Download or read book Feasibility of an Educational and Psychosocial Intervention Targeting Self regulation Strategies in Adults with Type 2 Diabetes Mellitus written by Katlyn M. Pawelczyk and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Type 2 diabetes mellitus (T2DM) remains a significant public health concern. Few lifestyle intervention trials have evaluated the effectiveness of a self-regulatory approach to an educational lifestyle program for adults with T2DM. Self-regulation encompasses mechanisms, which describe deliberate and subconscious methods individuals use to pursue and attain goals. Goal Setting Theory (GST) and the Health Action Process Approach (HAPA) examine specific theoretical constructs: what motivates a person to initiate behavior change, how they take action, and how they maintain action. Psychological self-regulation models like Hope Theory and Construal Level Theory (CLT) aim to expose the fluctuations in the mental process of behavioral change which lead to failure or success in goal pursuit and attainment. Educational interventions incorporating behavior change theories and self-regulation principles could provide more effective T2DM management. Objective: To evaluate theoretical determinants, and behavioral and clinical outcomes before and after a group-based lifestyle intervention targeting self-regulation strategies in adults with T2DM; the Pathways Lifestyle Program (PLP). Methods: PLP is a novel, interdisciplinary lifestyle intervention built upon Goal Setting Theory, Health Action Process Approach, and self-regulatory techniques. The 10-week intervention emphasized nutrition and physical activity education combined with strategies and support for overcoming obstacles faced during behavior change. Goals for the intervention included: (1) consume = 3 low glycemic index (GI) servings/day; (2) achieve = 150 minutes/week of moderate-to-vigorous intensity physical activity (MVPA); and (3) achieve or maintain an A1c of = 7.0% via fingerstick sample. Overweight or obese participants (n=19) aged >21 years old, diagnosed with T2DM >1 year, and not requiring insulin therapy were recruited. Three, 24-hour dietary recalls were used to assess dietary intake, and wrist-worn accelerometry assessed change in MVPA. Results: Significant changes for action and coping planning, action self-efficacy, hope, percentage of time spent sedentary, and diastolic blood pressure were observed from pre- to post-intervention (all p =0.05). Increases in MVPA trended towards significance (p=0.07). Mean (±SE) change in total GI (-2.67±1.92; p=0.19) and glycemic load (-23.5±14.93;p=0.14) indicated improvement although were not statistically significant. There were no significant changes in consumption of low GI servings, body mass index, or A1c. Conclusions: Feasibility and proof of concept regarding an integrated theoretical approach to lifestyle change was successfully demonstrated in this preliminary study. Additional research is needed to fully implement the intervention with a sample size adequately powered to evaluate intervention efficacy. Results from this study suggest that with modification, a larger, randomized control trial has high likelihood of success.
Download or read book Psychosocial Care for People with Diabetes written by Deborah Young-Hyman and published by American Diabetes Association. This book was released on 2012-12-25 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychosocial Care for People with Diabetes describes the major psychosocial issues which impact living with and self-management of diabetes and its related diseases, and provides treatment recommendations based on proven interventions and expert opinion. The book is comprehensive and provides the practitioner with guidelines to access and prescribe treatment for psychosocial problems commonly associated with living with diabetes.
Download or read book Effects of Adults Self regulation of Diabetes on Quality of Life Outcomes written by Kenneth Wayne Watkins and published by . This book was released on 1999 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Psychology in Diabetes Care written by Frank J. Snoek and published by John Wiley & Sons. This book was released on 2007-06-29 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychosocial issues have long been acknowledged to have a crucial role in the successful treatment of people with diabetes. An understanding of these issues can enable health care professionals to assist their patients effectively. The second edition of the acclaimed title Psychology in Diabetes Care gives background information and practical guidelines needed by healthcare professionals to address the cognitive, emotional and behavioural issues surrounding diabetes management. The book bridges the gap between psychological research on self-care and management of diabetes, and the delivery of care and services provided by the diabetes care team. Written jointly by psychologists active in diabetes research and practising clinicians, Psychology in Diabetes Care, Second Edition provides a practical evidence-based approach to intervention in diabetes care.
Download or read book Self efficacy Self regulation and Physical Activity Behavior in Type 2 Diabetes written by and published by . This book was released on 2014 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Biopsychosocial Outcomes of a Resilience and Diabetes Self management Education Intervention in African American Adults with Type 2 Diabetes written by Madonna Marie Mamerow and published by . This book was released on 2008 with total page 406 pages. Available in PDF, EPUB and Kindle. Book excerpt: Type 2 diabetes (T2DM) currently affects more than three million African American adults with double the number expected by 2025. The most effective and safest treatment for T2DM is lifestyle change therapy, including healthful eating, monitoring of blood glucose, and physical activity. However, current lifestyle change interventions are limited in their scope to alter the behaviors of individuals to more healthful ones. These limitations may be attributed, in part, to a lack of attention given to enhancing an individual's psychosocial process variables, such as resilience, coping skills, selfleadership, and empowerment. Incorporating resilience education into lifestyle change therapies is a novel approach that addresses the behavior modification limitations of current interventions by aiming to enhance psychosocial process variables. Therefore, the purpose of this project was to conduct a six-month pilot study to determine the feasibility of our resilience and diabetes self-management intervention, The Diabetes Coaching Program: Transforming Lives Through Resilience Education, in a convenience sample of African American adults (n=16) with T2DM. The intervention included four weekly resilience and diabetes education classes and eight bi-weekly support group sessions. Survey data and blood samples were collected at baseline and at six months. Twelve participants completed the study (75% retention). Results indicated that higher perceived stress scores were associated with less resilience, fewer adaptive coping skills, lower selfleadership, lower diabetes empowerment and greater depressive symptoms. However, diabetes empowerment was the only psychosocial process variable to be significantly enhanced by the intervention at six months. Weight, BMI, HbA1c, total cholesterol, LDL cholesterol, blood pressure, and IGF-1 levels were significantly decreased at six months, whereas, lymphocyte proliferation and physical activity were significantly increased. These data indicate that our intervention has the potential to improve diabetes selfmanagement among African Americans with T2DM and increase positive health outcomes, though further studies are needed to confirm these findings. Additionally, several lessons were learned from conducting the pilot study that may be useful for improving the intervention for future studies, including: recruitment and retention strategies; cultural competency issues; the use of complementary and alternative medicine practices by African Americans with T2DM; and approaches for increasing participant self-assessment and goal-setting.
Download or read book Combining the Common Sense Model Cognitive Behavioral Principles and Real World Experience to Promote Type 2 Diabetes Self management written by Jessica Samantha Yu and published by . This book was released on 2016 with total page 110 pages. Available in PDF, EPUB and Kindle. Book excerpt: Type 2 diabetes mellitus (T2DM) is a chronic and progressive medical condition that has reached pandemic levels, currently affecting 368 million people worldwide. With previous research demonstrating that T2DM is largely irreversible, the focus is now on developing and disseminating structured diabetes self-management education and support (DSME) programs to help patients live as healthfully as possible without exacerbating their illness. In recent years, several DSME interventions have demonstrated clinically meaningful changes in T2DM patients; however, there appears to be little translation of these programs from research into real world settings because these settings often lack clear blueprints for how to create or implement DSME programs that best fit their organizational needs and structure. Thus, the current study aimed to address this research-practice gap through the development of a brief, theoretically-driven, and behaviorally-focused group-based DSME curriculum for use in real world settings. Phase 1 of the study entailed concentrated efforts to join behavioral health researchers, community health leaders, and T2DM experts in combining the Common Sense Model of Self-Regulation (a prominent health behavior theory), cognitive behavioral principles, and current guidelines from the American Diabetes Association into a novel DSME curriculum. Phase 2 of the study then focused on implementing the resulting four-session curriculum, An Active Approach to Diabetes Self-Management, in local community centers and examining its early acceptability, feasibility, and effectiveness in producing clinical and psychosocial outcomes of interest. A total of 22 adults with T2DM, ranging in age from 35 to 87 years, were recruited from four community organizations and entered into four separate groups. Results indicate statistically significant improvements in participants' glycemic control, diabetes knowledge, and diabetes self-efficacy over the course of the study. In addition, results indicate that both participants and community liaisons were highly satisfied with the intervention. These findings contribute to the field's growing knowledge of how best to capitalize on clinical, research, and real world expertise to design thoughtful and practical DSME programs.
Download or read book The American Diabetes Association JDRF Type 1 Diabetes Sourcebook written by Anne L. Peters and published by American Diabetes Association. This book was released on 2013-03-29 with total page 729 pages. Available in PDF, EPUB and Kindle. Book excerpt: The American Diabetes Association/JDRF Type 1 Diabetes Sourcebook serves as both an evidence-based reference work and consensus report outlining the most critical components of care for individuals with type 1 diabetes throughout their lifespan. The volume serves not only as a comprehensive guide for clinicians, but also reviews the evidence supporting these components of care and provides a perspective on the critical areas of research that are needed to improve our understanding of type 1 diabetes diagnosis and treatment. The volume focuses specifically on the needs of patients with type 1 diabetes and provides clear and detailed guidance on the current standards for the optimal treatment of type 1 diabetes from early childhood to later life. To accomplish the book’s editorial goals, Editors-in-Chief, Drs. Anne Peters and Lori Laffel, assembled an editorial steering committee of prominent research physicians, clinicians, and educators to develop the topical coverage. In addition, a Managing Editor was brought on to help the authors write and focus their chapters.
Download or read book Connecting the System to Enhance the Practitioner and Consumer Experience in Healthcare written by E. Cummings and published by IOS Press. This book was released on 2018-08-30 with total page 206 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health informatics plays a central role in the digital transformation of the healthcare sector. The integration and connection of health services, practitioners and consumers is critical to the realisation of the improvements promised by digital health, and the secondary use of health data has led to ground-breaking research discoveries. Increased reliance upon all types of digital media has also established health informatics as a viable specialisation in healthcare. This book presents the proceedings of the 26th national Health Informatics Conference (HIC 2018), Australia’s premier health informatics event, held in Sydney, Australia, in July/August 2018. The conference provides an environment for clinicians, researchers, health IT professionals, industry and consumers to integrate, educate and share the knowledge which drives innovative thinking, and this year’s theme, ‘Today’s best practice, innovation today and preparing for tomorrow’, focuses on the important issues of connecting the system, being smart with data, and enhancing the practitioner and consumer experience in healthcare interactions. The papers presented here reflect this theme, highlighting cutting-edge research evidence, technology updates and innovations from the digital transformation of the healthcare sector. Covering a wide spectrum of work, and encompassing major theoretical concepts, examples of key applications of new technologies and important new developments in the field of health informatics, the book will be of interest to all those working in the healthcare sector.
Download or read book Feasibility of a Culturally tailored Type 2 Diabetes Self management Intervention for Latinos in Ohio written by Melissa Solano and published by . This book was released on 2020 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Purpose: The purpose of this study was to determine the feasibility of implementing a culturally-tailored DSMES curriculum for Latinos with Type 2 Diabetes Mellitus (T2DM) in central Ohio.
Download or read book ADA The Complete Nurse s Guide to Diabetes Second Edition written by Belinda Childs and published by American Diabetes Association. This book was released on 2009-05-27 with total page 596 pages. Available in PDF, EPUB and Kindle. Book excerpt: What every nurse must know about diabetes Complete Nurse’s Guide to Diabetes Care is a comprehensive resource for all nurses who work with diabetes patients. Extensively revised, it offers expert advice on the fundamentals of diabetes care and related nursing issues.
Download or read book The Development and Feasibility of a Culturally Tailored Malaysian Diabetes Education Intervention Using Motivational Interviewing MY DEUMI for People Newly Diagnosed with Type 2 Diabetes Mellitus written by Arbaktun Mardiah Mohamed and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Following recruitment of people with newly diagnosed T2DM from primary care clinics and community centres in Malaysia, the MY DEUMI intervention was evaluated in a small pre-post feasibility study (N=30). The result indicates evidence of feasibility for the intervention and a positive impact on metabolic control and selfefficacy. Moreover, the study suggests that the group-based approach for the delivery of diabetes education is acceptable among the multicultural community in Malaysia. Exit interviews suggested that participants valued the psychological approach which helped improve self-efficacy for their diabetes self-management.
Download or read book Psychology and Diabetes Care written by Katharine D. Barnard and published by Springer Science & Business Media. This book was released on 2012-01-15 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychology and Diabetes Care: A Practical Guide is a concise handbook for the practicing diabetes clinician who is interested in gaining a better understanding of his patients, and in learning simple skills and tips to manage patients more effectively. It identifies and explores key psychological interventions in diabetes care in order to help healthcare professionals support their patients effectively. Edited by an expert on the psychology of diabetes, and with contributions from a group of specialists in diabetes psychology, this book contains a myriad of insights into how to understand and treat the type 1 or type 2 diabetes patient.
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 Using the Transtheoretical Model to Guide Adults with Type 2 Diabetes as They Change Their Behavior to Adopt and Adhere to a More Active Lifestyle written by Tracy Gedies and published by . This book was released on 2000 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Physical activity or exercise is recognized and recommended as part of the treatment protocol for persons with Type 2 diabetes in diabetes education programs. Unfortunately, participants in these programs seldom receive adequate direction or strategies necessary to develop a commitment to regular activity and thus, are subject to high relapse and attrition rates. As a result, the quality of life they might enjoy is sacrificed. Therefore, the purpose for conducting this qualitative study was to design, implement and examine the impact of a strategy oriented education intervention on adults with Type 2 diabetes using the transtheoretical model of behavior change in conjunction with the empowerment ideology and Pratt's relational construct of andragogy. Based on this premise, the specific intent of the intervention was to guide adults with Type 2 diabetes from preparation into the action stage of behavior change to incorporate physical activity into their lifestyle using a pedometer for feedback as part of their diabetes self-management routine. The contemporary research paradigm using a case study approach was used to frame the examination of the strategy oriented education intervention and its effects on the behavior change process of adults with Type 2 diabetes. From a methodological viewpoint, this approach proved to be instrumental in allowing me as the practitioner researcher to: (1) explore in great detail each experience, including my own, individually and collectively; (2) develop a comprehensive understanding of the behavior change process and the impact of teaching and empowering adults as adult learners; and (3) the effect a change in physical activity might have on the perception of quality of life, well-being, and/or health status of those with Type 2 diabetes. The evolution of a behavior change/health promotion using andragogy in relation model guided me in this study to help four individuals with Type 2 diabetes improve their activity level an average of 2127 steps per day as well as improve a number of their health related measures. Concurrently, the same individuals reported a positive change in their quality of life; thus, suggesting the inclusion of physical activity in their daily routine had a positive impact and was a welcome addition to their diabetes self-management strategies.
Download or read book Achieving Efficient Diabetes Care Now Through Understanding the Risk Factors Markers and Patient s Experiences written by Boon-How Chew and published by Frontiers Media SA. This book was released on 2022-04-22 with total page 123 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Utilization of a Standardized Diabetes Self management Education Program in the Management of Type 2 Diabetes written by Stephanie Omotayo and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: " It is essential that appropriate mental health support is targeted to support people with eating disorders who have anxiety. The purpose of this evidence-based practice (EBP) change project was to implement Purpose: The purpose of this evidence-based change project was to provide diabetes self-management education (DSME) to participants in a federally qualified health clinic (FQHC) to increase patient knowledge of diabetes self-management behaviors and decrease fasting blood glucose levels. Methods: Thirteen adults with uncontrolled Type 2 Diabetes; able to read, write, and speak English; and who had access to a telephone and a computer or tablet with a stable internet connection were voluntarily recruited at a FQHC. Four bi-weekly DSME one-on-one virtual sessions lasting one hour occurred over a nine-week period, with a 30-minute follow-up phone session during weeks when DSME was not scheduled. Using a pretest/posttest approach, participants' diabetes self-management knowledge, using the Revised Michigan Diabetes Knowledge Scale (RMDKS), and fasting blood glucose were measured before and after the educational intervention session. Statistical analysis utilized a paired t-test for comparison. Results: The data showed a statistically significant post-intervention improvement in both patients' diabetes knowledge with a mean pretest knowledge score of 60% and mean posttest score of 77% (p
