Using Accreditation Standards as a Framework to Evaluate and Improve a Community-Based Diabetes Self-Management Education Program

White, Neva; Manning, Mary Lou; Brawer, Rickie; Plumb, James

doi:10.1089/pop.2013.0044

Cited by 7 publications

(1 citation statement)

References 12 publications

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“…Specifically, national standards for DSME recommend each member of the DSME delivery team participate in at least 15 hours of diabetes-related continuing education annually; and recommend at least 1 member of the team be a CDE or hold the board certified-advanced diabetes management credential. 3,4 Problematically, if these national guidelines are indeed the gold standard for DSME delivery, 3,4,30 then jurisdictions with flexible reimbursement provisions may not be increasing access to the highest quality services.…”

Section: Discussionmentioning

confidence: 99%

Mandated Benefits for Diabetes Education and the Availability of Accredited Programs and Certified Diabetes Educators

Brown-Podgorski

Groot

Shi

et al. 2021

Population Health Management

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States have the latitude to mandate coverage of diabetes self-management education (DSME) services for privately insured and Medicaid patients. The impact of these mandates on the supply of DSME resources is unknown. This study compared changes in the supply of DSME programs and program sites accredited by the American Association for Diabetes Educators (AADE) and certified diabetes educators (CDE) between states that did and did not mandate benefits for DSME. Using a unique combination of legal and programmatic data sources, the authors employed fixed effects regression models with clustered robust standard errors to compare changes in the supply of AADE-accredited DSME programs, program sites, and CDEs in states that mandated benefits with states that did not. Given the variation in state mandates, models also estimated the impact of ''flexible'' reimbursement provisions on the supply of resources among adopting states. The supply of DSME resources has increased over time, but results indicate that mandated benefits were not a significant driver of these changes in the supply. The impact of flexible reimbursement provisions varied. Interestingly, provisions of the Affordable Care Act were associated with an increased supply of resources. Results suggest that extending benefits to previously insured patients does not increase the supply of DSME resources, but a rapid increase in patients entering the health system does encourage growth.

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Section: Discussionmentioning

confidence: 99%

Mandated Benefits for Diabetes Education and the Availability of Accredited Programs and Certified Diabetes Educators

Brown-Podgorski

Groot

Shi

et al. 2021

Population Health Management

View full text Add to dashboard Cite

show abstract

Older adults' experiences with a tablet-based self-management intervention for diabetes mellitus type II: A qualitative study

2020

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The effect of self-management education through weblogs on the quality of life of diabetic patients

Rasoul

Jalali

Abdi

et al. 2019

BMC Med Inform Decis Mak

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BackgroundSelf-management education of diabetes which is one of the most important noncommunicable diseases worldwide involves facilitating knowledge, skills, and ability required for self-care in these patients. Concerning the progressive growth of use of Internet for educating patients and absence of different studies about education through use of weblogs in patients with diabetes in Iran, the present study was conducted with the aim of determining the effect of self-management education through weblogs on the quality of life of affect the patients.MethodsThis study was performed as intervention on patients referring to diabetes clinic of Talghani hospital in Kermanshah in winter 2018 and spring 2019. The samples consisted of 98 patients with diabetes chosen through available sampling and randomly assigned into study and control groups. For data collection, diabetes quality of life (DQOL) short form clinical questionnaire, Persian version, was used. The intervention involved training self-management conducted through 60 sessions via a designed weblog. The obtained information was introduced into SPSS 21, and analyzed through Mann-Whitney, t-test, and paired t-test.ResultsAccording to the results of this study, the mean age of the examined patients was 32.1 ± 4.9 years, where the major participants were male (n = 52 in the test group, 52.5%). The results showed that after the intervention, the test and control groups were different in terms of anthropometric variables and metabolic indicators; the mean waist circumference in the test and control groups was 98.6 ± 9.8 and 101.5 ± 7.8, respectively; the mean FBS following the intervention in the test and control groups was 131.08 ± 16.04 and 238.2 ± 40, respectively; and the mean BMI postintervention in the test and control groups was obtained as 27.3 ± 3.4 and 30.1 ± 3.8 respectively, where these differences were significant according to independent t-test (p < 0.05). The mean score of quality of life postintervention in the test and control groups was obtained as 56.1 and 49.9 respectively; according to Mann-Whitney test, the difference between the two groups was significant (p < 0.05).ConclusionThe results of the present study revealed the positive effect of weblog based self-management on the quality of life of patients with diabetes following the intervention. Further, reduced levels of FBS, BMI, as well as systolic and diastolic blood pressure were also observed, which could be due to increased awareness of patients about their abilities, its risks, as well as the ways to control and treat it.

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Using Accreditation Standards as a Framework to Evaluate and Improve a Community-Based Diabetes Self-Management Education Program

Cited by 7 publications

References 12 publications

Mandated Benefits for Diabetes Education and the Availability of Accredited Programs and Certified Diabetes Educators

Mandated Benefits for Diabetes Education and the Availability of Accredited Programs and Certified Diabetes Educators

Older adults' experiences with a tablet-based self-management intervention for diabetes mellitus type II: A qualitative study

The effect of self-management education through weblogs on the quality of life of diabetic patients

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