An Empowerment-Based Diabetes Self-management Education Program for Hispanic/Latinos

2011 ◽  
Vol 37 (6) ◽  
pp. 770-779 ◽  
Author(s):  
Ninfa C. Peña-Purcell ◽  
May M. Boggess ◽  
Natalia Jimenez
Keyword(s):  
Low Income ◽  
Education Program ◽  
Self Efficacy ◽  
Management Education ◽  
Intervention Group ◽  
Self Care ◽  
Self Management ◽  
Repeated Measures Design ◽  
Spanish Speaking ◽  
Hispanic Latinos

Purpose The purpose of this pilot study was to evaluate the effects of a culturally sensitive, empowerment-based diabetes self-management education program for Spanish-speaking Hispanic/Latinos. Methods A prospective quasi-experimental repeated measures design tested the effectiveness of the ¡Si, Yo Puedo Controlar Mi Diabetes! diabetes self-management education program. In sum, 144 persons residing in 2 Texas counties at the Texas-Mexico border (Starr and Hidalgo) served as participants. Two groups were formed, an intervention and a control (wait list). Clinical (A1C), cognitive, attitudinal, behavioral, and cultural assessments were collected at baseline and 3 months. Results Demographic characteristics for the intervention and control groups were similar. Both groups were predominately female, low income, older than 40 years, and minimally acculturated. Baseline and posttest findings showed that the intervention group had a significant reduction in A1C values; median difference was 0.3 (n = 45), especially for those with higher baseline values. Participants in the intervention group also improved in their self-efficacy and self-care scores. Conclusions Findings from the study suggest that additional dissemination of a diabetes self-management education program for Spanish-speaking Hispanic/Latinos is warranted to improve clinical outcomes and associated diabetes self-efficacy and self-care behaviors.

Abstract P76: Effect of Patient Activation on Self-Management Behaviors in Heart Failure

2011 ◽  
Vol 4 (suppl_1) ◽  
Author(s):  
Martha Shively ◽  
Nancy Gardetto ◽  
Mary Kodiath ◽  
Ann Kelly ◽  
Tom Smith
Keyword(s):  
Heart Failure ◽  
Usual Care ◽  
Repeated Measures ◽  
Intervention Group ◽  
Patient Activation ◽  
Self Care ◽  
Self Report ◽  
Self Management ◽  
Significant Group ◽  
Repeated Measures Design

Background Disease management and chronic care models have evidenced success with heart failure (HF) patients but have not fully explored patients' engagement/activation in self- care. Objective Determine efficacy of a patient activation intervention (Heart PACT Program) compared to usual care on activation and self-care management in HF. Methods This study was a 4-year, randomized, 2-group, repeated-measures design (baseline, 3 months, and 6 months). Following consent, 84 patients were stratified by activation level and randomly assigned to usual care (n = 41), or usual care plus the activation intervention (n = 43). The primary outcome variables were patient activation using the Patient Activation Measure (PAM) (Hibbard et al., 2005), and self-care using the Self-Care for Heart Failure Index (SCHFI) (Riegel et al., 2004) and the Medical Outcomes Study (MOS) Specific Adherence Scale. The intervention consisted of individual meetings and phone call follow-up over 6 months based on the patient's level of activation: stage 1 or 2 (low activation), stage 3 (medium), or stage 4 (high) as assessed by the patient's self-report PAM score and brief interview. The leaders collaborated with patients to improve activation and self-management of HF: adhering to medications; monitoring weight, blood pressure, and symptoms; and implementing health behavior goals. Findings Participants were primarily male (99%), Caucasian (77%), and classified as NYHA III (52%). The mean age was 66 years (SD 11). The majority (71%) of participants reported 3 or more comorbid conditions. The intervention group compared to the usual care group showed a significant increase in activation/PAM scores from baseline to 6 months (significant group by time interaction linear contrast, F=16.90, p=.02). Although the baseline MOS mean was lower in the intervention group, results revealed a significant group by time effect (F=9.16, p = .001) with the intervention group improving more over time. There were no significant group by time interactions for the SCHFI. Conclusion Patient activation can be improved through targeted intervention. The patient activation model has the potential to change approaches to tailored patient education for self-management in heart failure.

scholarly journals Pengaruh Diabetes Self Management Education and Support (DSME/S) terhadap Diabetes Distress pada Pasien Diabetes Melitus Tipe 2 di RSD dr. Soebandi Jember (The Effect of Diabetes Self Management Education and Support [DSME/S] on Diabetes Distress in Patie

2018 ◽  
Vol 6 (1) ◽  
pp. 133
Author(s):  
Novita Nurkamilah ◽  
Rondhianto Rondhianto ◽  
Nur Widayati
Keyword(s):  
Diabetes Mellitus ◽  
Management Education ◽  
Intervention Group ◽  
Self Care ◽  
T Test ◽  
Self Management ◽  
Diabetes Distress ◽  
Control Group ◽  
Significant Difference

Diabetes Mellitus (DM) is a chronic disease that requires a continous self-care. A low level ofknowledge about self-care can worsen health condition and cause diabetes distress. The continuingstress can cause hyperglycemia that lead to complications of DM. DSME/S is a structured healtheducation that facilitates DM patients in implementing and maintaining their behavior for sustainableself-care. This research aimed to analyze the effect of DSME/S on diabetes distress in patients withtype 2 DM. This research was quasi experimental with non randomized control group pretestposttest design. Thirty respondents in this study were divided into 15 respondents as theintervention group and 15 respondents as the control group by consequtive sampling technique.DSME/S was conducted in 6 sessions: 4 sessions in the hospital and 2 sessions at respondent'shouse. The data were analyzed by using dependent t test and independent t test with significancelevel of 0.05. The result of dependent t test revealed a significant difference of diabetes distressbetween pretest and posttest both in the intervention group (p=0.001) and in the control group(p=0.046). Furthermore, independent t test showed a significant difference between interventiongroup and control group (p=0.001). The decrease of diabetes distress was higher in the interventiongroup than control group. This result indicates that there was a significant effect of DSME/S ondiabetes distress in patients with type 2 DM. Nurses are expected to apply DSME/S as a dischargeplanning to reduce diabetes distress in patients with type 2 DM.Keywords: diabetes distress, DSME/S, Diabetes Mellitus

scholarly journals Efektivitas Peer Group Diabetes Self Care Education terhadap Diabetes Self Care Activities Pasien DM

2018 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Tramirta Trendi Iriani ◽  
Haryani ◽  
Khudazi Aulawi
Keyword(s):  
Education Program ◽  
Management Education ◽  
Peer Group ◽  
Self Care ◽  
Self Management ◽  
Control Group ◽  
Post Test ◽  
And Control ◽  
Group Self

ABSTRAKLatar belakang: Pasien diabetes melitus (DM) perlu mengontrol kadar glukosa darah dengan melakukan perawatan DM yang terdiri dari pengobatan, latihan, diet, dan edukasi. Peer group pada pasien DM dimungkinkan membantu perawatan DM. Tujuan penelitian: mengetahui efektivitas peer group diabetes self management education program (DSMEP) terhadap diabetes self-care activities DM tipe 2. Metode: Pre-eksperimental dengan rancangan one group pre-test-post-test design with control group. Pengambilan sampel menggunakan purposive sampling dari November-Maret 2013, dengan kriteria inklusi: DM tipe II dan >18 tahun. Jumlah sampel masing-masing 13 pasien untuk kelompok intervensi dan kontrol. Kelompok perlakuan mendapatkan DSMEP, kelompok kontrol mendapatkan edukasi standar. Pretest diberikan sebelum intervensi, post test diberikan sebulan sesudah intervensi. Instrumen The Summary of Diabetes Self-Care Activities (validitas nilai r 0,361, Cronbach’s Alpha 0,847) digunakan untuk mengukur aktivitas perawatan diri. Analisis data menggunakan t-test berpasangan dan tidak berpasangan. Hasil: Kebanyakan responden perempuan, lama pengobatan 10 tahun. Mayoritas pendidikan perguruan tinggi, suku Jawa, Islam, dan menikah. Terdapat perbedaan aktivitas perawatan diri sebelum dan sesudah dilakukan intervensi antara kelompok intervensi dan kontrol pada komponen pengobatan pasien DM (p=0,005), tetapi tidak ada perbedaan yang signifikan pada komponen diet (p=0,077), olahraga (p=0,259), tes gula darah (p=0,058), dan perawatan kaki (p=0,309). Kesimpulan: Peer group diabetes self management education program (DSMEP) dapat meningkatkan kemampuan perawatan diri pasien DM tipe 2.Kata Kunci: diabetes, peer group, self care, activitiesEFFECTIVENESS OF PEER GROUP-BASED DIABETES SELF-CARE EDUCATION ONDIABETES SELF-CARE ACTIVITIES IN DM PATIENTSABSTRACTBackground: Diabetic patients need to control their blood glucose level through DM management consisting of medication, exercise, diet, and education. Peer group in DM patients may help DM treatment. Objective: To identify the effectiveness ofpeer group-based diabetes self-management education program (DSMEP) on diabetes self-care activities of type 2 DM. Methods: This study was pre-experimental with one group pre-test-post-test design with control group design. Samples were taken using purposive sampling from November to March 2013, with inclusion criteria of DM type II and >18 years old. The sample size was 13 patients for each of the intervention and control group. The intervention group received DSMEP, while the control group received standard education. Pretest was given before the intervention and posttest was given a month after the intervention. The Summary Instrument of Diabetes Self-Care Activities (validity value r>0.361, Cronbach’s Alpha=0.847) was used to measure self-care activities. Data were analyzed using paired and unpaired t-test. Results: Most of the respondents were female and received more than 10years of treatment. The majority of the respondents were tertiary educated, Javanese, Islamic, and married. There was a difference in self-care activity before and after intervention between the intervention and control groups in the component of DM patient treatment (p=0.005), but there was no significant difference in the components of dietary (p=0.077), exercise (p=0.259), blood sugar test (p=0.058), and foot care (p=0.309). Conclusion: Peer group-based diabetes self-management education program (DSMEP) can improve self-care ability of type 2 diabetes patients.Keywords: diabetes, peer group, self-care, activities

scholarly journals Effect of diabetes self-management education program on glycemic control in diabetic patients attending the family medicine outpatient clinic, Suez Canal University Hospital, Ismailia, Egypt

2021 ◽  
Vol 33 (1) ◽  
Author(s):  
Reham Abo Emara ◽  
Madeha Hamed ◽  
Mohamed Awad ◽  
Wael Zeid
Keyword(s):  
Glycemic Control ◽  
Family Medicine ◽  
Education Program ◽  
Management Education ◽  
Self Care ◽  
Suez Canal ◽  
University Hospital ◽  
Self Management ◽  
The Family ◽  
Patients With Diabetes

Abstract Background Diabetes mellitus (DM) is a chronic disease with debilitating complications. Patients with diabetes are recommended to take various self-management decisions and carry out complex care activities. Diabetes self-management education (DSME) and support help people with diabetes to take these decisions and activities to improve health outcomes. DSME may serve as the basis to minimize and avoid catastrophic diabetes-related complications and the resulting financial and personal costs associated with this disorder. We aimed to assess the effect of diabetes self-management education program on glycemic control on patients with diabetes. A quasi-experimental pre-post study was conducted at the family medicine clinic in Suez Canal University hospital, Ismailia, Egypt. A total of 116 patients with uncontrolled DM were recruited by a simple random technique after applying the inclusion and exclusion criteria. Participants were subjected to a 12-week health education program (1 session/week). The sessions focused on areas of diabetes self-management based on the American Diabetes Association (ADA) guidelines. The glycosylated hemoglobin (HbA1c) was assessed at baseline and again at the end of the program. Also, self-care activities were evaluated pre-post intervention using the Arabic version of the Summary of Diabetes Self-Care Activities (SDSCA) instrument which measured the activities related to diet, exercise, blood sugar testing, foot care, and medications. Results The mean age of participants was 47 years (± 11.54), male patients represented 54%. About two-thirds (67%) were from urban areas and came from a middle socioeconomic level. About half of the participants (51.7%) were diagnosed as diabetics for 5–10 years duration. More than half (52.7%) were on combination therapy of insulin and oral antidiabetic drugs. After the intervention program, there was a statistically significant decrease in HbA1c level (p value < 0.001), and 21% of the participants reached the ADA treatment goal for HbA1c below 7. Conclusion Appropriate DSME programs are practical and have a benefit to patients with diabetes.

scholarly journals The Impact of a Diabetes Self-Management Education Program Provided through a Telemedicine Link to Rural California Health Care Clinics

2013 ◽  
Vol 6 ◽  
pp. HSI.S10924
Author(s):  
Jim Nuovo
Keyword(s):  
Rural Health ◽  
Education Program ◽  
Management Education ◽  
Self Care ◽  
Self Management ◽  
Post Intervention ◽  
Health Clinics ◽  
Number Of Patients ◽  
Rural Health Clinics ◽  
The Impact

Background This project investigated the impact of a DM self-management education program provided through a telemedicine link at nine rural health clinics in Northern California. Methods Two hundred thirty nine patients were provided with a single 2-hour class on DM delivered through a live televideo connection. Patients provided pre-intervention information on: demographics and overall health, self-care behaviors, and knowledge about DM. All participants completed a post-education survey on knowledge and self-care behaviors. Results There was a significant decrease in the number of patients who felt overwhelmed with their DM; pre-intervention 18.8%; post-intervention 5.4% ( P < 0.0001). Patients increased the number of days they exercised; pre-intervention 3.4 days; post-intervention 3.9 days ( P = 0.02). Patients increased the number of days they checked their feet; pre-intervention 4.2 days; post-intervention 5.6 days ( P < 0.01). Knowledge about DM improved over the study period ( P < 0.01). Conclusions A single 2-hour class on DM administered through a telemedicine link to patients in rural health clinics resulted in feeling less overwhelmed, more knowledgeable about DM, and demonstrated an increase in self-care behavior; ie, exercise and foot care.

scholarly journals THE INFLUENCE OF DIABETES SELF MANAGEMENT EDUCATION AND SUPPORT FOR SELF EFFICACY AND SELF CARE BEHAVIOUR IN CLIENT WITH TYPE 2 DIABETES MELLITUS

2020 ◽  
Vol 4 (1) ◽  
pp. 100-111
Author(s):  
FITRIAH FITRIAH ◽  
MUSTOFA HARIS ◽  
Mufarika Mufarika ◽  
CICILIA DESY MEGAWATI ◽  
SURYANINGSIH SURYANINGSIH ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Self Efficacy ◽  
Diabetes Management ◽  
Management Education ◽  
Self Care ◽  
Self Management ◽  
Regression Test ◽  
Logistic Regression Test

Independent diabetes care management is needed for health maintenance. Low self-care is caused by low self-efficacy. The purpose of this study was to analyze the effects of diabetes self-management education and support for self-efficacy and independent behavior in clients with type 2 diabetes mellitus. This observational research used a cross sectional approach. Sample which used clusster sampling method consisted of of 200 people. Independent variable was education and support for independent diabetes management, and dependent variable was self-efficacy and independence. Research analysis techniques used bivariate statistical logistic regression test. The results of Binary Logistic Regression test showed that education and independent management support for diabetes significantly influence self-efficacy with a result of sig 0.001 <α 0.05. Education and support for independent diabetes management significantly influence self-care with sig 0,000 <α 0,05. Self-efficacy affects self-care significantly with sig 0,000 <α 0,05. Self-management education and diabetes support are beneficial for people with type 2 diabetes in increasing self-confidence to control and manage the disease they experience. Keywords: Self-management education, self-efficacy and self-reliance behavior

scholarly journals Feasibility and Acceptability of an HIV/AIDS Self-Management Education Program for HIV-Positive Men Who Have Sex With Men in Thailand

2019 ◽  
Vol 31 (6) ◽  
pp. 553-566
Author(s):  
Natawan Khumsaen ◽  
Rob Stephenson
Keyword(s):  
Education Program ◽  
Large Scale ◽  
Management Education ◽  
Controlled Trial ◽  
Intervention Group ◽  
Self Management ◽  
Hiv Positive ◽  
Sex With Men ◽  
Living With Hiv ◽  
Hiv Aids

This pilot study examined the feasibility and acceptability of the HIV/AIDS self-management education program-Thai (HASMEP-T) for HIV-positive Thai men who have sex with men (MSM). HASMEP-T is a group-based adaptation of the evidence-based intervention, HASMEP. Participants were 40 Thai MSM living with HIV aged 18 years or older, recruited from an HIV clinic housed in a hospital in Thailand. Results support the feasibility of recruitment, screening, eligibility, and retention methods. The majority of the participants reported that the intervention was acceptable and met their initial expectations. Furthermore, all recruited participants in the intervention group (n = 20) completed HASMEP-T. Overall, intervention group participants demonstrated significant increases in all aspects of HIV self-management (p < .05), as well as improvement in quality of life in the psychological domain (p < .05). Our findings provide preliminary support for the large-scale, randomized-controlled trial of the efficacy of HASMEPT to promote self-management behaviors among HIV-positive Thai MSM.

scholarly journals ¡Sí, Yo Puedo Vivir Sano con Diabetes! A Self-Management Randomized Controlled Pilot Trial for Low-Income Adults with Type 2 Diabetes in Mexico City

2020 ◽  
Vol 4 (5) ◽  
Author(s):  
Robin Whittemore ◽  
Mireya Vilar-Compte ◽  
Selene De La Cerda ◽  
Roberta Delvy ◽  
Sangchoon Jeon ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Mexico City ◽  
Low Income ◽  
Self Efficacy ◽  
Pilot Trial ◽  
Intervention Group ◽  
Self Management ◽  
Control Group ◽  
Over Time

Abstract Background Type 2 diabetes (T2D) is a worldwide epidemic and a leading cause of death in Mexico, with a prevalence of 15.9%, and &gt;70% of diagnosed adults have poor glycemic control [glycated hemoglobin (HbA1c) &gt;7.5%]. We developed a diabetes self-management education program contextualized to the study population, including dietary preferences, health literacy, and health system. Objectives We aimed to evaluate the efficacy of a self-management + text message program (¡Sí, Yo Puedo Vivir Sano con Diabetes!) on primary (HbA1c), and secondary behavioral (self-management), clinical, and psychosocial outcomes in adults with T2D in Mexico City. Methods Participants were recruited at public primary healthcare centers (Seguro Popular), and randomly allocated to treatment (n = 26) or wait-list control groups (n = 21) with data collected at 3 and 6 mo. The program included 7 weekly sessions and 6 mo of daily text/picture messages. Descriptive statistics and a generalized linear mixed model with intent-to-treat analysis were calculated. Results Participants were 55.5 ± 8.8 y of age (mean ± SD), 68% female, 88.6% overweight/obese, and 57% lived in food-insecure households. Mean ± SD T2D duration was 11.9 ± 7.8 y and HbA1c was 9.2% ± 1.5%. There was 89% attendance at sessions and 6.4% attrition across both groups at 6 mo. Group-by-time effects were seen in self-monitoring of blood glucose (P &lt; 0.01) and diabetes self-efficacy (P &lt; 0.04); and a trend for lower HbA1c was seen in the intervention group at 6 mo (P = 0.11). Significant improvements in dietary behavior (P &lt; 0.01) were demonstrated in the intervention group over time, but this did not reach statistical significance compared with the control group. Conclusions The program was associated with clinically significant improvements in T2D self-management, self-efficacy, and HbA1c over time. Thus, T2D self-management skills, including diet, were improved in a vulnerable metropolitan population. This trial was registered at clinicaltrials.gov as NCT03159299.

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