The Effect Of Diabetes Self Management Education Dsme On Knowledge And Glycaemic Control In Patients With Type 2 Diabetes
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The Effect Of Diabetes Self Management Education Dsme On Knowledge And Glycaemic Control In Patients With Type 2 Diabetes
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Author : Chooi Imm Lim
language : en
Publisher:
Release Date : 2013
The Effect Of Diabetes Self Management Education Dsme On Knowledge And Glycaemic Control In Patients With Type 2 Diabetes written by Chooi Imm Lim and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013 with Diabetes categories.
Diabetes Self Management Education A Powerful Tool For Diabetes Control In India
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Author : Majumder Anirban
language : en
Publisher:
Release Date : 2017
Diabetes Self Management Education A Powerful Tool For Diabetes Control In India written by Majumder Anirban 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.
Diabetes self-management education: a powerful tool for diabetes control in IndiaDiabetes self-management education (DSME) is a critical element of care for diabetes management and is a powerful tool for reducing glycosylated haemoglobin (HbA1c), risk for complications, hospital admissions and cost of care.1 The purpose of this study was to determine the impact of DSME in improving the outcomes of diabetes care as measured by glycaemic (FPG, PPG & HbA1C), lipid (total cholesterol[TC], triglycerides[TG], low density lipoproteins[LDL] and high density lipoproteins [HDL]) and anthropometric parameters (weight, BMI & waist circumference) in individuals with type 2 diabetes mellitus (T2DM).A retrospective analysis was performed for 160 adult T2DM patients who received DSME training in 2013u20132014 from our center. DSME provided to the study participants was consistent with the requirements from the National Standards for Diabetes Self-Management Education.1 Participants received one time 6 hours intensive group training. All education was provided by a team of diabetologists, certified diabetes educators who in addition are dietician and exercise physiologist. Patients received instruction in: diet/exercise education; self-monitoring of glucose levels; medication management specifically for insulin users; diabetes related problem solving, and lifestyle changes to help reduce the risks and complications of diabetes. Subjects were judged for their acquired knowledge about the disease by using a set of questionnaire and were awarded a score based on their performance. Their socioeconomic status was also ascertained by using Kuppuswammy scoring (KS score)2 which looked at their education, monthly income and occupational status. The subjectsu2019 glycaemic parameters, lipid parameters and anthropometric measurements were checked before the DSME programme and at the end of 6 months and 12 months respectively. The DSME scores were divided into tertiles and lower tertile patients were compared to intermediate and higher tertile patients, to assess, whether differences in acquired knowledge about diabetes had impact on glycaemic, lipid and anthropometric parameters. It was revealed that waist circumference increased in all the three tertiles over the entire year following DSME without any statistically significant change in the weight and BMI over the year. Subjects with DSME score in the lowest tertile had an initial improvement in the FPG values at 6 month but a rebound increase at the end of the year made it lose statistical significance. There was however no statistically significant change in the HbA1C and PPG over the year. The lipid parameters (TC and LDL) showed statistically significant progressive deterioration which perhaps emphasises the need for an intermittent reinforcement of education. Subjects with DSME score in the intermediate tertile had an improvement in the glycaemic parameters (FPG and HbA1C) throughout the year but there was no improvement in the lipid parameters . Subjects with DSME score in the upper most tertile were already having better controls of their glycaemic parameters at the baseline and did not show significant improvements over the year but their lipid parameters (TC and LDL) did show a significant improvements over the year, perhaps secondary to their better understanding of the contribution of lipid control towards prevention of macro vascular complications. Further analysis of the data also revealed that DSME scores were independent of socioeconomic status even when analysed separately for income levels and educational qualification. In India where the large number of diabetic population has a considerable economic implication on the state as well as on the individual, more widespread use of DSME can be a cost-effective option in fighting against the growing menace of the diabetes epidemic. In conclusion, comprehensive diabetes outcomes were correlated with adequacy of baseline diabetes education. Subjects with even minimal diabetes education (lowest tertile) had transient improvement in outcomes whereas those with optimal education had sustained multifactorial benefits. Moreover DSME benefits were independent of socio-economic and educational status indicating its widespread applicability even in resource limited settings. In India where the large number of diabetic population has a considerable economic implication on the state as well as on the individual, more widespread use of DSME can be a cost-effective option in fighting against the growing menace of the diabetes epidemic.References :1. Martha M. Funnell, Tammy L. Brown et al. National Standards for Diabetes Self-Management Education. Diabetes Care. 2010 Jan; 33(Suppl 1): S89u2013S96.2. Kuppuswamy B. Manual of Socioeconomic Status (Urban) 1st ed. Delhi: Manasayan; 1981. pp. 66u201372.
Effects Of Self Management Education On Diabetic Control Among Patients With Type 2 Diabetes
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Author : Min Yan
language : en
Publisher: Open Dissertation Press
Release Date : 2017-01-26
Effects Of Self Management Education On Diabetic Control Among Patients With Type 2 Diabetes written by Min Yan and has been published by Open Dissertation Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-01-26 with categories.
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
The Impact Of Diabetes Self Management Education On Management Of Type 2 Diabetes
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Author : Chekwube M. Okoli
language : en
Publisher:
Release Date : 2015
The Impact Of Diabetes Self Management Education On Management Of Type 2 Diabetes written by Chekwube M. Okoli and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015 with Diabetes categories.
Different studies have shown the impact of Diabetes Self Management Education (DSME) in preventing diabetes exacerbation and possible complications of type 2 diabetes mellitus. Type 2 diabetes mellitus is a major global problem which continues to affect millions of people and has been ranked number seven in the causes of death within the United States ( Centers for Disease Control and Prevention, 2013). Exacerbation and complications associated with type 2 diabetes has tremendous negative effect on individuals , families and the general public. There are huge expenses in the treatment of diabetic complication than it is to prevent or control it. The proposed solution for this problem is individualized, self-centered diabetic education and follow-up care. This is a crucial component in the management and treatment of the type 2 diabetes mellitus. Proper, efficient and individualized Diabetes Self Management Education (DSME) will definitely improve glucose control, prevent hospitalization, avoid short and long term complications, improve quality of life, and save cost ( American Diabetes Association, 2015 ). Studies shows that there is significant knowledge and skill deficit in 50% to 80% of diabetic patients on diabetic management. This study suggests that patients with low baseline knowledge should receive special attention in Diabetic Self Management Education ( DSME) programs, as knowledge gain in this group can significantly improve glycemic control (Ogrizio, Otero, L.M., Zanetti, M.L . 2007) . Studies has shown that diabetic counseling and education enhances great improvements in glycemic levels control and ultimately helps in the management of diabetes (Dalal, M. R., Robinson, S.B., and Sullivan, S.D. 2014).
Patient Knowledge Perceived Self Efficacy And Self Management Among Patients With Type Ii Diabetes Mellitus
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Author : Razel Bacuetes Milo
language : en
Publisher:
Release Date : 2017
Patient Knowledge Perceived Self Efficacy And Self Management Among Patients With Type Ii Diabetes Mellitus written by Razel Bacuetes Milo 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.
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.
Using A Randomised Controlled Trial To Test The Effectiveness Of A Family Oriented Theoretically Based Diabetes Self Management Education Program To Improve Glycaemia Self Management And Self Efficacy Of Individuals With Type 2 Diabetes Mellitus Living In Rural Thailand
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Author : Nutchanath Wichit
language : en
Publisher:
Release Date : 2018
Using A Randomised Controlled Trial To Test The Effectiveness Of A Family Oriented Theoretically Based Diabetes Self Management Education Program To Improve Glycaemia Self Management And Self Efficacy Of Individuals With Type 2 Diabetes Mellitus Living In Rural Thailand written by Nutchanath Wichit and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018 with Diabetes categories.
Introduction: Diabetes is increasing in prevalence throughout the world. This increase is also of concern to upper-middle-income countries such as Thailand. Diabetes mellitus develops gradually and is often undetected in the early stages, leading to long-term damage of several organs in the body with related complications. Diabetes self-management education (DSME) has been found to improve knowledge, self-care behaviours, glycaemic control, and quality of life for Thai individuals with type 2 diabetes mellitus (T2DM). Thailand is a country in which family members have a fundamental role in assisting other family members in sickness and in health. Family-oriented interventions, therefore, have the potential to enhance health outcomes for individuals with T2DM. Randomised controlled trials conducted on family-carers of individuals with diabetes in Thailand are limited and none has investigated the potential benefit of a family-oriented DSME program, which includes the family-carer in the intervention. Aims: The primary aim of this study was to test the effectiveness of a family-oriented, theoretically derived (based on self-efficacy) DSME for Thai individuals living with T2DM. The specific objectives of this research are to develop and deliver a family-oriented DSME for Thai individuals with T2DM and carers; to evaluate the effectiveness of a family-oriented DSME in improving diabetes knowledge, glycaemic control, self-efficacy, self-management, and quality of life among Thai individuals with T2DM; to develop and test the validity and reliability of the family-carer diabetes management self-efficacy scale (F-DMSES) that measures diabetes management self-efficacy among family-carers of Thai individuals with T2DM; and, finally, to measure and compare diabetes management self-efficacy between individuals with T2DM and their carers.
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.
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.
A Systematic Review Of Literature Relating To The Effect Of Diabetes Self Management Education On Hba1c Levels In People With Type 2 Diabetes In General Practice Settings
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Author : Sally Crawford
language : en
Publisher:
Release Date : 2006
A Systematic Review Of Literature Relating To The Effect Of Diabetes Self Management Education On Hba1c Levels In People With Type 2 Diabetes In General Practice Settings written by Sally Crawford and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006 with Diabetes categories.
This systematic review presents findings on diabetes self-management education (DSME) as a therapeutic tool to aid glycaemic control in people with type 2 diabetes in general practice settings. DSME encompasses a wide range of educational interventions aimed at changing behaviour and adherence to recommended medical management (American Association of Diabetes Educators [AADE] 2003). Results from literature suggest that DSME interventions have modest effects on glycaemic control but the impact of these interventions in terms of long-term diabetes outcomes is uncertain (Norris, Engelgau and Narayan 2001; Gary’ Gerkinger, Guallan, Peyrot and Brancati 2003).
The Effect Of Diabetes Self Management Education Using Simulation For Persons Diagnosed With Type Ii Diabetes
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Author : Lauren Miley
language : en
Publisher:
Release Date : 2023
The Effect Of Diabetes Self Management Education Using Simulation For Persons Diagnosed With Type Ii Diabetes written by Lauren Miley and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023 with Electronic dissertations categories.
Over 30 million Americans have been diagnosed with diabetes with 90 to 95% of these patients having Type II (Centers for Disease Control and Prevention [CDC], 2021). Diabetes self-management education (DSME) is a cost-effective but underutilized intervention for patients (CDC, 2021). There have been few studies conducted to examine the effect of simulation as a patient education method. Purpose: This study aimed to examine the effect of a simulation-based educational intervention on diabetes self-care management. Methods: Subjects were adults diagnosed with diabetes with a glycated hemoglobin test (HbA1c) greater than or equal to eight, obtained within the past six months. The participants were randomized into the simulation or educational handout group. The instrument used was the Diabetes Self-Management Questionnaire (DSMQ), which assessed self-care interventions required for glycemic control (Schmitt, 2013). Both groups completed the DSMQ pretest and demographic survey, and then completed the DSMQ again at six weeks post intervention. Results: No formal comparisons were made due to low sample. The mean total DSMQ score was in 7.6 the simulation group and 5.9 in the handout group at pretest. The mean total DSMQ score was 9.1 in the simulation group and 7.5 in the handout group at posttest. Conclusions: The study suggested that immersive learning experiences may be effective in adults with diabetes, regardless of time since diagnosis. More formal education is needed for patients with type II diabetes, especially regarding nutrition. Further studies are needed to further explore the gaps on the use of simulation in patient education.