National Standards for Diabetes Self-Management Education

Funnell, Martha M.; Brown, Tammy L.; Childs, Belinda P.; Haas, Linda B.; Hosey, Gwen; Jensen, Brian; Maryniuk, Melinda D.; Peyrot, Mark; Piette, John D.; Reader, Diane; Siminerio, Linda M.; Weinger, Katie; Weiss, Michael A.

doi:10.2337/dc11-s089

Cited by 154 publications

(86 citation statements)

References 131 publications

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“…The multidimensional, self-care regimen of DM includes, but is not limited to, diet control, exercise, blood glucose monitoring, foot care, management of stress, and intake of oral and/or injectable hypoglycemic agents (Funnell et al, 2011) and is influenced by various sociodemographic, psychological, and disease-related factors. Adherence to the multidimensional, self-care regimen is challenging (Zulman, Rosland, Choi, Langa, & Heisler, 2012) and places a significant burden on physical and mental well-being (Wang, Wu, & Hsu, 2011).…”

Section: Self-care Behaviorsmentioning

confidence: 99%

Self-Care Behaviors of Nepalese Adults With Type 2 Diabetes

Bhandari

Kim

2016

Nursing Research

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Section: Self-care Behaviorsmentioning

confidence: 99%

Self-Care Behaviors of Nepalese Adults With Type 2 Diabetes

Bhandari

Kim

2016

Nursing Research

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“…Diabetes is thus an important health issue for Taiwanese people. Type 2 diabetes requires many self-care measures to control its progression and complications (Funnell et al, 2011). Self-care behaviors have been defined by Orem (1995) as actions taken by individuals to care for themselves within their environmental conditions.…”

Section: Introductionmentioning

confidence: 99%

The Psychometric Testing of the Diabetes Health Promotion Self-Care Scale

Wang

Lin²,

Chêng³

et al. 2012

Journal of Nursing Research

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“…The need for self-management education and training for chronic conditions in general and diabetes in particular has long been recognised as an integral part of good quality healthcare,4 5 and diabetes self-management education and support (DSME/S) is already deemed a right for all concerned 6. Since more than two decades ago, self-management education has slowly been incorporated into the standards of chronic disease care in high-income countries 7 8…”

Section: Introductionmentioning

confidence: 99%

Effects of the First Line Diabetes Care (FiLDCare) self-management education and support project on knowledge, attitudes, perceptions, self-management practices and glycaemic control: a quasi-experimental study conducted in the Northern Philippines

Kegels

2014

BMJ Open

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ObjectivesTo investigate the effects of implementing a context-adapted diabetes self-management education and support (DSME/S) project based on chronic care models in the Philippines, on knowledge, attitudes, self-management practices, adiposity/obesity and glycaemia of people with diabetes.DesignProspective quasi-experimental before–after study.Participants203 people with type 2 diabetes mellitus from two local government units in the Northern Philippines fulfilling set criteria.Outcome measuresContext-adapted DSME/S was given to a cohort of people with diabetes by trained pre-existing local government healthcare personnel. Changes in knowledge, attitudes and self-management practices, body mass index, waist circumference, waist-hip ratio (WHR) and glycosylated haemoglobin (HbA1c) were measured 1 year after full project implementation. Non-parametric and parametric descriptive and inferential statistics including logistic regression analysis were done.ResultsComplete data were collected from 164 participants. Improvements in glycaemia, waist circumference, WHR, knowledge, some attitudes, adherence to medications and exercise, and an increase in fear of diabetes were significant. Reductions in HbA1c, regardless of level of control, were noted in 60.4%. Significant increase in knowledge (p<0.001), positive attitude (p=0.013), perceived ability to control blood glucose (p=0.004) and adherence to medications (p=0.001) were noted among those whose glycaemia improved. Significant differences between the subgroups whose HbA1c improved and those whose HbA1c deteriorated include male gender (p=0.042), shorter duration of diabetes (p=0.001) and increased perceived ability to control blood glucose (p=0.042). Significant correlates to improved glycaemia were male gender (OR=2.655; p=0.034), duration of diabetes >10 years (OR=0.214; p=0.003) and fear of diabetes (OR=0.490; p=0.048).ConclusionsContext-adapted DSME/S introduced in resource-constrained settings and making use of established human resources for health may improve knowledge, attitudes, self-management practices and glycaemia of recipients. Further investigations on addressing fear of diabetes and tailoring DSME/S to females with diabetes and those who have had diabetes for a longer period of time may help improve glycaemia.

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National Standards for Diabetes Self-Management Education

Cited by 154 publications

References 131 publications

Self-Care Behaviors of Nepalese Adults With Type 2 Diabetes

Self-Care Behaviors of Nepalese Adults With Type 2 Diabetes

The Psychometric Testing of the Diabetes Health Promotion Self-Care Scale

Effects of the First Line Diabetes Care (FiLDCare) self-management education and support project on knowledge, attitudes, perceptions, self-management practices and glycaemic control: a quasi-experimental study conducted in the Northern Philippines

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