Download or read book Patient Knowledge Perceived Self efficacy and Self management Among Patients with Type II Diabetes Mellitus written by Razel Bacuetes Milo and published by . This book was released on 2017 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States (U.S.), Type 2 Diabetes Mellitus (T2DM) has reached epidemic portions with a prevalence of approximately 29.1 million people and is the seventh-leading cause of death (Centers for Disease Control and Prevention [CDC], 2014; Healthy People 2020, n.d.). The U.S. spends an estimated $245 billion in direct and indirect medical costs. The indirect costs include disability and lost productivity (CDC, 2014). Previous studies focusing on diabetes education acknowledge the significance of self-management activities in managing T2DM. Extant studies examining self-management and treatment outcomes for persons with T2DM have paid limited attention to the relationship between patients' disease perceptions, diabetes knowledge, self-efficacy, self-management practices, and glycemic control. The purpose of this investigation was to identify factors and outcomes associated with healthy diabetes self-management practices among a cohort of individuals with T2DM residing in southern California. Nola Pender's Health Promotion Model (Pender et al., 2015) guided the study. Specific aims include: 1) Provide conceptual clarity for the phenomenon of perception through a concept analysis using Walker and Avant (2011) methodology, 2) Identify factors and outcomes associated with diabetes self-management through a systematic review of the literature, and 3) Examine relationships among perceived self-efficacy, specific patient characteristics, diabetic knowledge, self-management practices, and HbA1C values among a sample of individuals with T2DM living in southern California. The research aims provided the structure to generate new scientific data and evidence towards the improvement of self-management practices and those characteristics leading to improved HbA1C outcomes.

Download or read book A Quality Improvement Project to Increase Diabetes Self Efficacy in a Rural Primary Care Clinic Through Patient Utilization of a Diabetic Logbook written by Margo D Sutton and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The prevalence of type 2 diabetes mellitus (T2DM) has increased substantially in the United States in recent years. Teaching self-management to diabetic patients is essential to help them control their chronic disease. Albert Bandura’s theory of self-efficacy is commonly used in chronic disease self-management programs and is the theoretical framework upon which this Doctor of Nursing Practice (DNP) pilot project was built. This evidence-based change in practice project took place in a rural primary care clinic in the central valley of California, and involved the development of a diabetes logbook, which was a tool for patients to use to learn self-management of their disease. The logbook was created in response to an identified gap in knowledge among patients at the clinic. The book was composed based on current evidence in diabetes management and treatment. It was introduced to the patients and a validated tool (Diabetes Self-Efficacy Scale) was used before and after the project to determine the patients’ self-efficacy scores. The project implementation took place over a three-month period of time. Though the number of project participants was small, and difficulties were encountered with follow-up with some patients, overall the pilot project was successful at increasing self-efficacy scores, with a mean pre-project score of 7.57, and a mean post-project score of 8.08, which is an increase of 0.51. The mean Hemoglobin A1c (HbA1c) pre-project was 8.75, and the mean HbA1c post-project was 8.19, indicating a decrease of 0.56. Any decrease in A1c can be seen as clinically significant, as even small reductions can decrease short and long term complications of diabetes. This evidence-based change in practice project met its objective of increasing patients’ perception of diabetic self-management. This project was designed to be translatable to other primary practice settings. Sharing tools that are developed based on the current evidence will help to improve all patient healthcare outcomes.

Download or read book National Print and Electronic News Coverage of Self Management Behaviors and Efficacy for Type 2 Diabetes Mellitus written by Jason D. Sabo and published by . This book was released on 2011 with total page 97 pages. Available in PDF, EPUB and Kindle. Book excerpt: This study addressed the question: "How do news media portray the self-management behaviors for type 2 diabetes mellitus?" Type 2 diabetes is a leading cause of death in the U.S. Disease rates are increasing despite the potential for preventing and delaying disease progression via lifestyle intervention and self-management. This chronic disease has reached epidemic proportions in terms of both diagnosed cases and financial costs. Guided by Witte's (1992) extended parallel processing model, the study implemented a quantitative content analysis of self-management and efficacy messages in national print and electronic news coverage of type 2 diabetes mellitus from 2009 to 2011. Of 666 stories referencing diabetes in that time frame, 14 % (n = 96) discussed self-management. Findings suggest that news stories rarely address self-management behaviors for type 2 diabetes mellitus; the little coverage that does occur does not meet its health-related potential to influence adaptive behavior change for primary and secondary prevention. Less than one third of analyzed stories referenced multiple (three or more) self-management behaviors related to primary and secondary prevention and only one news story explicitly used self-management terminology. Results suggest that self-management for type 2 diabetes has yet to become a newsworthy topic and saliency on the public agenda. Additionally, by failing to address both response efficacy and self-efficacy, stories on diabetes self-management may not effectively motivate relevant health knowledge acquisition and/or health behavior change. Communication processes and trends in news messages on self-management and prevention in type 2 diabetes are discussed.

Download or read book Diabetes Knowledge Self Effecacy Social Support and Diabetes Self management Affecting Type II Diabetes Outcomes In Qataris written by Fatemah Ali Pouladi (RN) and published by . This book was released on 2018 with total page 189 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Type II diabetes mellitus (DM) is increasing worldwide, leading to greater health expenses, and its complications were responsible for 4.6 million deaths in 2011 (International Diabetes Federation [IDF], 2011). This study investigates how diabetes knowledge, self-efficacy, social support, and self-management relate to diabetes control. Self-efficacy and social support were examined, respectively, as a mediator and a moderator. The hypothesis is that there is a directional relationship between the concepts of diabetes knowledge, self-efficacy, social support, self-management, and the outcome, glycemic control. Method: A convenience sample of 259 Qataris with type II diabetes mellitus were recruited from Hamad Medical Corporation’s outpatient clinics and Home Healthcare Services (HHCS) in Qatar. Using a cross-sectional correlational design, correlation/regression coefficient tests were used to examine the relationships among these variables and their effect on the dependent variable, glycemic control. Participants responded to a set of questionnaires independently, via telephone, or in-person interviews. The following instruments were used: the Diabetes Knowledge Test (DKT), Self-Efficacy for Diabetes (SED) scale, Social Support by Medical Outcomes Study (MOS), the Self-Management Profile for Type 2 Diabetes (SMP-T2D), and the patients' glycemic control was measured by glycosylated haemoglobin (HbA1c). The collected data were entered into a computer database and patient confidentiality was strictly maintained. Pearson correlation coefficients, multiple, and hierarchical multiple regression were used to analyze the relationships among the variable; in addition, the mediating effect of self-efficacy, and the moderating effect of social support were tested. Results: The study sample’s age averaged 50.7 years (SD=13.0). The duration of diabetes averaged 9.30 years (SD=8.1); the average blood glucose was 176.8 mg/dl (SD= 77.8), and the average HbA1c was 8.6% (SD= 2.2). There was no relationship between diabetes knowledge, self-efficacy, social support, self-management and glycemic control for adult Qataris with type 2 diabetes. Furthermore, self-efficacy did not mediate the relationship between diabetes knowledge and self-management, nor did social support moderate the relationship between self-management and HbA1c. Conclusion: No relationships were found in this sample of Qatari older adults with type 2 diabetes. Future research is needed with larger samples to examine how these and other cultural factors explain glycemic control in this population.

Download or read book Evaluating the Utilization of a Combination Therapy to Improve Self efficacy and Glycemic Control in Patients with Type Two Diabetes Mellitus and Low Health Literacy written by Crystal Manus Masling and published by . This book was released on 2020 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt: Type 2 diabetes mellitus is a significant health issue, as it requires patients to perform daily self-management activities. One in every three Americans with Type 2 diabetes has limited or low health literacy skills. Limited or low health literacy skills can impact a patient’s overall health outcome; therefore, a critical element for disease management and patient adherence is health literacy. The purpose of this three-month scholarly project was to determine if the utilization of an educational intervention specific to one’s level of health literacy, combined with a short message service reinforcement tool, could improve glycemic control and self-efficacy in Type 2 diabetes mellitus patients with limited and low HL. A sample of four participants was recruited for this scholarly project. Participants completed pre and post self-efficacy and health literacy questionnaires. During the three-month intervention phase, participants interacted with the project leader utilizing the text messaging reinforcement tool. After the three-month intervention phase, participants had an overall 9% increase in self-efficacy confidence, a 42% overall increase in health literacy knowledge, and an overall HbA1c mean value reduction of 0.5%. This combination therapy intervention is easy and convenient for health care providers and Type 2 diabetes mellitus patients with limited or low health literacy. This intervention is an efficient and effective method to improve patients self-efficacy and diabetes knowledge; furthermore, this method improves patient self-management skills, glycemic control, and patient longevity.

Download or read book Diabetes Knowledge and Its Correlation with Self Efficacy Among T2DM Patients written by YU Xingfeng and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: The prevalence of diabetes mellitus (DM) has increased dramatically in the past decades and this trend is expected to be continued. The current adult DM population worldwide is about 420 million [1, 2]. Among all cases, Type 2 diabetes mellitus (T2DM) accounts for more than 90%.As individuals with DM spend most of their time in the community, the individuals take the main responsibility regarding their day-to-day disease management. Hence, diabetic individuals should have sufficient self-management skills. However, ample studies demonstrated that self-management among T2DM patients is suboptimal [3].The international institutions suggest that DM education, which can inevitably improve patientsu2019 DM knowledge, is an effective approach for improving patientsu2019 level of self-management [2]. Self efficacy plays an important role in the development of self-management behaviors as purported by theories and supported by empirical evidences [4, 5].Aim: To investigate the level of DM knowledge and to explore its correlation with self efficacy among T2DM patients.Methods: A cross-sectional study was conducted. One hundred and eighty T2DM patients were recruited from the Endocrinology Department of four university affiliated hospitals in China using convenience sampling.Eligible participants were administered with the self-designed demographic and clinical information sheet, the Chinese version Michigan Diabetes Knowledge Test (DKT-C), and the Chinese version Diabetes Management Self-Efficacy Scale (DMSES).Descriptive statistics were employed to summarize the participantsu2019 demographic and clinical characteristics, and scores of DKT-C and DMSES. Pearson correlation analysis or Spearman correlation analysis was used to examine the correlation between the scores of DKT-C and DMSES.Results: The means and standard deviations of age and DM duration of the participants were 56.5u00b112.1 and 7.6u00b17.3 years, respectively. Only around 21% of the participants had their HbA1c value under 7.0%.Participantsu2019 scores in the general test subscale and insulin use subscale of the DKT-C were 61.8u00b116.4 and 68.9u00b122.23, respectively. The percentage of correct responses among items varied considerably from 26.0% to 87.0%.The average total score of DMSES among participants was 138.9u00b144.4. Pearson correlation analysis showed a significant positive correlation between participantsu2019 score in the insulin use subscale and the total score of the DMSES (r = 0.20, p0.05). However, the correlation did not present between the score in the general test subscale and the total score of the DMSES (r = 0.16, p0.05).Discussion: This study showed that the DM knowledge among T2DM patients was limited, which is consistent with the findings of similar studies. This study also demonstrated that T2DM patientsu2019 score in the insulin use subscale of the DKT-C was positively correlated with the total score of the DMSES, indicating that patients with better insulin use-related knowledge tended to have high level of self efficacy. However, no correlation was found between the score in the general test subscale of the DKT-C and the total score of DMSES. The absence of such correlation may be caused by the fact that patientsu2019 disease knowledge does not always contribute to better self efficacy [6, 7]. As for the correlation between the score of the insulin use subscale and the total score of the DMSES, the significant correlation can be explained by the health belief of Chinese population. Chinese people tend to attribute the good control over diseases to medications rather than to lifestyles including healthy diet and exercises. Therefore, the transformation of insulin use-related knowledge into confidence in conducting proper self-management behaviors could be easier than the transformation of the general DM knowledge to self efficacy.

Download or read book Motivational Interviewing in Diabetes Care written by Marc P. Steinberg and published by Guilford Publications. This book was released on 2015-08-14 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: People with diabetes often struggle to make healthy choices and stay on top of managing their illness. Filling a vital need, this is the first book to focus on the use of motivational interviewing (MI) in diabetes care. The uniquely qualified authors--physician Marc P. Steinberg has devoted much of his career to diabetes care, and renowned clinical psychologist William R. Miller is the codeveloper of MI--present proven counseling techniques that can make any conversation with a patient more efficacious and motivating. Numerous sample dialogues illustrate specific ways to elicit patients' strengths and help them overcome barriers to change in such areas as eating habits, physical activity, medication use, insulin treatment, substance abuse, psychological issues, and more. This book is in the Applications of Motivational Interviewing series, edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers. Winner (First Place)--American Journal of Nursing Book of the Year Award, Adult Primary Care Category

Download or read book Development and Testing of the Diabetes Self management Instrument written by Chiu-Chu Lin and published by . This book was released on 2005 with total page 568 pages. Available in PDF, EPUB and Kindle. Book excerpt:

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 The Daily Self management of Diabetes Mellitus written by Billy Fred Small and published by . This book was released on 2018 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: This study examined the diabetic self-management behavior of low-income, uninsured study participants receiving treatment at the Greenville Free Medical Clinic located in Greenville, South Carolina. The study examined how individual self-perception, self-efficacy and self-empowerment influence the daily self-management of diabetes across different groups of diabetic adults. Aftican American men and women were compared to their non-African American counterparts for insight into why one group is statistically much more likely to mismanage the self-treatment of diabetes. The study's theoretical framework was based on the health belief model and the study design encompasses a purposive convenience type population (n=110) sampling method. The principal investigator analyzed all data collected to better understand how different groups of participants may differ in individual daily diabetic management regimens while focusing mainly on group differences in diabetic self-management, diabetic self-care and overall self-empowerment in African American men and women as compared to non-African American men and women. Keywords: health care disparities, Health Belief Model, diabetes education, behavior attrition

Download or read book Self Management in Chronic Illness written by Jose Frantz and published by Springer Nature. This book was released on 2021-04-20 with total page 193 pages. Available in PDF, EPUB and Kindle. Book excerpt: Self-management is a term that was used as early as the 1960s when it was applied during the rehabilitation of chronically ill children. Subsequently, self-management was applied as formalized programs for a variety of populations and health issues. In reflecting on self-management, it is important to note that it would be difficult for individuals not to be aware of their specific health behaviors, which could include unhealthy behaviors. As self-management has evolved, essential skills identified include behavioral modeling, decision making, planning, social persuasion, locating, accessing and utilizing resources, assisting individuals to form partnerships with their health care providers and taking action. These are key skills that would benefit health professional educators, clinicians and patients. This book, consisting of three parts, provides insights into the aspects of self-management as it relates to its definition and application. It highlights how self-management can be applied to various long-term health conditions, for different populations or target groups and in different contexts. The text provides an overview of self-management and the rationale for its applications by illustrating its use in specific clinical conditions and in different sub-populations and target groups. Academics can use the book as a textbook when teaching postgraduate and undergraduate students about self-management as a technique to facilitate community reintegration for individuals living with long-term conditions. It can also be used by clinicians to enhance their management of individuals with long-term conditions. Furthermore, researchers can use the text to expand and support their research in this area.

Download or read book Environmental Barriers Self efficacy and the Direct and Indirect Effects of Diabetes specific Cultural Beliefs on Health Status in a Community Sample of Diabetic Patients written by Lise Flores and published by . This book was released on 2004 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt: Type 2 diabetes mellitus represents a daunting self-management challenge due to its complicated daily treatment regimen which includes adhering to diet, exercise, and medication recommendations. Little research has evaluated perceived barriers to diabetes self-care in a group that is at particular risk for diabetic complications: U.S. Latinos. This study had two aims. The first was to provide evidence that experimental and validated self-report instruments selected for this study functioned in a comparable manner in both Spanish and English in a sample of low income, predominantly Spanish-speaking diabetic patients (n = 77). The second aim was to examine hypothesized relationships of selected predictors to two criterion variables measuring health status (i.e., glycosylated hemoglobin A1c and Diabetes Impact) using a method described by Baron & Kenny (1986). Predictors included age, education, and income as covariates, and perceived environmental barriers to self-care, self-efficacy for treatment adherence, fatalistic beliefs (external health locus of control), and Latino cultural diabetes beliefs. Potential moderator and mediator variables of the relationship between perceived barriers to self care and criterion variables included self-efficacy for treatment adherence, fatalistic beliefs and Latino cultural diabetes beliefs. Scales used in this study had coefficient alpha values ranging from .82-.96 in Spanish and .74-.97 in English and also demonstrated strong factor structure integrity. Bivariate correlations indicated that higher scores on perceived barriers to self-care were significantly related to lower self-efficacy scores [r = −.34, p

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 MHealth written by World Health Organization and published by . This book was released on 2011 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The use of mobile and wireless technologies to support the achievement of health objectives (mHealth) has the potential to transform the face of health service delivery across the globe. A powerful combination of factors is driving this change. These include rapid advances in mobile technologies and applications, a rise in new opportunities for the integration of mobile health into existing eHealth services, and the continued growth in coverage of mobile cellular networks. According to the International Telecommunication Union (ITU), there are now over 5 billion wireless subscribers; over 70% of them reside in low- and middle-income countries. For the first time the World Health Organization's Global Observatory for eHealth (GOe) has sought to determine the status of mHealth in Member States; its 2009 global survey contained a section specifically devoted to mHealth. Completed by 114 Member States, the survey documented for analysis four aspects of mHealth: adoption of initiatives, types of initiatives, status of evaluation, and barriers to implementation. Fourteen categories of mHealth services were surveyed: health call centres, emergency toll-free telephone services, managing emergencies and disasters, mobile telemedicine, appointment reminders, community mobilization and health promotion, treatment compliance, mobile patient records, information access, patient monitoring, health surveys and data collection, surveillance, health awareness raising, and decision support systems.

Download or read book Health Promotion in Health Care Vital Theories and Research written by Gørill Haugan and published by Springer Nature. This book was released on 2021-03-11 with total page 382 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access textbook represents a vital contribution to global health education, offering insights into health promotion as part of patient care for bachelor’s and master’s students in health care (nurses, occupational therapists, physiotherapists, radiotherapists, social care workers etc.) as well as health care professionals, and providing an overview of the field of health science and health promotion for PhD students and researchers. Written by leading experts from seven countries in Europe, America, Africa and Asia, it first discusses the theory of health promotion and vital concepts. It then presents updated evidence-based health promotion approaches in different populations (people with chronic diseases, cancer, heart failure, dementia, mental disorders, long-term ICU patients, elderly individuals, families with newborn babies, palliative care patients) and examines different health promotion approaches integrated into primary care services. This edited scientific anthology provides much-needed knowledge, translating research into guidelines for practice. Today’s medical approaches are highly developed; however, patients are human beings with a wholeness of body-mind-spirit. As such, providing high-quality and effective health care requires a holistic physical-psychological-social-spiritual model of health care is required. A great number of patients, both in hospitals and in primary health care, suffer from the lack of a holistic oriented health approach: Their condition is treated, but they feel scared, helpless and lonely. Health promotion focuses on improving people’s health in spite of illnesses. Accordingly, health care that supports/promotes patients’ health by identifying their health resources will result in better patient outcomes: shorter hospital stays, less re-hospitalization, being better able to cope at home and improved well-being, which in turn lead to lower health-care costs. This scientific anthology is the first of its kind, in that it connects health promotion with the salutogenic theory of health throughout the chapters. the authors here expand the understanding of health promotion beyond health protection and disease prevention. The book focuses on describing and explaining salutogenesis as an umbrella concept, not only as the key concept of sense of coherence.

Download or read book MEDS planner written by Jimson R. De Jesus and published by . This book was released on 2014 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Diabetes mellitus (DM) has been a long standing healthcare problem and is the leading cause of morbidity by disease because of associated cardiovascular problems. It is a chronic disorder that requires lifetime control and management. Adherence to diabetes management which can contribute to glycemic control has been proven to prevent complications brought about by this endocrine problem. In spite of its importance, problems of non-adherence still exist because treatment regimens prescribed for patients are complex. Hence this study was conducted to develop and test the effectiveness of the researcher-devised ‘MEDS’ planner 9M-medication, E-exercise, D-diet, S-self-monitoring of blood glucose or SMBG self-efficacy adherence of patients to care plan. It was theoretically anchored on Azjen’s Theory of Planned Behavior and Bandura’s Social Cognitive Theory. This study employed two groups, random assignment, pretest-posttest quasi-experimental design and was conducted in Bustos, Bulacan, Philippines. A total of 48 DM 2 diagnosed patients currently following prescribed management were recruited through purposive sampling and were assigned randomly to experimental and comparison groups. The experimental intervention is ‘MEDS’ Planner, a researcher-devised self-management strategy which includes specific plan of care on the four aspects of DM 2 management 9medication, exercise, diet, and SMBG.) Outcomes were measured by the Summary of Diabetes Self-care Activities (SDSCA) and Self-Efficacy for Diabetes (SED). To analyze the pretest and posttest scores of both groups, Wilcoxon signed-rank test was used for SDCA and paired t-test for SEDC. To compare the improvements of both groups, Mann Whitney U test was applied for SDSCA and multiple linear regression analysis (ANCOVA) was used for SED. DM 2 patients who utilized ‘MEDS’ Planner with Motivational Interviewing in their care plan showed significant improvement on 2 components of SDSCA: exercise (p=0.0038) and self-monitoring of blood glucose (p=0.0001). Medication (p=0.6644) and diet (p=0.0705) components did not improve significantly. Significant improvement of self-efficacy (p=0.0001) of experimental group participants was observed.

Download or read book An Active Approach to Diabetes Self management written by Jessica Yelena Breland and published by . This book was released on 2013 with total page 74 pages. Available in PDF, EPUB and Kindle. Book excerpt: Type 2 diabetes affects over 20 million people in the United States and has cost the healthcare system billions of dollars. As a result, countless research hours and funds are devoted to developing and testing programs to improve the self-management skills of patients with diabetes. Some interventions produce clinically meaningful changes, but few programs are based on theoretically sound protocols, which makes it difficult to assess theory-based group or individual level variables that might be responsible for changes in self-management. The current study piloted "An Active Approach to Diabetes Self-Management", a novel diabetes self-management intervention based on the integration of two theories (the Common Sense Model of Self-Regulation and Social Cognitive Theory) with techniques from cognitive behavior therapy. The intervention was developed within a Community Based Partnership Research framework. The 4-week intervention consisted of weekly, two-hour group sessions that presented information on and experiences with diabetes self-management, including the self-monitoring of blood glucose, physical activity and nutrition. Sixteen participants participated in three groups held in the fall of 2011 and February of 2012. The primary outcome was hemoglobin A1C (A1C), which was measured before and three months after the start of the intervention. Data were also collected on diabetes self-efficacy, self-management behaviors, diabetes knowledge, general mental and physical functioning and feasibility. iii Results indicated that participants with baseline A1C levels above 6.5% had a significant reduction in A1C over the course of the study. Self-efficacy and understanding of diabetes increased over the course of the study. Diabetes-related negative affect decreased over the course of the study and there was a trend towards a decrease in BMI between baseline and the end of the study. Results also indicate that the workshop was feasible with regards to participant and community staff member satisfaction, study curriculum and the group process. As described within, future iterations must amend inclusion criteria and the curriculum, improve the usability of questionnaires and increase sample size in order to further test feasibility and to determine effect and sample sizes for a larger trial.