Linking Patients with Diabetes Self-Management Education in the Primary Care Setting

1 online resource (73 pages) : PDF

2019

University of North Carolina at Charlotte

Diabetes self-management education (DSME) can change the life path of people with diabetes (PWD). Many PWD blood glucose levels exceed recommendations set by the American Diabetes Association (ADA). A PWD could benefit from convenient access to a multidisciplinary care team including a diabetes educator within primary care. African-Americans and diabetes together is a concern relating to outcomes often experienced due to poor glucose control. African-Americans suffer disproportionately from complications associated with diabetes including amputations, retinopathy, and heart disease. The purpose of this project was to determine if providing adult patients with Type 2 diabetes (T2DM) DSME in a primary care office made a difference in their A1c. The study also determined effects of DSME on knowledge and confidence levels. DSME was delivered in primary care to PWD whose A1c results were higher than what is recommended by the ADA.A quasi-experimental before and after design was employed in this project. A registered nurse (RN) certified diabetes educator (CDE) met with PWD in a primary care office. PWD who received DSME baseline A1c was 8% or more. A1c, knowledge, and confidence levels were compared before and after DSME over 3-months. Each participant met with the RN CDE once monthly for a 1:1 session lasting one-hour.Out of 15 who consented, 11 participated and received DSME. The outcomes revealed significant decrease in A1c results and increased knowledge and confidence levels. Providing DSME in primary care offers the opportunity to reach PWD who could benefit from receiving education within their primary care office.

doctoral dissertations

Nursing

D.N.P.

Certified Diabetes Educator
Diabetes
Diabetes self-Management Education
Education
Patient-Centered
Primary Care

Health Services Research

Okoro, Florence
Whitaker-Brown, Charlene

Evivie, Patrick
Faust, Mark

Thesis (D.N.P.)--University of North Carolina at Charlotte, 2019.

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