease burdenImplementation research studyEffective primary preventionContinuity of careMedical record dataHealth system redesignHealth service redesignBetter health communicationHypertension prevalenceBlood pressureHypertensive individualsHypertension patientsPrimary preventionNutritional interventionDisease burdenEffective patientTracer conditionsPrimary healthcarePatient needsTreatment supportCare services
2020
Assessing the impact of high blood pressure referrals on hypertension awareness and management, BMI, and blood pressure values in adult Samoans 2010–2019
Rivara AC, Pomer A, Naseri T, Reupena MS, Viali S, Choy CC, McGarvey ST, Hawley NL. Assessing the impact of high blood pressure referrals on hypertension awareness and management, BMI, and blood pressure values in adult Samoans 2010–2019. Annals Of Human Biology 2020, 47: 597-601. PMID: 32924611, PMCID: PMC8180238, DOI: 10.1080/03014460.2020.1822914.Peer-Reviewed Original ResearchConceptsElevated blood pressureBody mass indexBlood pressureNon-communicable diseasesMedication usePhysician diagnosisRisk factorsLong-term health improvementsHypertension medication useBlood pressure valuesNCD risk factorsHypertension controlCardiometabolic healthHypertension awarenessMass indexAdult SamoansHealth referralsDisease burdenReduced oddsBP valuesSamoan adultsReferralLogistic regressionHealth sector actorsMcNemar testSelf-care practices and needs in patients with hypertension, diabetes, or both in rural Uganda: a mixed-methods study
Tusubira A, Nalwadda C, Akiteng A, Armstrong-Hough M, Hsieh E, Ngaruiya C, Rabin T, Hawley N, Lipska K, Kalyesubula R, Ssinabulya I, Schwartz J. Self-care practices and needs in patients with hypertension, diabetes, or both in rural Uganda: a mixed-methods study. The Lancet Global Health 2020, 8: s19. DOI: 10.1016/s2214-109x(20)30160-1.Peer-Reviewed Original ResearchNon-communicable diseasesSelf-care practicesPhysical activityManagement of NCDsDaily vigorous physical activityEssential NCD medicinesRural UgandaMost respondentsModerate physical activityMixed-methods studyVigorous physical activitySelf-care programFocus group discussionsNCD clinicsAdult patientsMost patientsSwollen footPatient adherenceSaharan AfricaMean ageNCD medicinesNCD patientsWeight managementAlcohol abstinenceHealth facilitiesDevelopment of a discrete choice experiment to understand patient preferences for diabetes and hypertension management in rural Uganda
Moor S, Tusubira A, Akiteng A, Hsieh E, Ngaruiya C, Rabin T, Hawley N, Lipska K, Armstrong-Hough M, Nalwadda C, Nugent R, Kalyesubula R, Ssinabulya I, Schwartz J. Development of a discrete choice experiment to understand patient preferences for diabetes and hypertension management in rural Uganda. The Lancet Global Health 2020, 8: s22. DOI: 10.1016/s2214-109x(20)30163-7.Peer-Reviewed Original ResearchNon-communicable diseasesPatient preferencesHealth facilitiesCommon non-communicable diseasesRural UgandaCause of deathHealth care providersHealth service deliveryFormative qualitative researchAvailability of medicinesPeer support groupsHealth care systemPublic health officialsHypertension managementMiddle-income countriesRural patientsDiscrete choice experimentExpert consensusNakaseke districtPatientsCommunicable diseasesDiabetesLow-income countriesInternational content expertsHealth officials
2017
Conceptions of pregnancy health and motivations for healthful behavior change among women in American Samoa
Kocher EL, Lamb J, McGarvey ST, Faiai M, Muasau-Howard BT, Hawley NL. Conceptions of pregnancy health and motivations for healthful behavior change among women in American Samoa. Women And Birth 2017, 31: e32-e41. PMID: 28662836, DOI: 10.1016/j.wombi.2017.06.011.Peer-Reviewed Original ResearchConceptsNon-communicable diseasesAmerican Samoan womenBehavior changeHealthful behavior changeObesity-related non-communicable diseasesHealth behavior interventionsPre-contemplative stagePregnancy healthBehaviour change interventionsPregnancyEfficacious interventionsHealthy behaviorsHealthful behaviorsBalanced dietWomenSamoan womenChange interventionsInterventionBehavior interventionsBabiesHealthSocial supportIdeal timeProtective treatmentThematic analysisExploring Knowledge and Attitudes toward Non-Communicable Diseases among Village Health Teams in Eastern Uganda: A Cross-sectional Mixed Methods Study
Ojo T, Hawley N, Desai M, Guwatudde D, Schwartz J. Exploring Knowledge and Attitudes toward Non-Communicable Diseases among Village Health Teams in Eastern Uganda: A Cross-sectional Mixed Methods Study. Annals Of Global Health 2017, 83: 180. DOI: 10.1016/j.aogh.2017.03.408.Peer-Reviewed Original Research
2016
The growing threat of non-communicable disease to pregnancy health
Hawley N. The growing threat of non-communicable disease to pregnancy health. Pacific Journal Of Reproductive Health 2016, 1 DOI: 10.18313/pjrh.2016.909.Peer-Reviewed Original ResearchNon-communicable diseasesChild health effortsPrevalence of obesityRelated non-communicable diseasesSkilled health providersChronic hypertensionObstetric populationMaternal deathsNewborn deathsPregnancy healthPregnant womenGlobal maternalHealth effortsHealth providersAdequate nutritionEssential medicinesDiseaseDeathHypertensionPrematurityObesityDiabetesMaternalMortalityPrevalence
2015
Obesity and Diabetes in Pacific Islanders: the Current Burden and the Need for Urgent Action
Hawley NL, McGarvey ST. Obesity and Diabetes in Pacific Islanders: the Current Burden and the Need for Urgent Action. Current Diabetes Reports 2015, 15: 29. PMID: 25809458, DOI: 10.1007/s11892-015-0594-5.Peer-Reviewed Original Research