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Assessment Of Factors For Patient Engagement In Diabetes Self Management Education And Support Dsmes Programs
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Book Synopsis Assessment of Factors for Patient Engagement in Diabetes Self-management Education and Support (DSMES) Programs by : Amy Lynn Seither
Download or read book Assessment of Factors for Patient Engagement in Diabetes Self-management Education and Support (DSMES) Programs written by Amy Lynn Seither and published by . This book was released on 2020 with total page 22 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Diabetes self-management education and support (DSMES) programs are recommended for all patients with diabetes at the time of diagnosis and subsequently as needed. Diabetes is becoming increasingly prevalent in the United States, but the estimated percentage of patients receiving DSMES remains low. The purpose of this study was to identify patient-specific factors documented in the electronic medical record (EMR) that are associated with engagement or non-engagement in a DSMES program. The institutional review board approved this retrospective case-controlled chart review of patients who were referred to DSMES classes at Eskenazi Health (EH) by their health care providers. Both demographic and clinical information from the time of patient referral was extracted from the EMR. All patients who were screened for the DSMES classes and enrolled in the program from January 1, 2017-December 31, 2018 were included in the study. The analysis included 414 patients. Age (p = 0.042) and the number of chronic medications that a patient is prescribed (p = 0.002) were found to be statistically significantly higher in engagers compared to non-engagers. Whereas glycated hemoglobin (A1C) (p = 0.002) was found to be statistically significantly lower in engagers compared to non-engagers. This study shows that increased age, decreased A1C, and more prescriptions for chronic medications are associated with engagement in DSMES classes. These results correlate with the findings of similar studies regarding both age and A1C which suggests these findings could be more generalizable. These results may be used to develop a more targeted screening process for recruitment to the DSMES program. However, additional studies are needed to determine how the program could be altered to reach additional patients in the future"--Provided by author.
Book Synopsis Evaluation of Attendance, Patient Satisfaction, Knowledge, and Clinical Outcomes Following Participation in a Group Diabetes Self-management Eduction and Support Program in a Primary Care Clinical Setting by : Jordan LeCour Rauh
Download or read book Evaluation of Attendance, Patient Satisfaction, Knowledge, and Clinical Outcomes Following Participation in a Group Diabetes Self-management Eduction and Support Program in a Primary Care Clinical Setting written by Jordan LeCour Rauh and published by . This book was released on 2020 with total page 74 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Introduction: Although group Diabetes Self-Management Education and Support (DSMES) programs have been attempted throughout Community Health Network, no evaluation of the programs had been conducted. Introduction: Although group Diabetes Self-Management Education and Support (DSMES) programs have been attempted throughout Community Health Network, no evaluation of the programs had been conducted. Objectives: The primary objectives of this study were to evaluate attendance, patient satisfaction and change in disease state knowledge following participation in six sessions of a group DSMES program led by a multidisciplinary team. The secondary objective was to evaluate clinical outcomes. Methods: This retrospective, observational study focused on process improvement evaluating a standardized approach to a group DSMES program beginning in August 2017 within Community Health Network. Eleven courses ran six sessions lasting approximately 1.5 hours that occurred weekly or every other week. Patients with a history of Type 2 diabetes who had a primary care provider within Community Health Network were invited to participate. Attendance and clinical outcomes were evaluated by a retrospective chart review of the electronic medical record. Evaluation of the program, both patient satisfaction and knowledge, occurred through the voluntary completion of various paper surveys throughout the program. Results: To date, eleven clinic sites have completed a group DSMES program totaling 89 patient participants. Program attendance was evaluated to determine what topics, days, times, and clinic sites would allow future programs to reach the most patients. 47 patients (52.8%) were able to attend four or more of the six sessions; 14 patients (15.7%) attended all six sessions. Responses from the patient satisfaction surveys indicated that patients approved of the speakers well over 90 percent of the time, patients "Strongly Agree" in favor of the sessions at a rate of 88.5% (3.54/4), and patients favored topics focusing on nutrition. Knowledge-based surveys showed an average score increase of 8.3%. Frequently missed topics included goal fasting and fed blood sugar levels. Patients showed mastery of concepts related to the definition of diabetes as well as frequency of immunizations, eye exams, and hemoglobin A1c monitoring. The average reduction of hemoglobin A1c was 0.58% overall. Patients that attended all six sessions saw an average decrease of 0.96%. Patients lost an average of 0.9 kilograms. Systolic blood pressure average dropped by 2mmHg. Conclusion: Following participation in the group DSMES program patients were satisfied with their care while increasing their disease state knowledge leading to an improvement in hemoglobin A1c. The results observed from the review of this DSMES program supports its continued use and expansion throughout Community Health Network" --Unnumbered leaf 1.
Book Synopsis Psychosocial Care for People with Diabetes by : Deborah Young-Hyman
Download or read book Psychosocial Care for People with Diabetes written by Deborah Young-Hyman and published by American Diabetes Association. This book was released on 2012-12-25 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychosocial Care for People with Diabetes describes the major psychosocial issues which impact living with and self-management of diabetes and its related diseases, and provides treatment recommendations based on proven interventions and expert opinion. The book is comprehensive and provides the practitioner with guidelines to access and prescribe treatment for psychosocial problems commonly associated with living with diabetes.
Book Synopsis ADA The Complete Nurse's Guide to Diabetes, Second Edition by : Belinda Childs
Download or read book ADA The Complete Nurse's Guide to Diabetes, Second Edition written by Belinda Childs and published by American Diabetes Association. This book was released on 2009-05-27 with total page 596 pages. Available in PDF, EPUB and Kindle. Book excerpt: What every nurse must know about diabetes Complete Nurse’s Guide to Diabetes Care is a comprehensive resource for all nurses who work with diabetes patients. Extensively revised, it offers expert advice on the fundamentals of diabetes care and related nursing issues.
Author :Association of Diabetes Care & Education Specialists Publisher : ISBN 13 :9781881876564 Total Pages :250 pages Book Rating :4.8/5 (765 download)
Book Synopsis ADCES Diabetes Care and Education Curriculum by : Association of Diabetes Care & Education Specialists
Download or read book ADCES Diabetes Care and Education Curriculum written by Association of Diabetes Care & Education Specialists and published by . This book was released on 2020-07-31 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: A curriculum used by diabetes care and education specialists to assist persons with diabetes in acquiring and improving skills self-managing diabetes and to prevent or delay the onset of complications and comorbidities
Book Synopsis Determinants of Attrition from Diabetes Self-management Education Programs by : Enza Gucciardi
Download or read book Determinants of Attrition from Diabetes Self-management Education Programs written by Enza Gucciardi and published by . This book was released on 2006 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: The phenomenon of attrition from diabetes self-management education (DSME) has received little attention in the literature. Findings about factors associated with patient attrition from diabetes health services have been often contradictory and largely inconclusive. A series of four studies were conducted to investigate determinants of attrition from DSME. We recruited patients attending their first visit at diabetes education centres who were diagnosed with type 2 diabetes. We defined attrition as three or fewer patient-provider contacts at a diabetes education centre over a one-year period and classified patients as users or nonusers of ongoing DSME. Logistic regression was used to analyze potential predictors of program attrition. Conventional content analysis was used to code and generate themes from text gathered from an open-ended question. Psychometric analyses were conducted to assess the new scales we developed. We observed an attrition rate between 43% and 50% across studies. Being over 65 or younger than 50 years of age, primarily speaking English, working full or part-time, having a regular primary care physician, fewer diabetes symptoms, low self-efficacy in overcoming barriers to use services, low intentions to use services, and the centre patients attended were important predictors of program attrition. The most common reasons cited by patients for attrition were conflict between patients' work schedule and the centre's hours of operation, patients' confidence with the amount of diabetes knowledge obtained, confidence in managing their diabetes, apathy towards diabetes education, distance to the centre, forgetfulness, seeing a physician regularly, low perceived seriousness of the disease, and lack of familiarity with the centre and its services. The new scales have good comprehension and psychometric properties. Individuals with diabetes need the necessary information and support to become an effective self-manager of their diabetes. This would entail primary care providers to inform patients of DSME and to encourage full participation of these services. We need to improve delivery of DSME that facilitate the ongoing monitoring, support and routine care that a chronic illness such as diabetes requires. Restructuring the delivery of DSME should lead to programs offering a broader range of intervention approaches with greater access, convenience and choice.
Book Synopsis The American Diabetes Association/JDRF Type 1 Diabetes Sourcebook by : Anne L. Peters
Download or read book The American Diabetes Association/JDRF Type 1 Diabetes Sourcebook written by Anne L. Peters and published by American Diabetes Association. This book was released on 2013-03-29 with total page 729 pages. Available in PDF, EPUB and Kindle. Book excerpt: The American Diabetes Association/JDRF Type 1 Diabetes Sourcebook serves as both an evidence-based reference work and consensus report outlining the most critical components of care for individuals with type 1 diabetes throughout their lifespan. The volume serves not only as a comprehensive guide for clinicians, but also reviews the evidence supporting these components of care and provides a perspective on the critical areas of research that are needed to improve our understanding of type 1 diabetes diagnosis and treatment. The volume focuses specifically on the needs of patients with type 1 diabetes and provides clear and detailed guidance on the current standards for the optimal treatment of type 1 diabetes from early childhood to later life. To accomplish the book’s editorial goals, Editors-in-Chief, Drs. Anne Peters and Lori Laffel, assembled an editorial steering committee of prominent research physicians, clinicians, and educators to develop the topical coverage. In addition, a Managing Editor was brought on to help the authors write and focus their chapters.
Book Synopsis The Application of Content Analysis in Nursing Science Research by : Helvi Kyngäs
Download or read book The Application of Content Analysis in Nursing Science Research written by Helvi Kyngäs and published by Springer Nature. This book was released on 2019-10-31 with total page 115 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides principles on content analysis and its application into development of nursing theory. It offers clear guidance to students, lecturers and researchers to gain a deeper understanding of the method of content analysis, its implementation into their own research and criteria of trustworthiness evaluation. The book is written in user-friendly language with provided research examples and cases, and the content is illustrated by figures and tables. The authors offer their expertise in providing a well thought through explanation of content analysis in didactical style, which will enhance university education. The book includes highly experienced researchers who have published articles on content analysis and the trustworthiness of the method with more than 10 000 citations. Divided into two parts, this book explores the application of content analysis into nursing science. The first part presents the philosophical position of content analysis, inductive and deductive methods of using content analysis, trustworthiness of the method, and ethical consideration of using content analysis. The second part informs on the theory development based on content analysis, conceptualization of the concepts of content analysis into generation of items and instrument development, and statistical testing of a hypothetical model. The last chapter shows a new approach to using content analysis in systematic reviews and quality evaluation of methodology within systematic review process. The book is an essential tool for nursing science, providing instruction on key methodological elements in order to provide rigorously conducted empirical research for clinical practice and nursing education.
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.
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.
Book Synopsis Motivational Interviewing in Diabetes Care by : Marc P. Steinberg
Download or read book Motivational Interviewing in Diabetes Care written by Marc P. Steinberg and published by Guilford Publications. This book was released on 2015-08-14 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: People with diabetes often struggle to make healthy choices and stay on top of managing their illness. Filling a vital need, this is the first book to focus on the use of motivational interviewing (MI) in diabetes care. The uniquely qualified authors--physician Marc P. Steinberg has devoted much of his career to diabetes care, and renowned clinical psychologist William R. Miller is the codeveloper of MI--present proven counseling techniques that can make any conversation with a patient more efficacious and motivating. Numerous sample dialogues illustrate specific ways to elicit patients' strengths and help them overcome barriers to change in such areas as eating habits, physical activity, medication use, insulin treatment, substance abuse, psychological issues, and more. This book is in the Applications of Motivational Interviewing series, edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers. Winner (First Place)--American Journal of Nursing Book of the Year Award, Adult Primary Care Category
Book Synopsis Assessment of Self-care and Education in Patients with Type 2 Diabetes Mellitus by : Kristen Mae Monroe
Download or read book Assessment of Self-care and Education in Patients with Type 2 Diabetes Mellitus written by Kristen Mae Monroe and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background and Significance: The annual cost of diagnosed type 2 diabetes mellitus (DM2) in the United States is $327 billion, with individuals with DM2 spending 2.3 times more on health care than individuals without DM2. Education, such as Diabetes Self-Management Education and Support (DSMES) programs, and self-care support, utilizing tools such as the Summary of Diabetes Self-Care Activities (SDSCA) Measure, are the cornerstones of improving care and outcomes for patients with DM2. Purpose: The purpose of this quality improvement project was to implement a standardized self-care assessment and educational intervention for a mid-Michigan internal medicine clinic's adult patient population over 18 years of age with DM2 and hemoglobin A1c (HbA1c) greater than 9% and improve patient self-care. Methods: The Plan, Do, Act, Study (PDSA) Cycle and the Chronic Care Model were used as a framework to guide the project. Eligible participants were identified by clinic staff and received self-care education. Evaluation: The validated SDSCA tool was utilized to assess self-care pre- and post- educational intervention. A two-tailed paired t-test was then performed to compare pre- and post-intervention scores. Outcomes: Of 25 eligible patients in the clinic, 13 patients participated in the initial phase with 3 patients lost to follow-up, leaving 10 patients included in data analysis. A statistically significant improvement was seen in DM2 self-care with mean scores increasing from 4.1 days/week to 4.8 days/week (t = -6.5, p
Book Synopsis Crossing the Quality Chasm by : Institute of Medicine
Download or read book Crossing the Quality Chasm written by Institute of Medicine and published by National Academies Press. This book was released on 2001-07-19 with total page 359 pages. Available in PDF, EPUB and Kindle. Book excerpt: Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
Book Synopsis Complementary & Alternative Therapies in Nursing by : Ruth Lindquist
Download or read book Complementary & Alternative Therapies in Nursing written by Ruth Lindquist and published by Springer Publishing Company. This book was released on 2014 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: Print+CourseSmart
Book Synopsis Managing Diabetes and Hyperglycemia in the Hospital Setting by : Boris Draznin
Download or read book Managing Diabetes and Hyperglycemia in the Hospital Setting written by Boris Draznin and published by American Diabetes Association. This book was released on 2016-05-20 with total page 338 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the number of patients with diabetes increases annually, it is not surprising that the number of patients with diabetes who are admitted to the hospital also increases. Once in the hospital, patients with diabetes or hyperglycemia may be admitted to the Intensive Care Unit, require urgent or elective surgery, enteral or parenteral nutrition, intravenous insulin infusion, or therapies that significantly impact glycemic control (e.g., steroids). Because many clinical outcomes are influenced by the degree of glycemic control, knowledge of the best practices in inpatient diabetes management is extremely important. The field of inpatient management of diabetes and hyperglycemia has grown substantially in the last several years. This body of knowledge is summarized in this book, so it can reach the audience of hospitalists, endocrinologists, nurses and other team members who take care of hospitalized patients with diabetes and hyperglycemia.
Book Synopsis Choose Your Foods by : The Academy of Nutrition and Dietetics
Download or read book Choose Your Foods written by The Academy of Nutrition and Dietetics and published by . This book was released on 2019-10-31 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis A Case-Based Guide to Clinical Endocrinology by : Terry F. Davies
Download or read book A Case-Based Guide to Clinical Endocrinology written by Terry F. Davies and published by Springer Nature. This book was released on 2022-01-04 with total page 528 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now in a revised and expanded third edition, this case-based guide emphasizes the latest investigative advances in both imaging and molecular diagnostics and new treatment approaches for a wide variety of common and complex endocrine conditions. Utilizing unique clinical case histories, each main endocrine condition and disorder is curated by a senior Section Editor with an introduction to his or her area covering both physiology and pathophysiology. This introductory chapter is followed by a number of case histories written by invited experts and designed to cover the important relevant pathophysiology, following a consistent chapter format for ease of use, including bulleted objectives, case presentations, review of the diagnosis, lessons learned, and 3-5 multiple-choice review questions. Section headings include the pituitary, thyroid (overactivity, underactivity and cancer) and parathyroid, adrenal disorders, metabolic bone disease, type 2 diabetes, lipid abnormalities, obesity, and pregnancy. Topics new to this edition include PCOS, transgender medicine and the endocrine effects of viral infections. With a focus on covering major parts of the APDEM curriculum, A Case-Based Guide to Clinical Endocrinology remains a tremendous resource for junior and veteran clinicians alike.
