Biopsychosocial Outcomes Of A Resilience And Diabetes Self Management Education Intervention In African American Adults With Type 2 Diabetes

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Biopsychosocial Outcomes of a Resilience and Diabetes Self-management Education Intervention in African American Adults with Type 2 Diabetes

Author : Madonna Marie Mamerow
Publisher :
ISBN 13 :
Total Pages : 406 pages
Book Rating : 4.:/5 (272 download)

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Book Synopsis Biopsychosocial Outcomes of a Resilience and Diabetes Self-management Education Intervention in African American Adults with Type 2 Diabetes by : Madonna Marie Mamerow

Download or read book Biopsychosocial Outcomes of a Resilience and Diabetes Self-management Education Intervention in African American Adults with Type 2 Diabetes written by Madonna Marie Mamerow and published by . This book was released on 2008 with total page 406 pages. Available in PDF, EPUB and Kindle. Book excerpt: Type 2 diabetes (T2DM) currently affects more than three million African American adults with double the number expected by 2025. The most effective and safest treatment for T2DM is lifestyle change therapy, including healthful eating, monitoring of blood glucose, and physical activity. However, current lifestyle change interventions are limited in their scope to alter the behaviors of individuals to more healthful ones. These limitations may be attributed, in part, to a lack of attention given to enhancing an individual's psychosocial process variables, such as resilience, coping skills, selfleadership, and empowerment. Incorporating resilience education into lifestyle change therapies is a novel approach that addresses the behavior modification limitations of current interventions by aiming to enhance psychosocial process variables. Therefore, the purpose of this project was to conduct a six-month pilot study to determine the feasibility of our resilience and diabetes self-management intervention, The Diabetes Coaching Program: Transforming Lives Through Resilience Education, in a convenience sample of African American adults (n=16) with T2DM. The intervention included four weekly resilience and diabetes education classes and eight bi-weekly support group sessions. Survey data and blood samples were collected at baseline and at six months. Twelve participants completed the study (75% retention). Results indicated that higher perceived stress scores were associated with less resilience, fewer adaptive coping skills, lower selfleadership, lower diabetes empowerment and greater depressive symptoms. However, diabetes empowerment was the only psychosocial process variable to be significantly enhanced by the intervention at six months. Weight, BMI, HbA1c, total cholesterol, LDL cholesterol, blood pressure, and IGF-1 levels were significantly decreased at six months, whereas, lymphocyte proliferation and physical activity were significantly increased. These data indicate that our intervention has the potential to improve diabetes selfmanagement among African Americans with T2DM and increase positive health outcomes, though further studies are needed to confirm these findings. Additionally, several lessons were learned from conducting the pilot study that may be useful for improving the intervention for future studies, including: recruitment and retention strategies; cultural competency issues; the use of complementary and alternative medicine practices by African Americans with T2DM; and approaches for increasing participant self-assessment and goal-setting.

Dissertation Abstracts International

Author :
Publisher :
ISBN 13 :
Total Pages : 668 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis Dissertation Abstracts International by :

Download or read book Dissertation Abstracts International written by and published by . This book was released on 2009 with total page 668 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Effectiveness of Providing Cultural Diabetes Self-management Education to African Americans

Author : Andrea Alexis
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis The Effectiveness of Providing Cultural Diabetes Self-management Education to African Americans by : Andrea Alexis

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

The Influence of Social Contextual Conditions and Basic Psychological Need Fulfillment on Self-management and Emotional Distress Among Urban African American Adults with Type-2 Diabetes Mellitus

Download The Influence of Social Contextual Conditions and Basic Psychological Need Fulfillment on Self-management and Emotional Distress Among Urban African American Adults with Type-2 Diabetes Mellitus PDF Online Free

Author : Sula Marie Hood
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (832 download)

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Book Synopsis The Influence of Social Contextual Conditions and Basic Psychological Need Fulfillment on Self-management and Emotional Distress Among Urban African American Adults with Type-2 Diabetes Mellitus by : Sula Marie Hood

Download or read book The Influence of Social Contextual Conditions and Basic Psychological Need Fulfillment on Self-management and Emotional Distress Among Urban African American Adults with Type-2 Diabetes Mellitus written by Sula Marie Hood and published by . This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction: African Americans are disproportionally diagnosed with Type-2 diabetes, and have been observed to have poor self-management, which increases risk of complications. Social influences are commonly associated with diabetes-related outcomes. Purpose: The purpose of the study was to assess whether and how socio-contextual factors influence self-management and emotional distress in urban African American adults living with type-2 diabetes, as well as to assess whether social support facilitate relatedness need fulfillment within this population. The study also sought to gain an understanding of the psychosocial support needs and preferences of urban African American adults living with type-2 diabetes. Methods: The descriptive study employed a mixed-methods research design. African American adults were recruited to take a one-time written survey. Hypotheses one and two were tested using hierarchical linear regression, hypothesis three was assessed using VI a simple linear model, and hypotheses four and five were evaluated using path analysis. Four gender-stratified follow-up focus groups were also conducted, to confirm quantitative findings and gain insight into the support needs and preferences of urban African American adults living with type-2 diabetes. Study Variables: Independent study variables included social support, autonomy support, basic psychological needs (autonomy, competence, relatedness), and autonomous regulation. Primary dependent variables were diabetes self-management and diabetes-related emotional distress. Results: 155 eligible individuals (67 male, 88 female) were included in the quantitative analytic sample. 23 individuals (10 male, 13 female) participated in follow-up focus groups, yielding a total of 6 hours of audio-recorded focus group data. Autonomy and competence significantly predicted self-management and emotional distress in hypotheses one and two, respectively. Competence was the strongest predictor of selfmanagement and emotional distress among sample participants, followed by autonomy, but relatedness was not observed to be a significant variable in the prediction of study outcomes. Social support was observed to significantly predict relatedness need fulfillment in a simple linear model for hypothesis three. Data did not support hypothesis four and five. Qualitative findings contextualized the quantitative study findings. Conclusions: Future support programs should facilitate basic need fulfillment in urban African American adults living with type-2 diabetes. Relatedness is especially important in this collectivistic cultural group.

The Effect of a Diabetes Self-management Program for African Americans in a Faith-based Setting

Author : Pandora Goode
Publisher :
ISBN 13 :
Total Pages : 119 pages
Book Rating : 4.:/5 (979 download)

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Book Synopsis The Effect of a Diabetes Self-management Program for African Americans in a Faith-based Setting by : Pandora Goode

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.

Impact of Social Support, Self-efficacy, and Outcome Expectations on Self-care Behaviors and Glycemic Control in Caucasian and African-American Adults with Type 2 Diabetes Mellitus

Download Impact of Social Support, Self-efficacy, and Outcome Expectations on Self-care Behaviors and Glycemic Control in Caucasian and African-American Adults with Type 2 Diabetes Mellitus PDF Online Free

Author : Diane Orr Chlebowy
Publisher :
ISBN 13 :
Total Pages : 390 pages
Book Rating : 4.:/5 (262 download)

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Book Synopsis Impact of Social Support, Self-efficacy, and Outcome Expectations on Self-care Behaviors and Glycemic Control in Caucasian and African-American Adults with Type 2 Diabetes Mellitus by : Diane Orr Chlebowy

Download or read book Impact of Social Support, Self-efficacy, and Outcome Expectations on Self-care Behaviors and Glycemic Control in Caucasian and African-American Adults with Type 2 Diabetes Mellitus written by Diane Orr Chlebowy and published by . This book was released on 2002 with total page 390 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: Caucasians and African-Americans with type 2 diabetes continue to experience preventable diabetes-related life-threatening complications despite medical advances and health care availability. African-Americans are more likely to suffer from diabetes-related complications and experience a higher diabetes-related mortality rate than Caucasians. There is a definite need to better understand the relationship of psychosocial variables to diabetes control in these two racial groups. The purpose of this two-group, comparative, descriptive study was to examine the relationships of social support, self-efficacy, and outcome expectations (beliefs that diabetes-related behaviors will lead to certain outcomes) to self-care behaviors and glycemic control in Caucasian and African-American adults with type 2 diabetes. A convenience sample of 91 Caucasian and African-American subjects receiving health care at three outpatient facilities participated in the study. All subjects completed four self-report measures: Social Support Questionnaire, Self-Efficacy Questionnaire, Outcome Expectancy Questionnaire, and the Diabetes Activities Questionnaire at the time of the outpatient visit. Long-term glycemic control was assessed by glycosylated hemoglobin analyses at the time of the outpatient visit. Two-sample t-tests revealed no significant differences between the two racial groups in regards to age (p = .81), duration of diabetes (p = .69), and glycosylated hemoglobin (p = .85). Chi-square analyses revealed two significant differences between the two racial groups with regard to sex (p = .04) and marital status (p

Learning to Manage

Author : Ifunanya Hilda Ejebe
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (958 download)

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Book Synopsis Learning to Manage by : Ifunanya Hilda Ejebe

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.

African American Women with Type 2 Diabetes

Author : F. Bridgett Rahim-Williams
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (577 download)

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Book Synopsis African American Women with Type 2 Diabetes by : F. Bridgett Rahim-Williams

Download or read book African American Women with Type 2 Diabetes written by F. Bridgett Rahim-Williams and published by . This book was released on 2004 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: ABSTRACT: Prescribed self-management behaviors have been found to be important factors affecting the rates of morbidity and mortality in multiple medical conditions including chronic diseases such as diabetes, a condition that disproportionately affects high health risk populations such as African Americans. This study focused on understanding health behaviors, beliefs, and associated factors such as support systems and access to care that played a role in diabetes self-management and glucose control. The study also explored diabetes self-management education and its role in diabetes self-management. The research conducted in Pinellas and Hillsborough counties in Florida, included twenty-five African American women between the ages of forty-six and eighty-seven, with self-identified diabetes mellitus (type 2 diabetes).

The Effect of Diabetes Self-management Education Using Simulation for Persons Diagnosed with Type II Diabetes

Author : Lauren Miley
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (14 download)

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Book Synopsis The Effect of Diabetes Self-management Education Using Simulation for Persons Diagnosed with Type II Diabetes by : Lauren Miley

Download or read book The Effect of Diabetes Self-management Education Using Simulation for Persons Diagnosed with Type II Diabetes written by Lauren Miley and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Improving the Quality of Life of African Americans Diagnosed with Type 2 Diabetes Through Education and Diabetes Self-management

Author : Marcia Nelson Niles
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (134 download)

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Book Synopsis Improving the Quality of Life of African Americans Diagnosed with Type 2 Diabetes Through Education and Diabetes Self-management by : Marcia Nelson Niles

Download or read book Improving the Quality of Life of African Americans Diagnosed with Type 2 Diabetes Through Education and Diabetes Self-management written by Marcia Nelson Niles and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This paper offers suggestions for improving the health and quality of life of African Americans with type 2 diabetes. It seeks to develop a practice change that will help these patients understand, self-manage, and control their diabetes more efficiently and effectively through education and self-management protocol. In this chapter, a brief background on diabetes will be provided. This will be followed by a discussion of the significance of this topic for clinical practice and the research question in PICO (Patient Population of Interest, Intervention of Interest, Comparison of Interest, and Outcome of Interest) format. ... " -- from Introduction.

Self-care Agency and Self-care Practice of Adult African Americans with Type 2 Diabetes

Author : Martha Cook Eddings
Publisher :
ISBN 13 :
Total Pages : 104 pages
Book Rating : 4.:/5 (87 download)

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Book Synopsis Self-care Agency and Self-care Practice of Adult African Americans with Type 2 Diabetes by : Martha Cook Eddings

Download or read book Self-care Agency and Self-care Practice of Adult African Americans with Type 2 Diabetes written by Martha Cook Eddings and published by . This book was released on 2012 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of the study was to identify and examine the concepts of self-care agency and self-care practice of African American adults diagnosed with type 2 diabetes, living in the local community. The research questions addressed were: 1) What is the self-care agency of adult African Americans diagnosed with type 2 diabetes? 2) What is the self-care practice of adult African Americans diagnosed with type 2 diabetes? 3) Is there a relationship between self-care agency and self-care practice in adult African Americans diagnosed with type 2 diabetes? The Denyes Self-Care Agency Instrument (DSCAI-90) and the Denyes Self-Care Practice Instrument (DSCPI-90) were used to survey a convenience sample of 40 adult African Americans with type 2 diabetes, living in the community. Findings revealed that self-care agency and self-care practice were present, and there was a positive correlation between the two concepts. The results of this study supported the usefulness of Orem's Self-Care Deficit Nursing Theory (SCDNT) with adult African American diabetic populations and identified the need for further research to examine self-care in other African American populations.

Effects of Self-Management Education on Diabetic Control Among Patients with Type 2 Diabetes

Author : Min Yan
Publisher : Open Dissertation Press
ISBN 13 : 9781361324400
Total Pages : pages
Book Rating : 4.3/5 (244 download)

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Book Synopsis Effects of Self-Management Education on Diabetic Control Among Patients with Type 2 Diabetes by : Min Yan

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

Learning to Manage

Author :
Publisher :
ISBN 13 :
Total Pages : 178 pages
Book Rating : 4.:/5 (953 download)

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Book Synopsis Learning to Manage by :

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.

Church-based Type 2 Diabetes Education Program for African American Women

Author : Theresa Chandler
Publisher :
ISBN 13 :
Total Pages : 78 pages
Book Rating : 4.:/5 (718 download)

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Book Synopsis Church-based Type 2 Diabetes Education Program for African American Women by : Theresa Chandler

Download or read book Church-based Type 2 Diabetes Education Program for African American Women written by Theresa Chandler and published by . This book was released on 2005 with total page 78 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diabetes is the most common endocrine disease in the world, and a major clinical and public health problem in the United States. Diabetes is more prevalent in blacks compared to whites of all ages. The purpose of this project was to develop, implement, and evaluate a culturally competent, church-based diabetic self-management intervention program for African American women with type 2 diabetes. Twelve African American women with type 2 diabetes participated in a church-based education program. Pre- and post-tests were used to assess knowledge of diabetes. A three-month behavior diabetessurveyy was used to assess behavioral change after completing the education program. Post-test scores on the diabetes knowledge test changed from a baseline mean of 83.67 (SD= 10.48) to 97.08 (SD= 3.60). Theresultss indicate that with additional instruction and education, the participant's diabetic knowledge increased. Fifty percent (50%) of the participants made at least two behavioral changes on the 3-month behavioral survey. The project found that church-based interventions can be an important component of diabetes health education programs. Culturally competent approaches that integrate ethnic beliefs, values, and customs are beneficial when teaching diabetes education to African American women.

Satisfaction with Life and Biopsychosocial-spiritual Health Among Underserved Patients with Diabetes

Author : Kenneth W. Phelps
Publisher :
ISBN 13 :
Total Pages : 194 pages
Book Rating : 4.:/5 (648 download)

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Book Synopsis Satisfaction with Life and Biopsychosocial-spiritual Health Among Underserved Patients with Diabetes by : Kenneth W. Phelps

Download or read book Satisfaction with Life and Biopsychosocial-spiritual Health Among Underserved Patients with Diabetes written by Kenneth W. Phelps and published by . This book was released on 2010 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: The prevalence of type 2 diabetes continues to escalate, especially among vulnerable and underserved populations (CDC, 2008); however, the current landscape of literature has not kept pace with the trends of those most affected. Available data have often pertained to nonunderserved groups and only address part of patients' physical, mental, social, or spiritual lives. The literature review and research articles included in this dissertation integrate available knowledge pertaining to the comprehensive experiences of underserved groups with type 2 diabetes and specifically the understudied concept of satisfaction with life (SWL) among African American and Hispanic minority groups. The first article presented is a literature review written to synthesize studies of underserved populations with type 2 diabetes, including individuals who were of a minority ethnic group, socioeconomically disadvantaged, elderly, uninsured, and/or of lower educational level. The objective of this review was to amalgamate current evidence for underserved groups using a biopsychosocial-spiritual framework (Engel, 1977; Hodgson, Lamson, & Reese, 2007; Wright, Watson, & Bell, 1996). Themes and gaps in knowledge from approximately 1995 to the present were identified. Fifty-one studies were reviewed and grouped into three themes pertaining to overall health and disease management, including: psychological influences; marital, familial, and environmental influences; and spiritual influences. Researchers documented a number of psychological, social, and spiritual variables influencing glycemic control. In particular, depression and relational conflict adversely influenced glycemic control in some cases, whereas availability of social support or spiritual resources frequently assisted in better disease management. Lack of demographic data and attention to diverse groups, as well as, incomplete empirical knowledge prompt the need for further research of the influences of disease management among underserved groups. Three recommendations are suggested: 1) further exploration of the relationship between psychosocial-spiritual influences on diabetes management for uniquely underserved groups; 2) investigation of demographic differences or similarities; and 3) development and use of clinical models incorporating a multidisciplinary, collaborative stance in addressing diabetes for vulnerable populations. The second article extends current literature and aims to meet a number of the above mentioned recommendations. This article is focused on two groups with noted health disparities, African American and Hispanic minorities with type 2 diabetes. It was written to examine associations found between biomedical markers of disease management and psychosocial constructs and assess the correlates and predictors of variability for SWL. Data were collected from 142 minority patients (65 African American and 77 Hispanic) during their first visit within a collaborative care program. Pearson product moment correlations, multiple linear regressions, and one-way analysis of variance were used to examine research questions in this descriptive, quantitative study. Only one weak, significant relationship was noted for BMI and somatization; otherwise, no noteworthy relationships were documented between psychosocial or spiritual constructs and biomedical markers of disease management (HbA1c and body mass index). Psychological distress, social support, and spirituality accounted for 63% of the variance in SWL for African American participants and 29% of the variance in SWL for Hispanic participants. Social support was the strongest predictor of SWL for African American participants, while psychological distress was the strongest predictor of SWL for Hispanic participants. Social support moderated the relationship between psychological distress and SWL for Hispanic participants, while social support did not moderate this relationship for African American participants. Spirituality did not moderate the relationship between psychological distress and SWL for either ethnic group. Clinicians and researchers who work with and study minority patients with uncontrolled type 2 diabetes may see improvement in patients' SWL when screening for and treating psychopathology, interpersonal strain, and existential struggles. Attention to ethnic variation in research and clinical practice is important since dissimilarity existed in the determinants of SWL and moderators of psychological distress and SWL.

Combining the Common Sense Model, Cognitive Behavioral Principles, and Real World Experience to Promote Type 2 Diabetes Self-management

Download Combining the Common Sense Model, Cognitive Behavioral Principles, and Real World Experience to Promote Type 2 Diabetes Self-management PDF Online Free

Author : Jessica Samantha Yu
Publisher :
ISBN 13 :
Total Pages : 110 pages
Book Rating : 4.:/5 (975 download)

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Book Synopsis Combining the Common Sense Model, Cognitive Behavioral Principles, and Real World Experience to Promote Type 2 Diabetes Self-management by : Jessica Samantha Yu

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.

Examining Biobehavioral Variables and Predictors Associated with Type 2 Diabetes Self- Management

Author : Karin A. Emery
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (112 download)

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Book Synopsis Examining Biobehavioral Variables and Predictors Associated with Type 2 Diabetes Self- Management by : Karin A. Emery

Download or read book Examining Biobehavioral Variables and Predictors Associated with Type 2 Diabetes Self- Management written by Karin A. Emery and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Type 2 diabetes mellitus self-management is a challenging process that brings forward a variety of emotional responses. The purpose of this work was to explore relationships between diabetes distress, self-efficacy and resilience and outcomes of glycosylated hemoglobin, quality of life and health status. A cross sectional descriptive design was used for this pilot study of 78 individuals enrolled from an Endocrine clinic in the Midwest United States and a Primary Care clinic in the southeast United States. Data were analyzed using descriptive statistics to characterize the sample and model variables. Spearman's correlation was completed to identify relationships among variables. A stepwise building approach was used to identify significant interactions and determine predictors of the study outcomes. The results of this study confirm the presence of facilitators and barriers in type 2 diabetes mellitus self-management and their relationships with distal outcomes. The findings demonstrate that diabetes distress is a predictor of health status and quality of life. The findings of this study provide a link to other facilitator and barrier variables such as provider collaboration, diabetes self-management education, treatment regimen, ethnicity and years since diagnosis which can be incorporated into the comprehensive theoretical model. This study contributes to the understanding of the emotional aspect of diabetes as it relates to self-management of T2DM. Continuing this work will allow researchers to examine and better understand important factors of self-management. This ongoing work will hopefully lead to improved support in self-management efforts and better outcomes.