scholarly journals Diabetes Self-Management Education and Support: Referral and Attendance at a Patient-Centered Medical Home

2020 ◽  
Vol 11 ◽  
pp. 215013272096723
Author(s):  
Diana Alsayed Hassan ◽  
Amy Curtis ◽  
Jean Kerver ◽  
Eric Vangsnes
Keyword(s):  
Health Outcomes ◽  
Management Education ◽  
Negative Relationship ◽  
Secondary Data ◽  
Self Management ◽  
Patient Centered ◽  
Significant Negative Relationship ◽  
Patterns Of Utilization ◽  
The One ◽  
Assessment Session

Background Although evidence shows that diabetes self-management education and support (DSMES) is an effective tool to help individuals with type 2 diabetes (T2DM) improve their health outcomes, there remains a large number of individuals not attending DSMES. Understanding how frequently patients receive referrals to DSMES and the number of DSMES hours they receive is important to determine, as well as patients’ health outcomes of utilizing DSMES. This will help us understand patterns of utilization and the outcomes that occur when such a valuable resource is utilized. Methods Secondary data analysis was conducted of patient electronic medical records at a primary healthcare federally qualified clinic and 2 area hospitals. We identified 105 adult patients with a new T2DM diagnosis with at least 2 A1c lab results 3 to 12 months apart during the study period. Results Only 53.5% were referred to DSMES. Out of those who were referred, 66% received no DSMES, 17% received 1-hour assessment, 4% received partial DSMES, and 13% received 8 or more hours. Linear regression of percent change in A1c and number of DSMES hours received, revealed that receiving 1 ( P = .001) or 8 or more hours of DSMES ( P = .022) had a significant negative relationship with the percent difference in A1c compared to the group who received no DSMES. Patients who had an hour of assessment had a similar percent reduction in A1c to those who had partial DSMES. Conclusion Referral rates and enrollment in DSMES remain low. Those who enrolled often dropped out after the one-hour assessment session. Results suggest making the one-hour assessment session more educationally comprehensive or longer to retain patients. Improving the DSMES referral process and further investing physicians’ decisions on whether to refer or not refer patients to DSMES are key for future studies.

scholarly journals Characteristics of Households of People With Diabetes Accessing US Food Pantries: Implications for Diabetes Self-Management Education and Support

2019 ◽  
Vol 45 (4) ◽  
pp. 397-407 ◽  
Author(s):  
Marianna S. Wetherill ◽  
Mary B. Williams ◽  
Kayla C. White ◽  
Hilary K. Seligman
Keyword(s):  
Management Education ◽  
Secondary Data ◽  
Severe Form ◽  
Self Management ◽  
Coping Behaviors ◽  
Chi Square ◽  
Food Pantry ◽  
Food Pantries ◽  
And Coping ◽  
The Relationship

Purpose The purpose of this study is to explore the associations between food insecurity (FI) and coping strategies of relevance to diabetes self-management among households of people with diabetes (HHDM) who access US food pantry programs. Methods The authors conducted a secondary data analysis of HHDM accessing US food pantry programs from the Hunger in America 2014 study ( n = 16 826). Weighted analyses included descriptive statistics for household sociodemographics, food pantry service utilization, FI, and coping behaviors. The authors used chi-square and logistic regression to estimate the relationship between FI and coping behaviors. Results Nearly one-half of HHDM reported visiting food pantries at least 6 times in the past year. Most HHDM were FI, with the majority experiencing the most severe form of FI. Over one-fifth of households reported lacking health insurance. The majority of HHDM reported purchasing inexpensive unhealthy foods to ensure household food adequacy, and many reported watering down food and beverages. The odds of reporting these behaviors significantly increased as FI worsened. Conclusion Food pantries represent an opportunity for the delivery of community-based diabetes self-management education and support programs. These programs should be adapted to address population barriers to self-management and to support access to healthful foods and medical care.

scholarly journals Hubungan antara Self-Management dengan Perilaku Agresi pada Siswa SMA

Cognicia ◽  
2019 ◽  
Vol 7 (3) ◽  
pp. 308
Author(s):  
Risqi Dwi Amaliasari ◽  
Uun Zulfiana
Keyword(s):  
High School ◽  
High School Students ◽  
Data Analysis ◽  
Negative Relationship ◽  
Sampling Technique ◽  
Self Management ◽  
School Students ◽  
A Value ◽  
Significant Negative Relationship ◽  
Aggression Behavior

Aggression behavior among high school students or teenagers is still often found, for example: brawls, bullying. A person will behave aggressively so he will think first in acting so that he is able to manage himself (self management).The purpose of the study was to determine the relationship between self management and aggression behavior in high school students. This study uses a quantitative non-experimental approach. The subjects were 217 students of class X and XI SMA taken by stratified sampling technique. The research instrument uses the scale of aggression behavior and self management scale. The method of data analysis was the product moment correlation. Data analysis was carried out with the help of SPSS version 22.0. The results showed a value (r) of -0.122 with p was 0.037 <0.05. This shows that there is a significant negative relationship between self management and aggression behavior in high school students. The contribution of self management to aggression behavior is 1,5% (=0.015) 

scholarly journals Measuring the Implementation and Effects of a Coordinated Care Model Featuring Diabetes Self-management Education Within Four Patient-Centered Medical Homes

2015 ◽  
Vol 41 (3) ◽  
pp. 328-342 ◽  
Author(s):  
Charles E. Sepers ◽  
Stephen B. Fawcett ◽  
Ruth Lipman ◽  
Jerry Schultz ◽  
Vicki Colie-Akers ◽  
...  
Keyword(s):  
Management Education ◽  
Self Management ◽  
Coordinated Care ◽  
Care Model ◽  
Patient Centered ◽  
Patient Centered Medical Homes ◽  
Medical Homes

Patient-centered diabetes self-management education

2002 ◽  
Vol 2 (2) ◽  
pp. 145-152 ◽  
Author(s):  
Geoffrey C. Williams ◽  
Allan Zeldman
Keyword(s):  
Management Education ◽  
Self Management ◽  
Patient Centered

Determinants of Entrepreneurs' Activities: New Evidence from Cross-Country Data

2014 ◽  
Vol 05 (03) ◽  
pp. 1440013
Author(s):  
Doaa M. Salman
Keyword(s):  
Economic Freedom ◽  
Negative Relationship ◽  
Institutional Setting ◽  
Weak Institutions ◽  
Significant Negative Relationship ◽  
Economic Freedom Index ◽  
World Economic ◽  
Main Determinants ◽  
The One ◽  
Entrepreneurial Activities

This paper provides an empirical investigation of the main determinants of entrepreneurial activities across three groups of countries over the period 2004–2008, by specifically examining the importance of institutional setting and economic growth on entrepreneurial activities. The classification of countries is based on the Economic Freedom Index and the World Economic Forum (2011) which groups them on the basis of whether they are innovation-driven, efficiency-driven, or factor-driven countries. On the one hand, empirical results find a positive and significant role for economic freedom to accelerate entrepreneurial activities and growth in innovation and efficiency-driven countries characterized by strong institutional systems. On the other hand, the results suggest that in factor-driven countries characterized by relatively less economic freedom and weak institutions, there is a significant negative relationship between economic freedom and entrepreneurial activities.

scholarly journals Impact of Diabetes Self-Management Education on Psychological Distress and Health Outcomes Among African Americans and Hispanics/Latinos With Diabetes

2019 ◽  
Vol 32 (4) ◽  
pp. 368-377 ◽  
Author(s):  
Ninfa Peña-Purcell ◽  
Gang Han ◽  
Matthew Lee Smith ◽  
Rick Peterson ◽  
Marcia G. Ory
Keyword(s):  
Psychological Distress ◽  
African Americans ◽  
Health Outcomes ◽  
Management Education ◽  
Self Management

scholarly journals A Critical Review of Effects of COPD Self-Management Education on Self-Efficacy

2012 ◽  
Vol 2012 ◽  
pp. 1-10 ◽  
Author(s):  
Michael Stellefson ◽  
Bethany Tennant ◽  
J. Don Chaney
Keyword(s):  
Self Efficacy ◽  
Management Education ◽  
Physical Exertion ◽  
Airflow Limitation ◽  
Self Management ◽  
Chronic Obstructive ◽  
Patient Centered ◽  
Obstructive Pulmonary Disease ◽  
Educational Treatment ◽  
Sources Of Efficacy

Chronic obstructive pulmonary disease (COPD) causes progressive airflow limitation which results in prolonged episodes of coughing and shortness of breath. COPD self-management education (COPDSME) programs attempt to enhance patient self-efficacy for managing symptoms. The purpose of this paper was to conduct a critical literature review that identified peer-reviewed articles assessing the effects of COPDSME on self-efficacy outcomes. Seven articles were located after an exhaustive search. Most studies () reported statistically significant improvements in self-efficacy following intervention. Almost all of the studies tested interventions that drew upon at least 2 recommended sources of efficacy information. Two studies specifically noted increased self-efficacy for controlling physical exertion following COPDSME. Within the reviewed studies, the content within each educational treatment varied widely and showed a lack of standardization, and the types of instruments used to assess self-efficacy varied. This paper highlights the need for more controlled trials that investigate potential between-subjects effects of different types of COPDSME programs on self-efficacy outcomes. Incorporating practice models for patient-centered primary care in COPD requires the use of tailored efficacy building strategies for specific self-management behaviors.

Population Composition and Its Effect on Economic Growth

2021 ◽  
Vol 3 (1) ◽  
pp. 86-100
Author(s):  
Deboshmita Brahma
Keyword(s):  
Economic Growth ◽  
Negative Relationship ◽  
Secondary Data ◽  
Ideal Condition ◽  
Demographic Dividend ◽  
Third Phase ◽  
Significant Negative Relationship ◽  
Working Age ◽  
Per Capita ◽  
The Government

Background: The relationship between population and economic growth has always been a subject of debate. There has never been any clear consensus amongst economists about the nature and extent of influence that population has on the economic growth of a country. Objective: This paper aims to explore the influence exerted by the age structure of the population on the economic growth of a country. Method: The paper uses secondary data to find the relation between Gross Domestic Product (GDP) per capita levels of countries and their respective Age Dependency Ratio.Result: There is a significant negative relationship between them, which implies that, if a country has a rise in a high proportion of the dependent population, per capita income will tend to be lower. Conclusion: The paper then makes a special study of the prospect of demographic dividend in India. The country is in the third phase of demographic transition, implying that the proportion of the working-age population is greater than the dependent population. This provides an ideal condition for the Government to reap the benefits of demographic dividend and achieve higher levels of economic growth.

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