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Home / Projects / Empowering Hawai’i’s Homeless: Diabetes and Pre-Diabetes Education and Resilience Initiative

Cohort 2019-2022

Empowering Hawai’i’s Homeless: Diabetes and Pre-Diabetes Education and Resilience Initiative

Empowering Hawai’i’s Homeless: Diabetes and Pre-Diabetes Education and Resilience Initiative
Team Captain: Dee-Ann L. Carpenter, MD
Team Members:
  • Camlyn Masuda, PharmD
  • Francie J. Julien-Chinn, PhD, MSW
  • Aukahi Austin Seabury, PhD
  • Marjorie K. Leimomi Mala Mau, MD, MS
Location: Honolulu, Hawaii
Contact:
Dee-Ann L. Carpenter, MD
deeannc@hawaii.edu
Focus Areas: Diabetes, Housing Insecurity

Wicked Problem Description:

  • Homelessness remains a major public health problem in the state of Hawai’i.
  • Hawai’i has a homeless population of 6,530 individuals and ranked among the top 4 states in the USA with a per capita rate of 46 homeless per 10,000 people (tied with New York).
  • The human and socioeconomic costs of the homeless on Hawai’i’s health care system is substantial.
  • Nearly 25% of all potentially preventable hospitalizations for diabetes or heart failure were due to unstable housing issues.
  • Effective diabetes (DM) and pre-DM management programs for the homeless are sparse or non-existent.

Project Strategies:

  • Our proposed project is guided by a conceptual model that bridges resilience and empowerment within the context of homelessness and DM/pre-DM self-management education.
  • We propose to improve the care of DM and pre-DM for people who are homeless by building individual resilience and then at an interpersonal level by developing empowerment to enact external change.
  • Our immediate goal will focus on educating homeless individuals with DM or pre-DM on empirically tested self-management programs tailored to those who are homeless.
  • The CS Team will train shelter staff and other peer educators to implement the “new” DM/pre-DM self-management education program.

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