Download or read book Evaluation of the Effects of an Educational Intervention on the Knowledge and Health Beliefs in Patients with Non insulin dependent Diabetes Mellitus NIDDM written by Christine A. Schurter and published by . This book was released on 1995 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Evaluation of the Effects of Community based Diabetic Education In patient Diabetic Education and Social Support on Diabetic Management Behaviors and Knowledge Related to Diabetes written by Patricia Savitski and published by . This book was released on 1982 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Effects of a Peer led Educational Intervention on Support Resources Self effcacy Depression Beliefs and Self management Behaviors in Latinos with Type 2 Diabetes written by and published by . This book was released on 2013 with total page 47 pages. Available in PDF, EPUB and Kindle. Book excerpt: Type 2 diabetes mellitus (T2DM) affects roughly 20 million individuals in the US and this amount is projected to more than double by the year 2034. Latinos are at disproportionately greater risk for developing T2DM and often exhibit poorer adherence to diabetes self-management recommendations, and in turn, worse glycemic control and more diabetes-related complications, compared to non-Latino Whites. Project Dulce was a randomized controlled trial to investigate the effects of a peer-educator led, culturally-appropriate intervention designed to improve diabetes self-management and glycemic control among Latinos with poorly controlled diabetes. The current project investigated the effects of the Project Dulce intervention on diabetes self-management behavior, support resources, self-efficacy, depressive symptomatology, and culture-based beliefs about diabetes, using the Resources and Supports for Self-Management (RSSM) as a conceptual framework. Study participants (N = 207) completed clinical and self-report assessments at baseline, post-intervention (4 months), and follow-up (10 months). Study hypotheses were evaluated via multi-level models using Hierarchical Linear Modeling (HLM) 6.08. The study aimed to assess whether the Project Dulce peer-education group exhibited greater improvements over time in diabetes self-management behaviors, depressive symptoms, support resources for disease management and self-efficacy, as well as culture-based beliefs about diabetes, compared to the control ("care as usual") group. An exploratory aim of the study investigated whether "dosage" (i.e., classes attended) was associated with greater improvements in the Project Dulce intervention group. Analyses revealed improvements in dietary self-management behaviors, depressive symptomatology, self-efficacy, culture-based beliefs about diabetes, support resources for disease management (i.e., friends and family, healthcare providers, neighborhood, and personal support), and self-efficacy, over time, across groups. Analyses also revealed that Project Dulce group participants showed greater improvements in personal support resources for disease management and endorsed fewer culture-based beliefs about diabetes over time, compared to the control group. Furthermore, "dosage" (attendance) analyses, including only Project Dulce group participants, revealed that greater dosage (i.e., attending more sessions) led to greater improvements over time in support resources for disease management (self and neighborhood support), as well as exercise and blood-glucose checking self-management behaviors, compared to those who attended fewer classes. Although analyses revealed that Project Dulce group participants showed improvements over time with increased attendance, this was not significantly greater than improvements experienced by the control group. Possible explanations for improvements in the control group may relate to participants' motivation for change, or contact with the peer-educator during assessments which may have conveyed support or may have created expectancy effects (i.e., "social desirability effects") leading to biased self-report responding. Findings from "Dosage" analyses (including Project Dulce group participants only) indicate that individuals with type 2 diabetes who enroll in the Project Dulce intervention and attend more classes may experience greater support resources from their neighborhood and self-support, which may lead to improved self-management behavior, compared to individuals who attend fewer classes. Distinction of assessor and interventionist roles, and use of objective behavioral data collection methods, may shed light on the degree to which interventions such as Project Dulce can modify health behavior among this high-risk population.
Download or read book The Effect of Health Education on Clinical and Self reported Outcomes of Diabetes in a Medical Practice written by Karen Rav-Marathe and published by . This book was released on 2014 with total page 172 pages. Available in PDF, EPUB and Kindle. Book excerpt: The four outcome variables of (A1C), (LDLC), (FC), and (PPH) did not constitute one common factor measurement model for outcome evaluation. Results of the Independent sample t-test showed that health educational intervention directly improves knowledge about diabetes. The path analysis of panel regression showed that health educational intervention directly lowers glycated hemoglobin (A1C). The causal modeling of {(Exp_Status)-(K-T2)-(A-T2)-(P-T2)} model showed that health educational intervention also indirectly improves preventive practice via knowledge. The effect of attitude (A-T2) was greater than the effect of knowledge on preventive practice of self-care. The difference-in-differences analysis showed that difference in practice (DP) statistically significantly affects the difference in glycated hemoglobin (DA1C). The greater the preventive practice, the greater the lowering of glycated hemoglobin (A1C), indicating a better control of diabetes. The data from this experiment do not support a strong causal path of experimental effects on outcomes via knowledge, attitude, and practice of self-care. The study should be replicated using the KAP-O model in research based on multi-centers, multiple providers, and a diverse population of Type 2 diabetes patients. The study should assess outcomes more than four times over a period of one to two years to elicit the trajectory of change in outcome variables. Knowledge and attitude should be assessed at baseline and continuously improved for the duration of the study.
Download or read book A Comparison of Intensity of Educational Intervention on Knowledge Attitude Weight and Metabolic Control in Obese Individuals with Type II Non insulin Dependent Diabetes Mellitus written by Gail Ann D'Eramo and published by . This book was released on 1987 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Depression and Diabetes written by Wayne Katon and published by John Wiley & Sons. This book was released on 2011-06-09 with total page 197 pages. Available in PDF, EPUB and Kindle. Book excerpt: In recent years, there has been a growing awareness of the multiple interrelationships between depression and various physical diseases. The WPA is providing an update of currently available evidence on these interrelationships by the publication of three books, dealing with the comorbidity of depression with diabetes, heart disease and cancer. Depression is a frequent and serious comorbid condition in diabetes, which adversely affects quality of life and the long-term prognosis. Co-occurrent depression presents peculiar clinical challenges, making both conditions harder to manage. Depression and Diabetes is the first book devoted to the interaction between these common disorders. World leaders in diabetes, depression and public health synthesize current evidence, including some previously unpublished data, in a concise, easy-to-read format. They provide an overview of the epidemiology, pathogenesis, medical costs, management, and public health and cultural implications of the comorbidity between depression and diabetes. The book describes how the negative consequences of depression in diabetes could be avoided, given that effective depression treatments for diabetic patients are available. Its practical approach makes the book ideal for all those involved in the management of these patients: psychiatrists, psychologists, diabetologists, general practitioners, diabetes specialist nurses and mental health nurses.
Download or read book Disease Control Priorities Third Edition Volume 5 written by Dorairaj Prabhakaran and published by World Bank Publications. This book was released on 2017-11-17 with total page 948 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cardiovascular, respiratory, and related conditions cause more than 40 percent of all deaths globally, and their substantial burden is rising, particularly in low- and middle-income countries (LMICs). Their burden extends well beyond health effects to include significant economic and societal consequences. Most of these conditions are related, share risk factors, and have common control measures at the clinical, population, and policy levels. Lives can be extended and improved when these diseases are prevented, detected, and managed. This volume summarizes current knowledge and presents evidence-based interventions that are effective, cost-effective, and scalable in LMICs.
Download or read book Principles of Diabetes Mellitus written by Leonid Poretsky and published by Springer Science & Business Media. This book was released on 2002 with total page 788 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diabetes mellitus is a very common disease which affects approximately 150,000,000 worldwide. With its prevalence rising rapidly, diabetes continues to mystify and fascinate both practitioners and investigators by its elusive causes and multitude of This textbook is written for endocrinologists, specialists in other disciplines who treat diabetic patients, primary care physicians, housestaff and medical students. It covers, in a concise and clear manner, all aspects of the disease, from its pathogenesis on the molecular and cellular levels to its most modern therapy.
Download or read book Effectiveness of an Educational Program for Clinician s on Adherence of Type II Diabetics and Patient provider Communication written by Darrell Elkin and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Type II diabetes is a progressive and chronic illness largely caused by obesity and lack of exericise. If not properly controlled, diabetes can lead to debilitating complications and premature mortality. In 2007, the Centers for Disease Control (CDC) and Prevention estimated that nearly 24 million adults in the United States had type II diabetes. The number of diabetics in the US tripled between 1980 and 2007. Following current trends, those born in 2000 have a lifetime risk of 1 in 3 of developing diabetes mellitus. In 2007, the total cost of diabetes in the United States was estimated to be $174 billion, with the average diabetic spending 2.3 times more on medical expenses than their non-diabetic peers. Foreground: Increased adherence of Type II, Non-Insulin Dependent Diabetic clients at a local medical clinic within an urban city continues to be a problem. Ineffective communication has been identified as a barrier to effective treatment of diabetes. EBP Framework: the Model for Evidence-Based Practice Change served as the framework for the project. Methods: The aim of the project was to assess the impact of improved patient-clinician communication through an educational program to reinforce the practitioner's awareness of the American Diabetic Associations' clinical practice guidelines for the treatment of type II, diabetes. A volunteer sample of both doctors and advanced practitioners at the clinic attended the educational program; after an eight-week period, 141 medical records were chosen and reviewed. The charts chosen for post-review were done so after the date of the educational intervention. The post review measured the clinician's increased communication, teaching and dialogue with the patient, as evident through their documentation, as well as, post educational laboratory results and weights. Results were measured by comparative analysis. Results: The findings show a positive change; significant improvement in clinician documentation; twenty four percent in A1Cs, 32% in lipid profiles and eleven percent in weights. One hundred percent of the participants perceived that non-adherence to a medical regimen could be directly related to the lack of patient-provider communication. Conclusion: Reviewing clinical practice guidelines make clinician aware of a disease process and help to formulate and effective treatment regimen; one which takes into account the patient's culture, economic status, religion, and understanding of their illness. Such a plan may result in better patient-clinician communication, and in-turn, increase adherence to medical regimens to decrease co-morbidities and increase quality of life. Continued medical education, with more of an emphasis on non-traditional components, such as culture, economics, religion, family dynamics and education, could provide a solid foundation that may transform and exam room into a classroom for the teaching and learning of patients.
Download or read book Innovative Care for Chronic Conditions written by JoAnne Epping-Jordan and published by World Health Organization. This book was released on 2002-06-02 with total page 117 pages. Available in PDF, EPUB and Kindle. Book excerpt: The dramatic increase in chronic conditions, including noncommunicable diseases, mental disorders, and certain communicable diseases such as HIV/AIDS demands creative action. The WHO created this document to alert decision-makers throughout the world about these important changes in global health, and to present health care solutions for managing this rising burden.
Download or read book An Evaluation of Diabetes Care and Education in Patients with Non insulin dependent Diabetes Mellitus written by Christine Pollitt and published by . This book was released on 1990 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Diabetes and Women s Health Across the Life Stages written by Janet Heinrich and published by . This book was released on 2001-10 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The number of persons diagnosed with diabetes increased 5x between 1958 & 1997. More than 16 million Amer. have diabetes, more than half of them women, with the prevalence of diabetes at least 2-4 times higher among women of color. The report looks at the socioeconomic environ. that has contributed to the increase of diabetes & the challenges we face as we seek to educate women about the behavioral changes necessary for prevention. The report is structured to reflect the manifestations of diabetes at different stages of women's life, including the threat of type 1 & the emergence of type 2 diabetes in youth, gestational diabetes among women of childbearing age, & type 2 diabetes as a disease of middle-aged & older women. Charts & tables.
Download or read book Journal of the American Dietetic Association written by and published by . This book was released on 2001 with total page 1012 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Practical Guide written by and published by . This book was released on 2002 with total page 94 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Evaluation of Aggressive Diet Therapy on Health Beliefs and Compliance in Patients with Non insulin Dependent Diabetes Mellitus written by Bridget M. Barrett and published by . This book was released on 1987 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Evidence based Diabetes Care written by Hertzel C. Gerstein and published by PMPH-USA. This book was released on 2001 with total page 600 pages. Available in PDF, EPUB and Kindle. Book excerpt: Evidence-Based Diabetes Care is designed to help clarify the strengths and weaknesses upon which current clinical practice is based. This is a valuable source of important, up-to-date information for all clinicians and researches concerned with improving the quality of life of those affected by diabetes and its subsequent complications. Comprehensive commentary encompasses the areas of diabetes epidemiology, assessment of diagnostic tests, and development and assessment of management options.
Download or read book Dietary Intake and Type 2 Diabetes written by Omorogieva Ojo and published by MDPI. This book was released on 2019-12-05 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: The prevalence of diabetes is on the increase in the UK and worldwide, partly due to changes in lifestyle which predispose individuals to overweight and obesity. It is estimated that about 90% of the currently diagnosed adults have type 2 diabetes, and based on the World Health Organisation (WHO) report, about 422 million adults were living with diabetes in 2014 compared with 108 million in 1980; this condition caused about 1.5 million deaths in 2012. In the United States of America, it is estimated that about 30.3 million adults are living with diabetes, with a further 1.5 million new diabetes cases diagnosed every year, representing an increasing prevalence of this condition. Diabetes represents a major public health challenge, despite advances in technology and the pharmaceutical industry. These problems may be in the form of acute or long-term complications. Therefore, in order to attenuate the problems of diabetes, management strategies usually include lifestyle changes such as increased physical activity and dietary interventions. Studies which evaluate the role of nutrition in the management of type 2 diabetes often involve human and animal models as these approaches enable us to have a broader and more in-depth understanding of the condition. In some cases, diabetes may co-exist with other conditions, such as stroke, and these may present unique challenges with regard to nutritional interventions. This Special Issue aims to evaluate the risk factors associated with type 2 diabetes and the role of the diet in the management of people with this condition. This evidence is drawn from both human and animal studies.
