Development Implementation And Evaluation Of A Diabetes Patient Education Toolkit Dpet For Self Management Of Type 2 Diabetes Mellitus In Doha Qatar
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Development Implementation And Evaluation Of A Diabetes Patient Education Toolkit Dpet For Self Management Of Type 2 Diabetes Mellitus In Doha Qatar
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Author : Badriya Al-Lenjawi
language : en
Publisher:
Release Date : 2010
Development Implementation And Evaluation Of A Diabetes Patient Education Toolkit Dpet For Self Management Of Type 2 Diabetes Mellitus In Doha Qatar written by Badriya Al-Lenjawi and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010 with categories.
The Impact Of Education On Self Management And Glycemic Control In Patients With Type 2 Diabetes Mellitus
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Author : Jenifer Brewer
language : en
Publisher:
Release Date : 2022
The Impact Of Education On Self Management And Glycemic Control In Patients With Type 2 Diabetes Mellitus written by Jenifer Brewer and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022 with Health Belief Model categories.
Type 2 Diabetes Mellitus (T2DM) currently affects approximately 1 in 9 individuals in the United States. Access to education, transportation to appointments, and other social determinants of health can reflect poor self-management, adverse outcomes, and increased morbidity and mortality. The purpose of this quality improvement (QI) project was to evaluate the effectiveness of implementing a series of expert-led, educational classes with a toolkit for patients diagnosed with prediabetes or T2DM. The Health Belief Model was the framework used to develop and implement educational intervention through a 4-month period. This project was conducted at two sites in Northeast Kansas: one which provides primary care services to an underserved population, while the other is a satellite clinic located within a housing authority. The PDSA cycle was used to develop and evaluate program implementation throughout the project. A toolkit was developed and provided to individuals who attended the sessions. Educational sessions focused on T2DM overview, risk factors, comorbidities, medication, diet, exercise, stress, and self-management. Expert specialists were recruited for two of the educational sessions. A diabetes self-management questionnaire (DSMQ) score and glycated hemoglobin (A1c) value were obtained prior to the first educational session. A final DSMQ score and A1c value were obtained at the conclusion of the last educational session. Qualitative measurement revealed improved perceived self-management of T2DM as well as an overall improvement of A1c control after a 4-month period.
Development And Testing Of The Diabetes Self Management Instrument
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Author : Chiu-Chu Lin
language : en
Publisher:
Release Date : 2005
Development And Testing Of The Diabetes Self Management Instrument written by Chiu-Chu Lin and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2005 with categories.
Evaluation Of Implemented Group Visits With A Self Management Tool For Patients With Pre Diabetes
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Author : Kathryn Doyle
language : en
Publisher:
Release Date : 2011
Evaluation Of Implemented Group Visits With A Self Management Tool For Patients With Pre Diabetes written by Kathryn Doyle and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011 with Diabetes categories.
One of the global emerging epidemics of non-communicable diseases is Type 2 Diabetes Mellitus (T2DM). The adverse consequences of T2DM are a lowered life expectancy of up to fifteen years and an increased risk of heart disease. T2DM is the leading cause of kidney failure lower limb amputations, and adult-onset blindness. As of 2010, eight percent of the United States population, or 24 million Americans, have T2DM and an estimated 57 million people have 'pre-diabetes'. In California, a University of California Los Angeles (UCLA) study found that T2DM has increased nearly 26 percent between 2001 and 2007. Orange county, California has an increase in the number of persons with T2DM from five percent in 2001 to seven percent in 2003. A solution in addressing the increase in T2DM cases is through and evidence-based system change implementing group visits led by a Certified Diabetic Educator (CDE) with a self-management tool for patients with pre-diabetes. The intended goal of such a program in a community clinic setting was a reduction or delay in conversion rates of pre-diabetics becoming T2DM. The Capstone system change took place in a North Orange County, California community health clinic. The Capstone system change involved the evaluation of implemented group visits with a self-management tool for patients with pre-diabetes. The classes were once a week, one hour in length, and taught over a four week period. The goal is to refer and provide timely, evidence-based, culturally appropriate, preventative health care for the pre-diabetic patients to delay the progression to T2DM. A six step framework developed by Larrabee was used to guide the development of the Capstone system change. The theoretical perspective of the Health Promotion Model designed by Pender was also used to emphasize the preventive health aspect throughout the Capstone system change. Researchers have shown educational group visits for T2DM and pre-diabetes can lead to improved clinical outcomes, is cost effective, improves patient satisfaction, and leads to greater self-efficacy for the patient. Incorporating a system change to include evidence-based group visits for T2DM and pre-diabetes is a recommended, feasible and affordable method in delaying the onset of T2DM for community clinics. For this Capstone system change, the group visits were an effective, culturally appropriate, efficient, and cost effective method of delivering preventive health care.
Developing A Diabetes Self Management Education Program
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Author : Loquintha Rex
language : en
Publisher:
Release Date : 2007
Developing A Diabetes Self Management Education Program written by Loquintha Rex and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007 with categories.
Problem: Pre-diabetes is an insidious condition that commonly persists for many years while progressing on to diabetes type 2. As many as 39% of patients who present with a new diagnosis of type 2 diabetes already have the presence of diabetes complications at initial diagnosis. Diabetes has become an epidemic that continues to escalate annually. Diabetes can affect multiple organ systems and lead to serious debilitating complications. Ventura County is consumed with many diabetics. There are not any comprehensive diabetes education programs in the county. Purpose/Scope: The purpose of this evidence-based practice intervention was to evaluate the effectiveness of a Diabetes self-management education (DSME) program on patient's health care utilization, medication use, self-efficaacy for diabetes and general disease management and ability to exercise, and glucose testing. A pres-test/post-test design was utilized to survey subjects participating in the program. The participants received education in four sequential sessions delivered at consistent time intervals over an eight week period. Goal: The goal of developing this program was to empower patients to develop the knowledge and skills necessary to improve health outcomes and to provide access to a diabetes self-management education program open to the general public residing in Ventura County in hopes to improve patient's lives by reducing potential long-term diabetes complications following gaining knowledge of preventative care, improving early diabetes diagnosis, and reducing the workload of primary care practices. Objectives: the objectives of this project included: following the completion of the DSME program, the subject will gain improved scores on the Chronic Disease Self-Efficacy Scales: Exercise Regularly, Manage Disease in General, Health Care Utilizations, Glucose Testing, and self-efficacy to perform self-management behaviors comparing pre-course versus post-course scores. Plan: Phase I and II involved developing the proposal draft and submitting the document to the GPD. The proposal was submitted to the IRB and approved on 3/20/2007. The class content slides were finalized. Phase III involved recruiting subjects and advertising. The classes began April 9, 2007 and continued for four separate sessions through 5/14. Pre-test and post-test questionnaires were handed out to subjects on the first day and last day of classes. Following completion, the data was analyzed. Outcomes and Results: The pre-test and post-test mean scores were compared using paired t-test and the differences were statistically significant.
Implementation Of A Train The Trainer Program For Diabetes Education
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Author : Noreen Borino
language : en
Publisher:
Release Date : 2011
Implementation Of A Train The Trainer Program For Diabetes Education written by Noreen Borino and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011 with categories.
Evaluating A Diabetes Self Management Education Protocol For Implementation In A Charity Clinic
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Author : Shirley Koshy
language : en
Publisher:
Release Date : 2017
Evaluating A Diabetes Self Management Education Protocol For Implementation In A Charity Clinic written by Shirley Koshy and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with Diabetes categories.
The purpose of this quantitative pretest-posttest project was to evaluate the self-care knowledge and intent to change behaviors of adults with type 2 diabetes mellitus (T2DM) after the implementation of an evidence-based educational protocol. Orem's self-care deficit nursing theory (SCDNT) and Bandura's social cognitive theory were used as the conceptual foundation for this Direct Practice Improvement (DPI) project. As there is no structured evidence-based educational program in existence at the charity clinic, the aim of the project was to raise awareness about type 2 diabetes mellitus, importance of receiving care in a timely manner to prevent complications, providing information regarding different resources available in the community, and goal setting for prevention of disease and its complications through a diabetes self-management education (DSME) protocol. However, it was not known to what degree/extent a DSME protocol will enhance the knowledge and intent to change behavior in diabetic patients with T2DM at a charity clinic in Houston, Texas. The Michigan Diabetes Research and Training Center's (MDRTC) Revised Diabetes Knowledge Test was utilized as the survey tool. A convenience sample (n=22) was used and data analysis performed using paired sample t-tests via SPSS database volume 25.0 on the scores rendered from the survey tool. The results of the project showed a significant difference in the pre- and post-test scores (p
Development Of A National Evaluation Framework And Quality Standards For Structured Diabetes Self Management Education
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Author : Stanley Rebecca
language : en
Publisher:
Release Date : 2017
Development Of A National Evaluation Framework And Quality Standards For Structured Diabetes Self Management Education written by Stanley Rebecca and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with categories.
TitleQuality Matters: Maximising consumer outcomes through commitment to a National Evaluation Framework.BackgroundThe National Diabetes Services Scheme (NDSS) is an initiative of the Australian Government, administered by Diabetes Australia, aiming to enhance the capacity of people with diabetes. The National Services Group (NSG) provides Continuing Support Programs (CSP) to NDSS registrants to increase their understanding of their diabetes and the ability to self-manage the condition. Prior work by Eigenmann and Colagiuri identified four key domains associated with optimal adjustment to living with diabetes including knowledge and understanding; self-management; self-determination; and psychological adjustment (1). The National Evaluation Framework (NEF) was developed to aid in the categorisation of services delivered under the NDSS and guide evaluation processes based on the domains of the framework being addressed. The framework provides a series of tools to standardise not only the evaluation of programs and services, but also quality standards that programs must be measured against, and meet, in order to be endorsed by the NDSS. The standards developed under the NEF have helped to consolidate programs and ensure that they have an evidence base; evaluation rigour; underlying philosophy of care; fidelity; and quality improvement pathway.AimsIn order to progress the NEF, it was essential to endorse standards for structured diabetes education to provide a quality benchmark for CSP programs. Before evaluating consumer outcomes, it was important to know that the programs being offered through the NDSS met key quality criteria recognised internationally to be aligned with improved consumer outcomes. The NEF team aimed to gather evidence to support the development and endorsement of NDSS standards for structured diabetes education and an assessment tool to measure programs against these criteria. Additional aims included researching validated tools to support consistent evaluation measures for each domain of the framework to be applied across NDSS programs.MethodsA review of national and international standards and guidelines for structured diabetes education was undertaken and a draft set of standards developed. Consultation with National Services Group leads across the country led to further refinement of the standards before presentation to an Expert Reference Group. Recommendations around the scope and intent of each standard were made and international evidence supporting each standard was discussed. An assessment tool was compiled to enable State and Territory Organisations (STOs) to assess their programs against the standards and determine where quality improvement may be required. At the same time, the NEF team conducted a thorough literature search of appropriate validated tools covering each domain of the framework, for presentation to the Expert Reference Group.u2003ResultsThe review and consultation process resulted in the development of eight key standards for structured diabetes education, which are applied to structured self-management programs under the NDSS. Each standard is clear, concise, and supported by a detailed explanation of the underpinning intent. The NDSS standards for structured diabetes education are mapped against international standards, aligned with NDSS principles, endorsed by the National Evaluation Expert Reference Group and support the Australian National Diabetes Strategy. The use of appropriate validated evaluation tools have been approved and endorsed by the Expert Reference Group.DiscussionThe NDSS standards for structured diabetes education, and the corresponding assessment tool, provide a mechanism for STOs to review and assess the quality, content and consistency of programs currently delivered under the NDSS. Programs that do not meet the criteria of the standards are required to undergo a quality improvement process and address gaps in the required area(s). The development, endorsement and application of the NDSS standards, and the use of validated evaluation tools, support the provision of high quality, nationally consistent structured diabetes education programs across NDSS-funded STOs. They also enable, for the first time in the history of the NDSS, nationally standardised evaluation of structured diabetes self-management education programs across all STOs. Within six months of introduction of the framework, results have shown statistically significant reduction in diabetes distress, and improvement in empowerment for self-management, among those attending education programs that meet the NDSS standards.Nationally agreed upon standards currently do not exist for structured diabetes education in Australia. The development of the NEF, and the NDSS standards for structured diabetes education, may be applicable at a national level to chronic illness education programs.
Effect Of Diabetes Self Management Education On The Self Management Of Type 2 Diabetes
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Author : Ngozi B. Nwankwo
language : en
Publisher:
Release Date : 2013
Effect Of Diabetes Self Management Education On The Self Management Of Type 2 Diabetes written by Ngozi B. Nwankwo and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013 with Patient education categories.
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.
A Case Study Of Patient Empowerment In Supporting Self Management In Diabetes Care In Indonesia
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Author : Yulia Yulia
language : en
Publisher:
Release Date : 2022
A Case Study Of Patient Empowerment In Supporting Self Management In Diabetes Care In Indonesia written by Yulia Yulia and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022 with categories.
Diabetes is a known worldwide health problem. Indonesia currently has 10.3 million people with Type 2 diabetes mellitus, making it one of the top 10 countries globally, with projections of an increase to 16.7 million by 2045. Most patients with diabetes in Indonesia do not achieve the national recommended care outcomes, as evidenced by the high number of diabetes complications and deaths. Patients with diabetes require self-management support to manage the disease. Patient empowerment and self-management approaches have resulted in improvements in diabetes outcomes in most Western developed countries. However, little is known about how patients with diabetes have been supported by healthcare professionals in Indonesia and whether patient-empowerment approaches would be suitable to be applied. -- -- An integrative review was conducted on how patient empowerment in supporting self-management of patients with Type 2 diabetes mellitus was conceptualised and contextualised, drawing on recent research publications in Southeast Asian Developing Countries, including Indonesia. This review suggested a lack of adoption of the concepts to local contexts. These studies appeared to focus on patient-education programs, rather than self-management or empowerment. The studies on interventions framed under the concept of patient empowerment focused more on the micro-level of providing patient health education and reorganising diabetes care, with less involvement of a diabetes care team. -- Given the outcomes of the literature review, this study explored the existing approaches used in the care of patients with Type 2 diabetes mellitus in supporting their self-management skills in Indonesia. It is anticipated that the knowledge gained from this study will contribute to understanding the issues faced in Indonesia, and influence future policies and standards in diabetes care and management. -- A single case study strategy with embedded units of analysis and triangulation of participants and data collection methods was used. Forty-two patients with Type 2 diabetes mellitus and 19 healthcare professionals from 3 levels of healthcare provision services in urban and sub-urban areas of Indonesia participated in this study. These were a community centre, a local hospital and a major acute referral hospital in a capital city. Qualitative thematic analysis was applied to the data gathered from direct observations of clinical interaction between patients with Type 2 diabetes mellitus and healthcare professionals, patient interviews, and focus group discussions with healthcare professionals. -- The evidence from the 3 healthcare delivery services identified themes and subthemes that prevented diabetes care in supporting patient self-management. These were a scarcity of healthcare resources, lack of healthcare organisation management, medical dominance in all care, gaps in patient-healthcare professional communication, and poor patient outcomes. Existing government support for the national health cover insurance scheme, programs such as chronic care management, and regulations that had been introduced to increase greater access to diabetes care, showed sub-optimal patient outcomes. -- A lack of awareness and self-management practices among people with Type 2 diabetes mellitus was evident at all 3 levels of data sourced from a complex hierarchy of systems in healthcare. At the system level (Indonesian healthcare system), there was evidence of inconsistent standards between what is provided through the national healthcare insurance scheme and the clinical guidelines, as well as insufficient numbers and qualified healthcare professionals, especially diabetes educators. At the level of the healthcare organisations (healthcare providers), low levels of collaboration between the healthcare team, scarcity of structured patient-education programs, fragmented care and discontinuity of patient education, medical control over all forms of care and medicalisation of all care were evident. Inadequate communication between healthcare professionals and patients prevented self-management, and there were considerable gaps in patient health literacy with differences in patient and healthcare professional expectations. At all 3 levels of the system, the patients were disempowered, as evident from the poor health outcomes that included practices that were potentially harmful to patient health. -- The issues found in this study were consistent with previous studies on diabetes care in Indonesia. Framed by the theoretical concepts of Habermas's communicative action and Honneth's recognition theories, the study found a number of factors prevented patient self-management and empowerment; medical control over patients and other health professionals, government regulations and programs to support patients with a chronic illness such as Type 2 diabetes mellitus were based on instrumental strategic action rather than communicative action. To fill the gaps in existing care, there needs to be recognition of patients' and healthcare professionals' lifeworld so that the tension that exists between them in relation to the regulations and programs are reduced. #