G470(P) Improving self-care in diabetes management during transitional care through use of technology

Diabetes technologies are an unstoppable phenomenon. They offer opportunities to improve patient self-care through empowerment. However, they can be a challenge for both patients and clinicians. Thus, the use of technology may empower or burden. To understand and benefit from the use of diabetes technologies, one must understand the currently unmet needs in diabetes management. These unmet needs call for perspectives beyond glycated hemoglobin and an evaluation of technology solutions. Optimal use of these technologies is necessary to obtain benefits and achieve cost-effectiveness; this process depends on diabetes education and training. This review evaluates clinician and patient perspectives regarding diabetes technologies, followed by an evaluation of technology solutions. Diabetes technology solutions are evaluated according to available results about their effectiveness and their potential to empower people living with diabetes.

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THE ROLE OF HEALTH LITERACY ON PROCESS AND OUTCOMES OF A DIABETES SELF-HELP INTERVENTION WITH KOREAN AMERICANS

Innovation in Aging ◽

10.1093/geroni/igz038.1511 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S406-S406

Author(s):

Miyong T Kim

Keyword(s):

Health Literacy ◽

Glucose Control ◽

Self Efficacy ◽

Diabetes Management ◽

Self Care ◽

Korean Americans ◽

Target Population ◽

Management Intervention ◽

Underlying Mechanisms

Abstract The purpose of this study was to explicate the underlying mechanisms of the role of health literacy (HL) in diabetes management process involving a group of Korean Americans with type 2 diabetes mellitus (DM). We used data from a randomized clinical trial of an HL-focused diabetes self-management intervention (n = 250). A series of path analyses identified the level of self-efficacy and self-care skills as a significant mediator between HL and glucose control (HbA1C) and quality of life for the target population. In addition, education and acculturation were revealed as the most significant correlates of HL for this new immigrant group. Despite inconsistent empirical findings regarding the statistically significant effect of HL on glucose control, this study confirmed the apriority hypothesis that HL indirectly influences health outcome through mediators such self-care skills as self-efficacy. This study highlighted the importance of HL in chronic disease management for people with limited HL.

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Self-care adherence and affective disorders in Barbadian adults with type 2 diabetes

AIMS Public Health ◽

10.3934/publichealth.2022006 ◽

2021 ◽

Vol 9 (1) ◽

pp. 62-72

Author(s):

Allison DaSantos ◽

◽

Carlisle Goddard ◽

Dalip Ragoobirsingh ◽

◽

...

Keyword(s):

Type 2 Diabetes ◽

Diabetes Management ◽

Behavioral Problem ◽

Self Care ◽

Self Report ◽

Diabetes Distress ◽

Glucose Testing ◽

Blood Glucose Testing ◽

Distress Scale

<abstract><sec> <title>Purpose</title> Diabetes management requires adherence to complicated self-care behaviors. Therefore, the emotional state of the individual living with diabetes, is likely to affect their ability to comply with recommendations. This study explored the relationship of self-care adherence to diabetes distress and depression in Barbadian adults with type 2 diabetes. </sec><sec> <title>Methods</title> Adults aged 20 to 80 years, with type 2 diabetes, completed self-report questionnaires comprised of a profile section consisting of demographic and clinical characteristics; and standardized questionnaires comprising, The Diabetes Distress Scale (DDS), The Patient Health Questionnaire (PQH-9), and the Summary of Diabetes Self-care Activities Scale (SDSCA). Additionally biological measures (BP and HbA1c) were collected. </sec><sec> <title>Results</title> For the 509 participants there were no differences in adherence for males (30.8%) and females (69.2%), high diabetes distress and depression were associated with low adherence. General diet was negatively associated with BP and HbA1c; while HbA1c was positively correlated with blood glucose testing. </sec><sec> <title>Conclusion</title> Self-care non-adherence is more than a behavioral problem; it is a multidimensional phenomenon inclusive of demographic factors, condition or disease factors, psychological and social factors. </sec></abstract>

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A Diabetes Management Program for African American Women With Type 2 Diabetes

The Diabetes Educator ◽

10.1177/014572170002600508 ◽

2000 ◽

Vol 26 (5) ◽

pp. 796-805 ◽

Cited By ~ 41

Author(s):

Thomas C. Keyserllng ◽

Alice S. Ammerman ◽

Carmen D. Samuel-Hodge ◽

Allyson F. Ingram ◽

Anne H. Skelly ◽

...

Keyword(s):

Physical Activity ◽

Type 2 Diabetes ◽

African American ◽

Randomized Trial ◽

African American Women ◽

Diabetes Management ◽

Self Care ◽

American Women ◽

Phone Calls

PURPOSE this paper describes a clinic and community-based diabetes intervention program designed to improve dietary, physical activity, and self-care behaviors of older African American women with type 2 diabetes. It also describes the study to evaluate this program and baseline characteristics of participants. METHODS The New Leaf... Choices for Healthy Living With Diabetes program consists of 4 clinic-based health counselor visits, a community intervention with 12 monthly phone calls from peer counselors, and 3 group sessions. A randomized, controlled trial to evaluate the effectiveness of this intervention is described. RESULTS Seventeen focus groups of African American women were used to assessed the cultural relevance/acceptability of the intervention and measurement instruments. For the randomized trial, 200 African American women with type 2 diabetes were recruited from 7 practices in central North Carolina. Mean age was 59, mean diabetes duration was 10 years, and participants were markedly overweight and physically inactive. CONCLUSIONS Participants found this program to be culturally relevant and acceptable. Its effects on diet, physical activity, and self-care behaviors will be assessed in a randomized trial.

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Evaluating quality of life and diabetes management: Effects of 5 Steps to Self-Care Curriculum in 3 countries

10.26226/morressier.61957b55be545488cfae4fd5 ◽

2021 ◽

Author(s):

Barbara Smith

Keyword(s):

Quality Of Life ◽

Diabetes Management ◽

Self Care ◽

Management Effects

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Improving Self-care Management for Underserved Patients Through Transitional Care Strategies

Journal of Nursing Care Quality ◽

10.1097/ncq.0000000000000575 ◽

2021 ◽

Vol Publish Ahead of Print ◽

Author(s):

J. Michael Leger

Keyword(s):

Care Management ◽

Transitional Care ◽

Self Care ◽

Underserved Patients

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Identification of Psychological Factors Associated with Adherence to Self-Care Behaviors amongst Patients with Type 1 Diabetes

Journal of Diabetes Research ◽

10.1155/2019/6271591 ◽

2019 ◽

Vol 2019 ◽

pp. 1-9 ◽

Cited By ~ 3

Author(s):

Dácil Alvarado-Martel ◽

M. Ángeles Ruiz Fernández ◽

Maribel Cuadrado Vigaray ◽

Armando Carrillo ◽

Mauro Boronat ◽

...

Keyword(s):

Type 1 Diabetes ◽

Self Efficacy ◽

Diabetes Management ◽

Self Care ◽

Therapeutic Education ◽

Anxiety And Depression ◽

Personality Variables ◽

Age Range ◽

Lower Adherence

Purpose. To explore the factors involved in adherence to self-care behaviors in patients with type 1 diabetes. Materials and Methods. Patients with type 1 diabetes (age range: 14-71 years) were invited to participate at seven Spanish hospitals. They completed a dossier which recorded sociodemographic and clinical variables and also measured personality variables, emotional state, beliefs, and concerns regarding the illness, by means of questionnaires. Results. A total of 428 patients with type 1 diabetes were included (58% women, age 36 (11.8) years, diabetes duration 18.3 (10.2) years, HbA1c 7.9 +/-1.3%). A total of 60.1% of patients found it difficult to follow the treatment recommendations for the care of their disease. The reasons given were mood (25.2%), lack of motivation (13.4%), work (12%), and economic difficulties (3.8%). Other personal reasons were reported by 5.7%. Motivation, training in diabetes management, importance the patient attributed to the disease, and self-efficacy were the variables that predicted adherence to self-care behaviors, together accounting for 32% of its variance. Anxiety and depression were highly prevalent in this study population (57.1% and 23.1%, respectively) and were associated with lower adherence. Conclusion. In the present study assessing patients with type 1 diabetes, motivation, training in diabetes management, beliefs regarding the disease, and self-efficacy were the main contributors to adherence to self-care behaviors. On the other hand, anxiety and depression were highly prevalent and associated with lower adherence. Thus, supplementing therapeutic education with strategies designed to raise levels of motivation, discussion of beliefs about the disease, and encouragement of self-efficacy might be a useful way to increase patient involvement in self-care.

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An Effective Model of Diabetes Care and Education: Revising the AADE7 Self-Care Behaviors®

The Diabetes Educator ◽

10.1177/0145721719894903 ◽

2020 ◽

Vol 46 (2) ◽

pp. 139-160 ◽

Cited By ~ 13

Author(s):

Keyword(s):

Health Care ◽

Diabetes Management ◽

Management Education ◽

Self Care ◽

Position Statement ◽

Health Care Team ◽

Care Team ◽

Self Management ◽

Health Related ◽

Problem Solve

Purpose The AADE7 Self-Care Behaviors® (AADE7) is a robust framework for self-management of diabetes and other related conditions, such as prediabetes and cardiometabolic diseases. It is the position of the American Association of Diabetes Educators (AADE) that, at the cornerstone of diabetes self-management education and support, the AADE7 is the framework for achieving behavior change that leads to effective self-management through improved behavior and clinical outcome measures. The AADE7 model guides the health care team in effective person-centered collaboration and goal setting to achieve health-related outcomes and improved quality of life. Continued research and evidence are critical to expand this model and broaden its application to other chronic conditions. Given the advances in the science of diabetes management, as well as in diabetes self-management education and support, AADE has evaluated the AADE7 within the framework of these advances, including the digital and dynamic health care landscape. Conclusion This revised position statement blends the updates in research and AADE’s vision and expansion beyond diabetes to refresh the AADE7 framework. This revision reflects the perspectives of all members of the health care team as they problem solve with individuals who are at risk for or who have diabetes and related conditions to achieve healthier outcomes.

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A-039 Adherence and Executive Functioning in an Elderly Population with Type 2 Diabetes in México

Archives of Clinical Neuropsychology ◽

10.1093/arclin/acaa068.039 ◽

2020 ◽

Vol 35 (6) ◽

pp. 829-829

Author(s):

Ibarra C ◽

Giudicessi A

Keyword(s):

Type 2 Diabetes ◽

Executive Functioning ◽

Social Services ◽

Diabetes Management ◽

Self Care ◽

Activity Level ◽

Control Group ◽

Neuropsychological Battery ◽

The Relationship

Abstract Objective Diabetes is a prevalent chronic illness that can impact Executive Functioning (EF). Adherence to treatment is an important aspect in diabetes management however little published research addresses the relationship between adherence and EF in individuals with Type 2 Diabetes Mellitus (T2DM). The objectives of this study are: compare the levels of adherence and EF between T2DM and a control group. Analyze the relationship between adherence and EF in individuals with T2DM. Method The present study included 10 participants with T2DM and 10 control participants with Hypertension (HTN) all between the ages of 61–76. Participants were recruited through “Casa del Abue” a public center offering medical/social services to geriatric populations in Puebla, México. Neuropsychological Battery of Executive Functions and Frontal Lobes was administered to all participants, along with adherence measures specific to diagnosis: Summary of Diabetes Self-Care Activities or Hypertension Self-Care Activity Level Effects. Informed consent was obtained prior to participation. Results Results show significant differences in adherence between T2DM and HTN U = 1.0 p = < 0.001 and also between groups in EF measures related to medial Orbitofrontal cortex (OFC) U = 21.0 p = < 0.05. The relationship between adherence and EF in T2DM participants was moderately correlated r(10) = 0.32, p = 0.36. Descriptive statistics found in Table 1. Conclusion T2DM participants demonstrate significantly lower adherence levels and deficits in EF compared to the control group as expected. Given only a moderate correlation between adherence and EF was found, further research including a larger sample and more precise adherence measures such as HbA1c is suggested to further understand this relationship.

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