482-P: Comprehension of Medicare Program and Participation of Diabetes Self-Management Training among Medicare Beneficiaries with Diabetes

There is growing enthusiasm for transforming Medicare into a voucher system. Advocates claim vouchers would increase the health care choices available to Medicare beneficiaries, reduce the regulatory burden on the federal government, and promote the benefits of fair market competition. In addition, some analysts contend vouchers are the only feasible solution to Medicare's short-term financing problems and the long-term “crisis” of the retirement of the baby-boom generation. The author argues against these claims. Vouchers would not work as advertised by proponents because of the limitations of risk-adjustment methods and unrealistic assumptions about consumer choice. Moreover, the elderly and disabled Medicare population is ill-suited to cope in a competitive insurance system. Implementation of vouchers would therefore pose a threat to both the health of beneficiaries and the stability of the Medicare program. The implications of this analysis for Medicare reform are discussed.

Download Full-text

Reliability and Validity A Quick Review

The Diabetes Educator ◽

10.1177/0145721707308172 ◽

2007 ◽

Vol 33 (5) ◽

pp. 775-780 ◽

Cited By ~ 34

Author(s):

Karen Fitzner

Keyword(s):

Construct Validity ◽

External Validity ◽

Diabetes Education ◽

Reliability And Validity ◽

Management Training ◽

Self Management ◽

Validity Testing ◽

Education Practice ◽

Rigorous Testing ◽

Diabetes Educators

The purpose of this article is to provide a brief review of reliability and validity testing. These concepts are important to researchers who are choosing techniques and/or developing tools that will be applied and evaluated in diabetes education practice. Several types of reliability and validity testing are defined, and an easy-to-use check sheet is provided for research purposes. Following testing for the basic aspects of reliability and validity such as face and construct validity, a tool may be appropriate for use in practice settings. Those conducting comprehensive outcomes evaluations, however, may desire additional validation such as testing for external validity. Diabetes educators can and should incorporate rigorous testing for these important aspects when conducting assessments of techniques and tools relating to diabetes self-management training.

Download Full-text

The Effectiveness of Self-Management Training for Individuals With HIV/AIDS

Journal of the Association of Nurses in AIDS Care ◽

10.1016/s1055-3290(06)60264-1 ◽

2001 ◽

Vol 12 (5) ◽

pp. 71-82 ◽

Cited By ~ 16

Author(s):

Jillian Inouye ◽

Laura Flannelly ◽

Kevin J. Flannelly

Keyword(s):

Management Training ◽

Self Management ◽

Hiv Aids

Download Full-text

The Effects of Peer Tutoring and Self-Management Training on On-Task, Academic, and Disruptive Behaviors

Behavioral Disorders ◽

10.1177/019874299301800204 ◽

1993 ◽

Vol 18 (2) ◽

pp. 118-128 ◽

Cited By ~ 21

Author(s):

Sandra Hogan ◽

Mary Anne Prater

Keyword(s):

Academic Performance ◽

General Education ◽

Disruptive Behavior ◽

Peer Tutoring ◽

Disruptive Behaviors ◽

Management Training ◽

Self Management ◽

Behaviorally Disordered ◽

Task Behavior ◽

On Task Behavior

The effects of peer tutoring and self-management on on-task behavior and academic performance (tutee) as well as disruptive behaviors (tutor) were examined. The tutor had been identified as behaviorally disordered and the tutee as learning disabled. During the peer tutoring condition the tutee improved his on-task and academic performance but the tutor's disruptive behavior did not change. Self-management was initiated for both subjects. During self-monitoring the tutee's on-task behavior improved above that during peer tutoring. The tutor self-monitored his disruptive behavior but only slight improvements were observed. A self-instructional component was then added and the disruptive behavior was eliminated. For both subjects, a multiple baseline across-settings design was applied and results were observed across resource and general education English and mathematics classes.

Download Full-text

Healthcare Providers’ Knowledge, Attitude, and Perspective regarding Diabetes Self-Management during Ramadan Fasting: A Cross-Sectional Study

Nurse Media Journal of Nursing ◽

10.14710/nmjn.v11i1.33926 ◽

2021 ◽

Vol 11 (1) ◽

pp. 124-132

Author(s):

Sh Sugiharto ◽

Wiwiek Natalya ◽

Bambang Widjanarko Otok

Keyword(s):

Community Health Centers ◽

Healthcare Providers ◽

Sampling Technique ◽

Management Training ◽

Cross Sectional Study ◽

Wilcoxon Test ◽

Self Management ◽

Diabetic Patients ◽

Cross Sectional ◽

Ramadan Fasting

Background: Evidence shows that most general practitioners have low knowledge related to diabetes self-management during Ramadan fasting. However, studies on healthcare providers’ competencies related to diabetes self-management during Ramadan fasting are still rare.Purpose: This study aimed to investigate healthcare providers’ knowledge, attitude, and perspective concerning diabetes self-management during Ramadan fasting.Methods: The study applied a cross-sectional design and was conducted in forty-one (41) community health centers in Pekalongan, Central Java, Indonesia. The study participants were medical doctors, nurses, nutritionists, pharmacists, and public health officers. The total sampling technique was used. There were 205 healthcare providers who met the inclusion criteria. Their knowledge, attitude, and perspective were assessed using a questionnaire developed by Zainudin and Hussain. The Wilcoxon test was used to analyze the data. Results: The healthcare providers’ knowledge of Ramadan fasting was very low (36.79±26.11). More than half of the respondents (53.17%) advised diabetic patients to manage diabetes in general, although specific counseling for diabetic patients related to fasting in Ramadan month was not provided (55.12%). The perspective of Ramadan fasting among healthcare providers was moderate (62.68%±30.40). The results also showed that general and safe practice knowledge significantly affected the healthcare providers’ perspective toward Ramadan fasting (Z=-12.49, p=0.000), (Z=-12.02, p=0.000), respectively. Conclusion: Healthcare providers’ knowledge and attitude concerning diabetes self-management during Ramadan fasting were low. Accordingly, this affected their perspective. It is strongly recommended that a formal Ramadan fasting management training program should be given regularly to provide appropriate consultations and services.

Download Full-text

EVALUATION OF DIABETES SELF-MANAGEMENT EDUCATION IN PATIENTS WITH CONCOMITANT CHRONIC KIDNEY DISEASE

Wiadomości Lekarskie ◽

10.36740/wlek202010112 ◽

2020 ◽

Vol 73 (10) ◽

pp. 2170-2174

Author(s):

Oleksii M. Korzh

Keyword(s):

Primary Care ◽

Primary Care Physicians ◽

Management Training ◽

Cross Sectional Study ◽

Self Management ◽

Average Score ◽

Cross Sectional ◽

Self Monitoring ◽

Diabetes Educators

The aim: Was to evaluate the quality of DSME provided by primary care physicians to people with diabetes mellitus. Materials and methods: A descriptive cross-sectional study was conducted among 120 primary care physicians. The quality of diabetes self-management training provided by physicians was assessed on a personal scale of 39 Likert questions obtained from the American Association of Diabetes Educators in seven areas of diabetes self-monitoring. The Cronbach’s reliability coefficient for each domain / subscale was ≥ 0.7. The data were analyzed using an independent selective t-test and one-way ANOVA. Results: More than half of the doctors provided “inadequate quality” of diabetes self-management in all areas. Doctors had the highest average score in the domain of “drug intake” (4.46 ± 0.61). Average scores in the “problem-solving domain” (3.52 ± 0.63) and “ being active domain” (3.46 ± 0.75) were low. The quality of DSME provided by physicians was not related to any of the characteristics of the physician. Conclusions: The quality of doctors’ communication on DSME in this study was suboptimal. Most adequately informed cases of diabetic behavior associated with self-management have been associated with reduced risk factors and an orientation towards disease. Thus, training of primary care physicians in diabetic self-management is recommended because of the key role that these doctors play in managing diabetes.

Download Full-text