Download or read book Everyday expertise in self management of diabetes in the Dominican Republic Implications for learning and performance support systems design written by Lisette Reyes Paulino and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: An epidemic such as diabetes is an extremely complex public health, economic and social problem that is difficult to solve through medical expertise alone. Evidence-based models for improving healthcare delivery systems advocate educating patients to become more active participants in their own care. This shift demands preparing chronically ill patients with the competencies of avid lifelong learners who can harness their experiences living with the disease to develop everyday expertise in its self-management. No prior research to date has endeavored to study and support patient everyday expertise development from the learning and human performance systems design field. Moreover, studies of everyday expertise development in the self-management of diabetes by patients in the Dominican Republic are unknown. ^ This exploratory and descriptive study examined patients with varying levels of expertise in order to: 1) Compare them in terms of demographics, health information and behaviors, and depth of knowledge to solve self-management problems, 2) Identify patterns that differentiate them in reference to three major observational learning concepts: live, verbal and symbolic modeling. Participants were 20 diabetic patients participating in a community-based diabetic education program. Data were collected through a semi-structured scenario-based interview that leveraged cognitive probing as a knowledge elicitation method. Analysis of the data involved both quantitative and qualitative approaches and the use of rubrics and multi-case study comparison. ^ Results revealed that everyday expertise development level was associated with patient educational background and years since diagnosis. In terms of health behaviors, the more expert group reported visiting the doctor and measuring their blood glucose levels more frequently. Among diet, exercise and stress, exercise represented the most difficult self-management task for the less expert group to manage on a daily basis but not for the more experts. The more expert group applied significantly higher instances of deeper knowledge across self-management scenarios but was similar to the less expert group in the application of surface knowledge. As for observational learning patterns the former group had access to learn from live models, reacted differently to verbal instructions from doctors, and were more purposeful about consuming health information through media and other sources of symbolic modeling. A major contribution of this research with practical applications in this context consists of a set of ecologically based learning and performance support guidelines for facilitating everyday expertise development. Conclusion, implications for a wide range of stakeholders, limitations and future research are also discussed.

Download or read book Learning to Manage written by Ifunanya Hilda Ejebe and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The management of type 2 diabetes in the United States is a population health priority. Approximately 1 in 10 adults in the United States have diabetes and a significant majority have inadequately controlled blood glucose, blood pressure, and cholesterol. Previous research shows that many adults with diabetes lack the knowledge, skills, behaviors, and support to properly manage their condition. Diabetes self-management education has become an important part of diabetes care guidelines as a way to improve the self-management of adults with diabetes in order to lead to improve patient health and reduce inappropriate health care use and medical costs. Despite this, it is unclear who is actually receiving diabetes self-management education in the US, overall and by mode of delivery and diabetes educator type, and whether education is associated with improved population health. Therefore, the objective of this dissertation research is to investigate the distribution of diabetes self-management education, patient sociodemographic factors that influence the receipt of that education, and its contribution toward diabetes outcomes, medical expenditures, and healthcare use in US adults. We achieved this research objective by completing three specific research aims. We used nationally representative data from the Medical Expenditure Panel Survey and the National Health and Nutrition Examination Survey. We found that although a substantial majority of individuals received some form of diabetes self-management education, receiving diabetes education was associated with race/ethnicity and income (Aim 1), and varied by mode of education delivery. Individuals who received diabetes self-management education were less likely to have glycemic control but were more likely to receive antiglycemic treatment (Aim 2). Receiving diabetes self-management education was associated with greater diabetes-related ambulatory and prescription use, depending on the mode of education delivery (Aim 3). Our findings highlight some strengths of the current state of diabetes management occurring in usual care, including the widespread delivery of some form of diabetes education and its association with greater ambulatory and prescription use. However, we also found evidence of the need for more effective diabetes education delivery systems in usual care in order to improve patient self-care behaviors and reduce inpatient and emergency room use.

Download or read book The Effect of a Diabetes Self management Program for African Americans in a Faith based Setting written by Pandora Goode and published by . This book was released on 2016 with total page 119 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Diabetes is a lifelong chronic disease that requires daily management. Diabetes is the leading cause of blindness, kidney failure, and non-traumatic lower limb amputations. African Americans are more likely to suffer from diabetes related complications than any other race. The purpose of this study was to test a six-week culturally tailored diabetes self-management program for African Americans. The diabetes self-management intervention was conceptualized as the foundation that supported the changes in diabetes knowledge, self-efficacy, symptom management, and self-management activities. Thus, the specific aim of this study was to increase knowledge about diabetes, self-efficacy, symptom management, and self-management activities in African American adults diagnosed with diabetes. A one-group pre- and post-test was the design used in this study. The six-week intervention focused on areas of diabetes self-management based on the American Diabetes Association (ADA) guidelines: (a) introduction to diabetes, (b) healthy eating, (c) being active, (d), medications, (e) glucose monitoring and complications, and (f) symptom management. An African American nurse led the intervention. Adult African Americans with diabetes who were age 18 years old and older were recruited from two predominantly black churches in the south-eastern part of the United States. Sessions were held at each church directly after the morning and evening worship services. A total of 32 participants were recruited and 28 participants completed the six-week program. Health history and biomarkers (BMI, HBA1C) were measured at baseline. The major concepts were measured at baseline and post intervention using the Spoken Knowledge in Low Literacy Diabetes (SKILLD) scale, Diabetes Empower Scale- Short Form (DES-SF), Diabetes Symptom Checklist- Revised (DSC-r) scale, and the Summary of Diabetes Self-Care Activities (SDSCA) scale. At baseline, many person had low diabetes knowledge, self-efficacy, symptom management, and diabetes self-management activities. Findings revealed statistically significant positive improvements in diabetes knowledge, self-efficacy, symptoms management, and diabetes self-management activities from pre-intervention to post- intervention. Study participants gained an awareness of the need or diabetes self-management education. Designing and implementing culturally tailored diabetes self-management programs in faith-based settings are practical and necessary to reduce the disparity in diabetes for African Americans. More diabetes self-management studies are needed that target, recruit, and retain an adequate representation of African Americans. Also, more research is needed regarding African American cultures and learning styles so that programs can modify learning objectives to meet their needs."--Abstract from author supplied metadata.

Download or read book Learning to Manage written by and published by . This book was released on 2015 with total page 178 pages. Available in PDF, EPUB and Kindle. Book excerpt: The management of type 2 diabetes in the United States is a population health priority. Approximately 1 in 10 adults in the United States have diabetes and a significant majority have inadequately controlled blood glucose, blood pressure, and cholesterol. Previous research shows that many adults with diabetes lack the knowledge, skills, behaviors, and support to properly manage their condition. Diabetes self-management education has become an important part of diabetes care guidelines as a way to improve the self-management of adults with diabetes in order to lead to improve patient health and reduce inappropriate health care use and medical costs. Despite this, it is unclear who is actually receiving diabetes self-management education in the US, overall and by mode of delivery and diabetes educator type, and whether education is associated with improved population health. Therefore, the objective of this dissertation research is to investigate the distribution of diabetes self-management education, patient sociodemographic factors that influence the receipt of that education, and its contribution toward diabetes outcomes, medical expenditures, and healthcare use in US adults. We achieved this research objective by completing three specific research aims. We used nationally representative data from the Medical Expenditure Panel Survey and the National Health and Nutrition Examination Survey. We found that although a substantial majority of individuals received some form of diabetes self-management education, receiving diabetes education was associated with race/ethnicity and income (Aim 1), and varied by mode of education delivery. Individuals who received diabetes self-management education were less likely to have glycemic control but were more likely to receive antiglycemic treatment (Aim 2). Receiving diabetes self-management education was associated with greater diabetes-related ambulatory and prescription use, depending on the mode of education delivery (Aim 3). Our findings highlight some strengths of the current state of diabetes management occurring in usual care, including the widespread delivery of some form of diabetes education and its association with greater ambulatory and prescription use. However, we also found evidence of the need for more effective diabetes education delivery systems in usual care in order to improve patient self-care behaviors and reduce inpatient and emergency room use.

Download or read book Self management Education and Support System for Patients with Diabetes in Belarus written by Andrei Yaroma and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Diabetes mellitus incidence has more than doubled in Belarus over the past 2 decades. Diabetes education and self-management play a critical role in diabetes care. The impact of differentbarriers on efficacy of self-management of type 2 diabetes are analyzed to improve the support system for patients with diabetes.Aims: The objective of this study was to investigate recent time trends, main barriers, opportunities and risk factors among persons living with type 2 diabetes in Belarus to improve the support system for diabetic patients.Method: Screening for prediabetes and type 2 diabetes during last 2 years was done in different population groups. Patients with newly diagnosed type 2 diabetes and prediabetes and previous diabetes were invited to have medical exam in Academy clinic N10. A total of 60 participants withpreviously diagnosed type 2 diabetes and 60 adults without diabetes were recruited from a large hospital institution.Results: Of 60 participants, majority completed the Self-management Education and Support program. More than half of the participants had good self-care skills and had poor glycemic control. The greater number of the study participants had adequate foot care and had adequate dietary plan and exercise management respectively. However, of the total diabetic patients only minority had adequate blood glucose testing practices. At the end of the program, participants experienced mean body weightdecrease, a corresponding body mass index decrease and reduction in HbA1c.Discussion: Besides an increase in knowledge about the disease it has been shown that a structured diabetes education is able to improve diabetes outcome as measured by parameters, such as blood glucose, HbA1c, blood pressure and body weight in follow-up evaluations. Diabetes mellitus is a complex disease that requires the person to overcome daily numerous barriers regarding food, physical activity, and medications. The implementation of self-management skills will benefit among persons living with type 2 diabetes mellitus (1). Despite benefits the numbers of patients who are referred to and receive Diabetes Self-management Education and Support are extremely small. Important that such a situation not only identifies the necessary self-management support interventions, but also how these interventions need to be implemented. This can examine through consideration of behavior and analyzeof the individualu2019s barriers, opportunities and risk factors.

Download or read book The Effectiveness of Providing Cultural Diabetes Self management Education to African Americans written by Andrea Alexis and published by . This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Diabetes Self-management education (DSME) was utilized to provide education to a group of African American patients 18 years and older who attend a primary care clinic in Georgia. Culturally specific diabetes education aimed at increasing knowledge and self-management skills and decreasing blood sugar levels was provided over an 8-week period of time. Using a pretest/posttest design, the diabetes self-management questionnaire (DSMQ) was utilized pre and post intervention to assess for changes in knowledge and self-management skills. Pre and post test results as well as pre and post intervention blood sugars were analyzed.. The findings support culturally tailored DSME as an effective intervention in increasing knowledge and self-management skills as well as improving blood sugar levels in African Americans in the clinic setting. key-words: blood glucose, type 2 diabetes, African Americans, cultural diabetes education, Diabetes self-management education (DSME), diabetes self-management questionnaire (DSMQ), evidence-based practice. " -- Abstract

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 Effects of Self Management Education on Diabetic Control Among Patients with Type 2 Diabetes written by Min Yan and published by Open Dissertation Press. This book was released on 2017-01-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Effects of Self-management Education on Diabetic Control Among Patients With Type 2 Diabetes: a Systematic Review" by Min, Yan, 严敏, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Objective: To systematically review the effect of self-management education on diabetic control in type 2 diabetes Research design and methods: PubMed was searched for English-language articles published between 2010 and 2013. All the studies were original articles selected manually and used randomized control trials generating results of self-management education in people with type 2 diabetes referring to diabetic control. Relevant data were divided and tabulated into factors of population characteristics, interventions and outcomes. Interventions were classified into three sections as collaborative information intervention, lifestyle intervention, and skills teaching intervention based on the patterns of education. Outcomes were categorized into glycemic control, cardiovascular disease (CVD) risk factors and nephropathy risk factors. Results: A total of 24 studies were identified of initial 41 articles for this review. Effects of self-management education on glycemic control were demonstrated to be positive both in short-term (10 months) follow-up, but more positive effects in short-term follow-up. The same effectiveness happens to CVD risk factors, including lipids, weight and blood pressure. On the other hand, with short-term follow-up, teaching skills intervention of self-management education is more effective than collaborative information intervention and lifestyle intervention on reducing glycemic control and CVD risk factors. Also with long-term follow-up, teaching skills intervention of self-management education had more effectiveness than collaborative information intervention and lifestyle intervention on reducing glycemic control. However, few studies including CVD risk factors in the long-term follow-up, so it is difficult to evaluate the effectiveness of on CVD risk factors with long-term follow-up. Conclusions: Evidences supports the positive effectiveness of self-management education with collaborative information intervention, lifestyle intervention and skills teaching intervention among type 2 diabetes patients on diabetic control, in both short-term follow-up and long-term follow-up, but short-term follow-up is more effective than long-term follow-up. Further research is needed to develop self-management interventions to maintain long-term follow-up effects on glycemic control, CVD risk factors and other diabetes complications. DOI: 10.5353/th_b5098975 Subjects: Non-insulin-dependent diabetes - Treatment

Download or read book Effect of Diabetes Self management Education on the Self management of Type 2 Diabetes written by Ngozi B. Nwankwo and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This project is aimed to explore the benefit of diabetes self-management education (DSME) on the self-management of type 2 diabetes mellitus (T2DM). The review of literatures shows the increased concern about the development of type 2 diabetes related complications. The use of diabetes self-management education as revealed by studies helps in a tremendous way in the self-management of type 2 diabetes, thereby helping to reduce the incidence of the complications that occur from poor management of T2DM. The complications when they occur, leads to increased frequency in hospital admission, long hospital stay, high cost of treatment, increased morbidity and mortality rates. Diabetes education has been an ongoing process in the management of diabetes, but the cases of increased hospitalization and development of complications still exist. The aim here is to create more awareness through education for self-management of the condition by the patients with T2DM. The education should be of self-management approach, and not the traditional instructional approach that leaves the patient dependent on the clinicians only for the management of the ill-health. The various literatures reviewed support the use of DSME to achieve this purpose of engaging, empowering, and encouraging the T2DM patients to take control of their diabetes care. The nurses as well as other clinicians can make this happen by reinforcing what is taught and encouraging their patients to adopt the self-management approach. The implication to nursing practice is in the need for nurses to help patients with T2DM to embrace this self-management education approach, and physician/other clinicians should endeavor to refer their patients with T2DM to diabetes classes.

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 Improving Health Outcomes for Diabetes Patients in Mexico Through Self management Education and Outreach written by Leonard Sara and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Diabetes is the second leading cause of death in Mexico , accounting for 76,298 deaths in 2015 . Individuals living with diabetes face a number of challenges, both personal and cultural, when it comes to managing the disease. Effective diabetes self-management requires a knowledge of basic disease physiology; support to understand and maintain complex behavior and lifestyle changes; and access to health services and medication. In Mexico City, approximately one-third of deaths among adults (35-74 years) are the result of diabetes complications. Failure to achieve metabolic control is largely due to a lack of knowledge and self-management skills among patients and a lack of time and training among health care providers (HCPs) to deliver effective diabetes education. There is an urgent need for interventions that enable early detection and effective diabetes education so patients can successfully manage their own care. Aims: The u201c5-Steps to Self-Careu201d intervention aims to improve health outcomes and quality of life of diabetes patients through strengthening both HCPu2019s capacity to deliver effective diabetes education and patientsu2019 ability to effectively manage their own care. Method: In 2016, Project HOPE and Ser Bien utilized Train-the-Trainers (TOT) methodology to implement the u201c5 Steps to Self-Careu201d intervention in three districts in the Mexico City metropolitan area u2013 Iztapalapa, Nezahuacoyotl and Ecatepec u2013 home to nearly 4 million people, of which 80% are served by government clinics. The intervention is a low-cost, game-based, diabetes self-management curriculum that teaches people with diabetes to identify and modify risk factors, adopt healthier lifestyles, improve medication adherence and utilize available health services. Developed by Project HOPE in 2003, the curriculum is designed to build the knowledge, skills and proactive attitude required by patients to engage in daily self-care. It also addresses cultural misconceptions and the need for on-going social support.The TOT model creates a sustainable cadre of u201c5 Stepsu201d HCP facilitators. Patient graduates are encouraged to become peer educators, acting as powerful role models and enablers of positive self-care. The curriculum is delivered in 12 two-hour sessions over 12 weeks focusing on five key components of effective diabetes management: 1) u201dLife-long diabetes educationu201d grounded in an understanding of physiology and disease progression; 2) u201cKnowing the Numbersu201d which uses a traffic light system to interpret test results (including glucose, A1c, body mass index (BMI), blood pressure and lipids); 3) u201cHealthy Eatingu201d to manage food group portions and balance macronutrient intake; 4) u201cExerciseu201d reaching optimum cardiac rate while monitoring foot health; and 5) u201cActive Collaboration with HCPsu201d to emphasize the importance of a team approach to care, as well as routine access to specialists and lab work. Patient graduates are encouraged to support community screenings to identify undiagnosed cases of diabetes and pre-diabetes and provide clinic referrals to attend u201c5 Stepsu201d.Results: The intervention trained 40 HCPs in u201c5 Steps to Self-Careu201d serving in 15 government clinics, who then delivered the curriculum to 298 patients across the three districts. Pre- and post-test analysis showed an increase in self-management knowledge among 92% of participants, leading to improved clinical outcomes. After completing the 12 week course, 85% of patients had decreased A1C levels with the average level declining from 8.5 to 7.1. BMI decreased among 76% of participants with the average score declining from 30.37 to 28.7. Prior to the program, 51% of participants were obese compared to 38% at its conclusion. In addition, 90% of participants reported improved Quality of Life using the WHO 5 Well-Being Index. Patient graduates then helped conduct 3,171 screenings through community outreach tables, detecting and referring 554 (17%) new cases of diabetes and 499 (16%) cases of pre-diabetes, suggesting national statistics may underestimate actual prevalence rates.Discussion: Implementation of u201c5 Steps to Self-Careu201d successfully improved patient knowledge, health outcomes and quality of life over a 12-week period, demonstrating the impact of effective self-management. The program also demonstrates the importance of active screening in high-risk communities to capture people with undiagnosed disease and increase their access to care. With the growing global burden of diabetes, aggressive screening and effective patient self-management are critical to reduce costly complications and enhance quality of life. u201c5 Steps to Self-Careu201d is an effective strategy that can be replicated and sustained to strengthen the quality of health services in at-risk communities.

Download or read book Diabetes Self Management Education written by Tracy Riddle and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Purpose. The purpose of this evidence-based project was to provide diabetes self-management education (DSME) to participants to increase participant knowledge of diabetes self-management behaviors and decrease fasting blood glucose levels. This project was based on published evidence surrounding DSME and the positive outcomes associated with educating individuals with diabetes about self-management behaviors. Methods. Participants were recruited at a rural health care clinic to include patients with insulin and non-insulin dependent diabetes over the age of 18 years that can read and speak English proficiently. Using a pretest/posttest design, participant's knowledge of self-management behaviors were measured before and after the educational intervention session using a self-developed tool, the Diabetes Self-Management Questionnaire (DMSQ). Fasting blood glucose levels were also documented prior to the intervention and post intervention by patient report via telephone. Results. Forty-two participants were included in the project. Mean pretest scores were 60% and posttest mean scores were 80%; posttest scores illustrated a 500% increase in participant's scoring {601} 80%. Overall fasting glucose decreased by only 3 points, indicating deficient applicability of the information outside the clinic setting. Conclusions. Findings suggest DSME is effective in teaching patients in the clinic setting, but more emphasis is needed to assist patients in applying this information outside the clinic setting. Key words: blood glucose; diabetes; diabetes self-management education (DSME); Diabetes Self-Management Questionnaire (DSMQ); evidence-based practice (EBP) " -- Abstract.

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 Diabetes Self management Education training written by Kathleen Hirthler and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The incidence of diabetes mellitus (DM) continues to rise creating a global crisis. It is predicted that over the next 40 years three times the number of current diabetic patients will be diagnosed generating a pandemic. Diabetes mellitus, like other chronic diseases, creates a burden not only on patients but also on communities, families, and health care systems (Jack, 2003). Diabetes mellitus is a disease complicated by multiple issues, and if left untreated, acute and chronic complications occurs worsening patient outcomes and quality of life. Interprofessional approaches to medical management of DM for prevention of long term complications are necessary, and diabetes self-management education/training (DSME/T) is a vital component of the medical care that should be provided (AADE, 2009; ADA, 2010). ..." from Introduction.

Download or read book Self management Education Module written by Mia U. S. Datuin and published by . This book was released on 2006 with total page 138 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diabetes mellitus was the eight (8) leading cause of mortality in 1998 according to the Department of Health. Diabetes mellitus is a chronic illness that requires continuing medical care and education ot prevent acute complications and to reduce the risk of long-term complications. An approach which has gained much interest and attention is the use of self-management education module. Diabetes is indeed known to be a self-managed disease whose main responsibility rest in the clients.

Download or read book Comprehensive Diabetes Management Reinforcing Self management Education to Improve the Diabetes Outcomes written by Elizabeth Parackal and published by . This book was released on 2018 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diabetes remains a significant health problem in the United States, and related complications are on the rise as evident by the growing prevalence due to care fragmentation and inadequate care coordination. This quantitative quality improvement project evaluated the effect of diabetes self management education (DSME) reinforcement intervention as a primary care solution for prevention and control of diabetes and prediabetes in a small convenient care clinic in Southern California. The purpose of this project was to design and implement a diabetes self-management educational reinforcement program to enhance patients’ knowledge on diabetes self management. Diabetes knowledge improvement was measured by using a reliable and valid pretest and posttest DSMQ questionnaire. The pretest HbA1c mean was 6.51 and the post-test mean was 6.91. There was a paired differences mean of -0.40. Results indicates a significant rise in post-project HbA1c value among the control group (p=

Download or read book The Effect of Diabetes Self management Education on Lifestyle Changes Among Type 2 Diabetes Mellitus Inmates written by Claudine Onsongo and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: " Background: Diabetes related complications are associated with poor medication and treatment adherence and continue to affect different parts of the globe. Diabetes self-management education has been involved in the prevention of diabetes-related complications among type 2 diabetes mellitus (T2DM) patients. Emphasis was on healthy food choices, increase in physical activities, and medication adherence. Purpose: The purpose of the evidence-based practice (EBP) project was to evaluate the effect of education on T2DM inmates 18 years and older on lifestyle changes such as weight loss. Methods: This was an EBP project conducted on 20 participants with T2DM. Project implementation lasted a total of 10 weeks. Interventions were individualized education sessions focusing on various aspects of diabetes control. Pre- and post-test utilized diabetes knowledge test 2 (DKT2) for interventions. Results: The mean percentage score on the pre-test was 63.65% with a SD of 8.35 compared to post-test score of 89.47% and SD of 3.64. There was a 25.82% increase in participants' knowledge post-intervention. The secondary outcome measured weight changes among the participants. Mean of pre-intervention weight was 234.31 pounds, median of 225 pounds, mode of 214 pounds, and a SD of 40.38. Post-intervention weight had a mean of 231.37 pounds, median of 219 pounds, mode of 256 pounds, and SD of 40.24. The difference between pre-and post-intervention weights was 1.25%. Implications for practice: Nurse practitioners play major roles in leading the interprofessional team and in providing health promotion policies and principles to various groups of patients. Successful planning, implementation, and sustaining continuity of change requires multidisciplinary involvement. Key words: Diabetes Self-Management Education, healthy food choices, lifestyle change, physical activity, Type 2 Diabetes Mellitus, weight loss. " -- Abstract