Identifying barriers to glycemic control in patients with type 2 diabetes after completion of an accredited education program

Gildea, Chris M.; Lantaff, Wendy M.; Olenik, Nicole L.

doi:10.1016/j.japh.2017.02.008

Cited by 7 publications

(10 citation statements)

References 8 publications

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“…Reasons for the program's success are likely multifactorial. Evidence supports the importance of strong social support to the success of DSMES programs, 23,[38][39][40][41] a component that was well integrated throughout the TCT2 program. Commonly identified barriers such as time and financial constraints 23,38,41 were mediated by offering classes on multiple days and times, as well as the financial support provided through the startup grant for participants who were un-or underinsured.…”

Section: Discussionmentioning

confidence: 93%

“…Dose-effect, fidelity of program delivery, and intervention uptake/adherence were not explored, although the program is consistently provided by the same 2 instructors and attendance and retention were higher than in previously reported studies for DSMES and DPP. 21,23,41 Only select demographic data were collected, limiting the capacity to explore any relationships between socioeconomic variables and program outcomes. Most of the study participants were female.…”

Section: Limitationsmentioning

confidence: 99%

“…Successful delivery and uptake, however, are often affected by the participant's physical and/or emotional state at the time of delivery, family/community variables, financial constraints, access to care, access to transportation, limited time, low engagement/intrinsic motivators (high-no show rates), and limited program/support offerings. 3,10,12,20,21 The Centers for Medicare and Medicaid Services reimburses for only 10 program hours of initial DSMES education, typically at the time of diagnosis, and 2 hours each subsequent year. Unfortunately, participants are often emotionally overwhelmed at the time of diagnosis and thus unable to absorb and retain critical information.…”

mentioning

confidence: 99%

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Patient Engagement in Type 2 Diabetes: A Collaborative Community Health Initiative

Freeman

Hanlon²,

Denslow

et al. 2018

Diabetes Educ

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Purpose The purpose of this study was to describe the effects of an innovative rural community-based, diabetes self-management education and support (DSMES) program on patient behaviors and outcomes. Methods A 12-month pre-post study design with physiological data collection at program initiation, 16 weeks, and 6 and 12 months postenrollment was used for program assessment. The program consisted of an American Diabetes Association-accredited curriculum provided by the hospital and interfaced with a YMCA curriculum promoting lifestyle change. The 28-session program was delivered over a 1-year period. Results The sample size was 115. Participants were primarily white and female, with a mean age of 57 years. Mean body mass index (BMI) at program initiation was 37; mean A1C was 8.5 (69.4 mmol/mol). Significant reductions were obtained in weight, BMI (at 16 weeks), and A1C (at 6 months); these reductions were sustained at 12 months. Medication intake was significantly reduced, and diabetes-related emergency department visits were below national averages. Conclusions Results support the positive impact of a year-long, community-based, healthy behavior, DSMES program on health outcomes and overall costs of care delivery in the rural setting.

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Section: Discussionmentioning

confidence: 93%

Section: Limitationsmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Patient Engagement in Type 2 Diabetes: A Collaborative Community Health Initiative

Freeman

Hanlon²,

Denslow

et al. 2018

Diabetes Educ

View full text Add to dashboard Cite

show abstract

“…O conhecimento das razões que levam os indivíduos com diabetes a não seguir as alterações de estilo de vida recomendadas permite aos profissionais de saúde agir no contexto de uma equipa multidisciplinar e selecionar estratégias de atuação individualizadas para promover a educação na autogestão da diabetes. 19,20 A obesidade predispõe os indivíduos a perfis cardiovasculares e metabólicos anormais com presença de adipocinas inflamatórias, resistência à insulina, triglicéridos elevados, baixos níveis de C--HDL e tendência a hipertensão. Assim a manutenção de um peso saudável é fundamental na prevenção destas complicações.…”

Section: Discussionunclassified

Perception of health status, body image and implementation difficulties of food plan in type 2 diabetics

Neves¹,

Narciso²,

Simões³

et al. 2020

Revista Portuguesa de Endocrinologia, Diabetes e Metabolismo

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A diabetes mellitus tipo 2 representa um grave problema de saúde pública. Para melhorar o controlo metabólico da diabetes é importante perceber quais as difi culdades sentidas no processo de autogestão da doença, nomeadamente no que respeita ao cumprimento da terapêutica nutricional. Os objetivos foram: 1) Avaliar a perceção das pessoas com diabetes tipo 2 em relação ao estado geral de saúde, controlo metabólico, imagem corporal e cumprimento do plano alimentar; 2) Identifi car as principais difi culdades na adesão e cumprimento do plano alimentar. Material e Métodos: Estudo observacional analítico transversal em 82 pessoas com diabetes tipo 2. Os parâmetros antropométricos foram obtidos por medição direta e os dados bioquímicos e clínicos por consulta do processo clínico do utente. Foram desenvolvidos e aplicados questionários para a obtenção de dados sociodemográfi cos e de perceção pessoal sobre diversos aspetos: estado geral de saúde, imagem corporal, controlo metabólico, difi culdade e cumprimento do plano alimentar. A identifi cação das principais difi culdades sentidas na adesão e cumprimento do plano alimentar foi efetuada por uma listagem de 35 barreiras classifi cadas em 6 grupos. Resultados: Elevada prevalência de dislipidemia (F:81%; M:76%), risco cardiovascular associado à circunferência da cintura (F:88%; M:61%) e controlo metabólico inadequado (>68%). Cerca de 60% dos participantes apresentava obesidade e 29% pré-obesidade, no entanto, 85% classifi caram como pelo menos "aceitável" o seu estado geral de saúde, 77% o controlo metabólico e 78% o cumprimento do plano alimentar. A grande maioria (80,5%) considerou a sua imagem corporal pelo menos "aceitável". As principais difi culdades identifi cadas pertencem ao grupo das "propriedades sensoriais" e dos "fatores psicológicos". Conclusão: A perceção pessoal sobre os diversos aspetos estudados não é concordante com a avaliação dos parâmetros antropométricos, bioquímicos e clínicos, sugerindo um desajuste da perceção comparativamente à realidade. A educação alimentar e o acompanhamento por uma equipa multidisciplinar são estratégias a adotar para melhorar a adesão e cumprimento da terapêutica nutricional.

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“…Research has shown that behavior change can be used to measure the success of diabetes education programs. 14,15 In this study, the effects of the application of a menu- based volunteer health education in community patients with diabetes on compliance are shown in Table 1. Patient compliance was significantly higher after the intervention (P < 0.05).…”

Section: Menu-based Voluntary Health Education Can Improve Patient Comentioning

confidence: 99%

Effect of a new health education model on continuous nursing in elderly patients with diabetes mellitus

Chao

Xue

2018

Frontiers of Nursing

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Objective We aimed to explore the effect of a new health education model on continuous nursing care in elderly patients with diabetes mellitus who had undergone an operation for fracture. Methods Convenience sampling was used to select 59 elderly patients with diabetes mellitus and fracture. New health education methods were used, and patient parameters were evaluated before and after the intervention. Results Evaluation of medication, reasonable diet, regular exercise, blood glucose monitoring, and regular follow-up compliance were significantly improved in the experimental group compared to the control group (P < 0.05). There were also significant differences between groups in fasting blood glucose, 2-hour postprandial blood glucose, triglyceride, high-density lipoprotein, and low-density lipoprotein levels (P < 0.05); however, the differences between groups in terms of glycosylated hemoglobin and total cholesterol levels were not statistically significant (P > 0.05). Finally, the functional recovery and mental health of the experimental group were significantly better than those of the control group (P < 0.05). Conclusions The implementation of a menu of voluntary services in community-based continuous nursing provided standardized nursing care for elderly patients with fracture and diabetes mellitus and improved their quality of life.

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Identifying barriers to glycemic control in patients with type 2 diabetes after completion of an accredited education program

Cited by 7 publications

References 8 publications

Patient Engagement in Type 2 Diabetes: A Collaborative Community Health Initiative

Patient Engagement in Type 2 Diabetes: A Collaborative Community Health Initiative

Perception of health status, body image and implementation difficulties of food plan in type 2 diabetics

Effect of a new health education model on continuous nursing in elderly patients with diabetes mellitus

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