Effects of a diabetes education intervention on diabetes-related factors among Mexican-origin Hispanics

2019 ◽  
Vol 79 (5) ◽  
pp. 501-515
Author(s):  
Ana Florencia Moyeda-Carabaza ◽  
Mary W Murimi ◽  
John A Dawson ◽  
Fabiola Carrales-Bruno
Keyword(s):  
Nutrition Education ◽  
Diabetes Education ◽  
Design Procedure ◽  
Mexican Origin ◽  
Diabetes Knowledge ◽  
Related Factors ◽  
Piedras Negras ◽  
Positive Attitudes ◽  
Education Design ◽  
Prevention Of Diabetes

Purpose: The purpose of this study was to assess diabetes-related factors, such as diabetes knowledge, positive attitudes towards the prevention of diabetes and its complications, self-efficacy for diabetes, dietary intake and level of food security, and to investigate the effects of a diabetes education intervention (DEI) on diabetes-related factors among Mexican-origin Hispanics with or without diabetes in Lubbock, Texas (USA), and Piedras Negras, Coahuila (Mexico). Methods: A one-sample pre–post design was used to evaluate the effect of a 4-week DEI designed using the Nutrition Education DESIGN Procedure, Mexican cultural features and Spanish language. Results: Participants from Piedras Negras, Coahuila had higher rates of food insecurity and a higher consumption of whole grains than those from Lubbock, Texas, while participants from Lubbock, Texas, had higher levels of diabetes knowledge and higher consumption of protein foods than those from Piedras Negras, Coahuila. Thirty-five participants from both locations started and completed the DEI. After the intervention, there was an increase in participants’ scores in diabetes knowledge, positive attitudes towards the prevention of diabetes and self-efficacy for diabetes, and a decrease in their intake of grains and fats. Participants in Piedras Negras, Coahuila had greater improvements in positive attitudes towards the diabetes score than those in Lubbock, Texas. Conclusion: Findings from this study suggest that a DEI that integrates the use of the Nutrition Education DESIGN Procedure, Mexican cultural features and Spanish language is effective in improving diabetes-related factors and dietary intakes among Mexican-origin Hispanics in both the USA and Mexico.

scholarly journals Applying the nutrition education DESIGN procedure to the development of the In Defence of Food Curriculum

2019 ◽  
Vol 78 (7) ◽  
pp. 824-838
Author(s):  
Hiershenee B Luesse ◽  
Pamela Koch ◽  
Isobel R Contento
Keyword(s):  
Health Education ◽  
Nutrition Education ◽  
Healthy Eating ◽  
Curriculum Design ◽  
Design Procedure ◽  
Processed Foods ◽  
Education Curriculum ◽  
Education Theory ◽  
Education Design ◽  
Behaviour Changes

Objective: This study describes the use of the Nutrition Education DESIGN Procedure for developing the In Defence of Food Curriculum, a health education curriculum serving as the companion guide to the In Defence of Food documentary film based on the book with the same title. Design: The DESIGN Procedure is a systematic stepwise framework that produces behaviourally focused, theory-driven health education programmes and evaluation plans. Methods: DESIGN begins with an audience assessment and literature review that guides the selection of desired behaviours and psycho-social theory. For the In Defence of Food Curriculum, the desired behaviour changes were increased intake of whole/minimally processed plant-based foods and decreased intake of highly processed foods. A theoretical framework combining social cognitive and social determination theories guided programme development and evaluation plans. Education theory guided translating this framework into a ready-to-deliver curriculum. DESIGN aims to ensure alignment of theory determinants/mediators, behaviour change strategies, objectives, instructional activities and evaluation measures for systematically addressing desired behaviour changes. Over the course of 10 lessons, young people participate in interactive activities that explore the benefits of healthy eating, while appreciating how the ubiquity of heavily marketed and highly processed foods make healthy eating challenging. The evaluation plan guides measurement of target behaviours and the theory-based determinants/mediators. Results: This case study describes the development of the In Defence of Food curriculum using the DESIGN Procedure and demonstrates how a comprehensive and structured method for health education curriculum development and evaluation planning can be applied. Conclusion: The DESIGN Procedure has relevance for researchers, practitioners and programme planners.

623-P: Phone-Based Diabetes Education Improves Diabetes Knowledge and Patient–Provider Conversations

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 623-P
Author(s):  
RYAN WOOLLEY ◽  
ZACHARY WHITE ◽  
SHAMERA ROBINSON ◽  
JO MANDELSON ◽  
KELLY MUELLER
Keyword(s):  
Diabetes Education ◽  
Diabetes Knowledge

scholarly journals Are Podcasts Effective at Educating African American Men About Diabetes?

2012 ◽  
Vol 6 (5) ◽  
pp. 365-367 ◽  
Author(s):  
Jarrett Johnson ◽  
Levi Ross ◽  
Walter Iwanenko ◽  
Judith Schiffert ◽  
Arup Sen
Keyword(s):  
African American ◽  
Inner City ◽  
Diabetes Prevention ◽  
African American Men ◽  
Diabetes Education ◽  
Diabetes Research ◽  
Diabetes Knowledge ◽  
Paired Samples ◽  
Limited Effectiveness ◽  
Individual Knowledge

Education is a critical component of the National Blueprint to eliminate racial disparities in diabetes. Research indicates that traditional methods of diabetes education has had limited effectiveness with minority populations and suggests that different educational approaches be explored. The purpose of the research was to explore the effectiveness of an emergent technology (podcast) for use in educating inner-city, African American men about diabetes prevention. Thirty African American men participated in self-administered, pretest–posttest surveys in August 2009. Surveys collected information on demographic characteristics, perceptions of diabetes, and diabetes knowledge. Paired samples t test was computed to evaluate pretest–posttest changes in overall knowledge. McNemar or binomial tests were computed to evaluate pretest–posttest knowledge changes on each of the 15 individual knowledge items. Diabetes knowledge scores for the sample increased from 8.27 at pretest to 10.47 at posttest ( p = .001). Posttest knowledge scores increased for 77% of men, stayed the same for 13%, and decreased for 10%. Men who listened to the podcast correctly answered 40% more knowledge questions on their posttest assessments. Results from this exploratory study suggest that podcasts are useful for helping inner-city, African American men recall diabetes prevention information. Additional research is recommended with larger randomly selected samples using more rigorous research designs.

scholarly journals Translating Research into Practice: Impact of an Interprofessional Diabetes Education Model on Patient Health Outcomes

2014 ◽  
Vol 4 (2) ◽  
Author(s):  
Olayinka O. Shiyanbola ◽  
Becky Randall ◽  
Cristina Lammers ◽  
Karly A. Hegge ◽  
Michelle Anderson
Keyword(s):  
Health Promotion ◽  
Clinical Outcomes ◽  
Diabetes Management ◽  
Diabetes Education ◽  
Health Behaviours ◽  
Self Management ◽  
Health Promotion Program ◽  
Diabetes Knowledge ◽  
Foot Care ◽  
Eye Care

Background: Patient education programs encouraging diabetes self-management can improve clinical outcomes and lessen diabetes complications. This study implemented an innovative interprofessional student-led diabetes self-management and health promotion program for an underserved population and demonstrated an improvement in participant clinical outcomes and students’ understanding of interprofessional aspects of diabetes care.Methods and Findings: This community-based program was implemented at two sites that serve medically underserved individuals. Students from five health career professions led educational sessions designed to demonstrate critical components of diabetes self-management. The six-month longitudinal program covered topics within the Alphabet Strategy, including Advice, Blood pressure, Cholesterol, Diabetes control, Dental care, Diet, Eye care, Foot care, and Guardian drugs. Participants completed surveys evaluating diabetes knowledge, understanding of diabetes care, and health behaviours. Clinical values were collected before and after the program. Student surveys assessed their understanding of diabetes self-management. Upon completion of the program, all assessments were repeated to determine if there were improvements in outcomes. Thirty-eight participants and thirty students completed the study. There were significant improvements in participants’ diabetes knowledge, understanding of diabetes management, and clinical outcomes. There were significant improvements in the students’ ability to educate patients about foot care, eye care, and guardian drugs, as well as increased awareness of the role of each health profession in diabetes care.Conclusions: This interprofessional health promotion model showed significant improvements in patient and student outcomes. This innovative student-led program could be implemented in other settings and for the management of other chronic diseases.

Exploring Diabetes Educators’ Core Competencies in the Kingdom of Saudi Arabia

2021 ◽  
Vol 17 ◽  
Author(s):  
Talal Alharbi ◽  
Gayle McLelland ◽  
Nikos Thomacos
Keyword(s):  
Saudi Arabia ◽  
Core Competencies ◽  
Diabetes Education ◽  
Perceived Competence ◽  
The Self ◽  
Diabetes Knowledge ◽  
Cross Sectional Survey ◽  
Kingdom Of Saudi Arabia ◽  
Knowledge Test ◽  
Diabetes Educators

Background: Diabetes education provided by qualified and competent diabetes educators (DEs) is effective in reducing risks of diabetes complications. Globally, the DE workforce comprises a mixture of professions, with the majority being nurses. It is necessary to regularly assess DEs’ competence and knowledge to ensure that quality diabetes education is being delivered. Objective: This study explored the self-perceived competence and the diabetes knowledge of DEs in the Kingdom of Saudi Arabia (KSA). Methods: This study explored the self-perceived competence and the diabetes knowledge of DEs in the Kingdom of Saudi Arabia (KSA), using a quantitative, cross-sectional survey, administered at 20 diabetes centres. A total of 368 DEs were invited to participate in the study. Results: Surveys were completed by 324 DEs (response rate = 88%), 84% (n=271) were nurses. From a possible overall range between 63-252, the mean (M) was 168.59 and standard deviation (SD) was (35.6) hence perceived competence of the DEs was low, Of a maximum possible score of 45 for the diabetes knowledge test, response scores ranged from 9 to 40, with M = 26.2 (6.0). Perceived competence and diabetes knowledge varied depending on age, nationality, educational qualification, primary profession, and whether or not the DE held a specialised diabetes qualification. Conclusion: DEs in the KSA need to develop and enhance their competence and knowledge in order to provide quality diabetes care and education. The low perceived competence and scores in the knowledge test show that intervention measures are needed to regularly assess and improve the core competencies of DEs. Further research is required to identify DEs’ barriers to having sufficient competencies and knowledge.

scholarly journals Knowledge and attitude: important components in diabetes education

2009 ◽  
Vol 17 (4) ◽  
pp. 468-473 ◽  
Author(s):  
Flávia Fernanda Luchetti Rodrigues ◽  
Maria Lúcia Zanetti ◽  
Manoel Antônio dos Santos ◽  
Tatiane Aparecida Martins ◽  
Valmi D. Sousa ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Diabetes Education ◽  
Cross Sectional Study ◽  
Community Services ◽  
Diabetes Knowledge ◽  
Sectional Study ◽  
Cross Sectional ◽  
Knowledge Questionnaire ◽  
Good Score ◽  
Knowledge And Attitude

This descriptive cross-sectional study was conducted from March to November 2007 at a research and community services center of a Brazilian university. It aimed to explore the knowledge and attitude of people with diabetes mellitus who were attending a diabetes self-care education program. The sample was composed of 82 adults with diabetes mellitus. Data were collected through the Portuguese versions of the Diabetes Knowledge Questionnaire (DKN-A) and the Diabetes Attitude Questionnaire (ATT-19). Results revealed that 78.05% of the participants obtained scores higher than eight on knowledge about diabetes, which indicates they have knowledge and understand the disease. Scores on attitude ranged from 25 to 71 suggesting difficulty in coping with the disease. We conclude that although participants obtained a good score on knowledge, their attitude did not change so as to more adequately cope with the disease.

A Three-Month Follow-Up Study Evaluating Changes in Clinical Profile and Attitudes Towards Involuntary Admission

2016 ◽  
Vol 33 (S1) ◽  
pp. S477-S478 ◽  
Author(s):  
E. Bainbridge ◽  
B. Hallahan ◽  
D. McGuinness ◽  
A. Higgins ◽  
K. Murphy ◽  
...  
Keyword(s):  
Psychiatric Inpatient ◽  
Traumatic Experience ◽  
Involuntary Admission ◽  
Clinical Predictors ◽  
Related Factors ◽  
Explanatory Variables ◽  
Positive Attitudes ◽  
Competing Interest ◽  
Over Time

IntroductionInvoluntary admission and treatment is often a traumatic experience for patients and there is a wide variation in attitudes towards care even when patients are recovered.Objectives/aimsThe purpose of this large prospective study was to identify clinical predictors of attitudes towards care during involuntary admission.MethodsThree hundred and ninety-one consecutively admitted involuntarily patients to three psychiatric inpatient units over a 30-month period were invited to participate in the study. Comprehensive assessments at admission and 3 months after discharge were attained including measures of symptoms, insight, functioning, attitudes towards involuntary admission and coercive experiences. Multiple linear regression modelling was used to determine the optimal explanatory variables for attitudes towards care.ResultsTwo hundred and sixty-three individuals participated at baseline and 156 (59%) successfully completed follow-up assessments. Individuals improved significantly over time clinically and in their attitudes towards their care. At baseline greater insight (P < 0.001) and less symptoms (P = 0.02) were associated with more positive attitudes towards care as was older age (P = 0.001). At follow-up, greater insight (P < 0.001), less symptoms (P = 0.02) and being older (P = 0.04) were associated with more positive attitudes towards care. More positive attitudes towards care at follow-up were associated with greater improvements in insight over time (P < 0.001) and having a diagnosis of an affective psychosis (P = 0.0009).ConclusionsThe best predictors of positive attitudes towards care during and after involuntary admission are illness related factors, such as levels of insight and improvement in insight, rather than service or legislation related factors, such as the use of coercive measures, seclusion and restraint.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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