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Diabetes Educator

Tainayah Thomas, Carmen D Samuel-Hodge, Deborah S Porterfield, Maria L Alva, Jennifer Leeman
PURPOSE: The purpose of this study was to assess factors that influence demand for the Diabetes Prevention Program (DPP) from the perspectives of potential program participants and providers. METHODS: A qualitative study guided by a conceptual framework was conducted with potential DPP participants and potential DPP providers. Five focus groups with potential participants (n = 37) and key informant interviews with potential providers (n = 14) were conducted in community settings across North Carolina...
November 9, 2018: Diabetes Educator
Meihua Ji, Dianxu Ren, Tiffany L Gary-Webb, Jacqueline Dunbar-Jacob, Judith A Erlen
PURPOSE: The purpose of the study is to describe the characteristics and selected health outcomes of a sample of Chinese patients with type 2 diabetes (T2DM) and to examine gender differences based on social cognitive theory. There is limited study in theory-driven research conducted in China and a lack of evidence in collectively examining the associated factors among Chinese patients with T2DM based on a theory, especially among those living in a suburban area. METHODS: Following a cross-sectional design, data were collected from 207 patients (50...
November 7, 2018: Diabetes Educator
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December 2018: Diabetes Educator
Denise A Kent, Laurie Quinn
PURPOSE: The purpose of this study is to examine in young adults (18-35 years) with type 1 diabetes (T1DM) factors known to be associated with quality of life: fear of complications (including hypoglycemia), self-efficacy for diabetes self-management, and self-management of diabetes. METHODS: Participants ( N = 180) completed online a Demographic/General Health Survey, Diabetes Quality of Life Measure, Hypoglycemia Fear Scale, Fear of Complications Questionnaire, Diabetes Behavior Rating Scale, Self-Efficacy for Diabetes Self-Management, and Diabetes Knowledge Test...
December 2018: Diabetes Educator
Jane L Tucker, Kimberly A Zoberi, Denise R Hooks-Anderson, Joanne Salas, Jeffrey F Scherrer
PURPOSE: The purpose of this study is to determine if race disparities in glycemic control differ in young vs older white and African American patients with diabetes. METHODS: Electronic medical record data were gathered from 1431 primary care patients ≥18 years old, diagnosed with type 2 diabetes, who had ≥2 A1C measurements between July 1, 2008, and June 30, 2015. A1C values were used to compute the average monthly glycemic burden (AMGB). AMGB is the average monthly cumulative amount of A1C >7...
December 2018: Diabetes Educator
Mihyun Jeong, Elizabeth Reifsnider
PURPOSE: The purpose of this study was to investigate the associations of diabetes-related distress and depressive symptoms with glycemic control in Korean Americans (KAs) with type 2 diabetes mellitus (T2DM). METHODS: The cross-sectional, correlational descriptive study explored glycemic control in KA. A total of 119 KA adults with T2DM were recruited from Korean communities in Arizona between July and November 2016. Data were collected by a finger-stick glucose test for A1C, the Diabetes Distress Scale for diabetes-related distress, the Center for Epidemiological Studies Depression for depressive symptoms, and sociodemographics...
December 2018: Diabetes Educator
Sara F Michaliszyn, Melinda Higgins, Melissa Spezia Faulkner
PURPOSE: The purpose of this study was to determine the feasibility of a personalized, 16-week community-based physical activity intervention for adolescents with diabetes or obesity and examine the weekly patterns of adherence to the intervention. METHODS: Physical activity adherence was evaluated throughout the intervention using accelerometers in 46 adolescents with type 1 diabetes (N = 22), type 2 diabetes (N = 12), or obesity (N = 12) (age, 14.4 ± 1.5 years; 56...
December 2018: Diabetes Educator
Cheryl L P Vigen, Kristine Carandang, Jeanine Blanchard, Paola A Sequeira, Jamie R Wood, Donna Spruijt-Metz, Robin Whittemore, Anne L Peters, Elizabeth A Pyatak
PURPOSE: The purpose of this study was to evaluate relationships between behavioral and psychosocial constructs, A1C, and diabetes-dependent quality of life (DQoL) among low-socioeconomic status, ethnically diverse young adults with diabetes. METHODS: Using baseline data of 81 participants in the Resilient, Empowered, Active Living (REAL) randomized controlled trial, behavioral, cognitive, affective, and experiential variables were correlated with A1C and DQoL while adjusting for demographic characteristics, and these relationships were examined for potential effect modification...
December 2018: Diabetes Educator
Nancy M Petry, Nicole C Foster, Eda Cengiz, William V Tamborlane, Julie Wagner, Sarit Polsky
PURPOSE: The purpose of the study was to evaluate frequency of use and problem use of psychoactive substances in adults with type 1 diabetes (T1D). RESEARCH DESIGN AND METHODS: Standardized instruments for assessing tobacco, alcohol, and other psychoactive substance use were emailed to 4311 adult participants at 69 T1D Exchange Registry Exchange Registry centers. A total of 936 respondents (61% female, 90% non-Hispanic white, age 38 ± 16 years) completed the survey...
December 2018: Diabetes Educator
Erin M Bergner, Rodayne Williams, Emily R Hamburger, Morgan Lyttle, Angelia C Davis, Beth Malow, Jill H Simmons, Cindy Lybarger, Rose Capin, Sarah S Jaser
PURPOSE: The purpose of this study is to identify barriers, facilitators, and consequences of obtaining sufficient sleep in adolescents with type 1 diabetes. METHODS: Semistructured interviews were conducted with 25 adolescents (52% female, mean age = 15.6 years) and 25 caregivers. Interviews were transcribed and coded using Atlas.ti. A thematic analytic approach was used to identify and organize significant patterns of meaning (themes) and interpret themes across the data...
December 2018: Diabetes Educator
Julie A Zuniga, Charlotte Wright, Jonathan Fordyce, Chelsi West Ohueri, Alexandra A Garciá
Purpose The purpose of this systematic review of qualitative literature was (1) to identify self-management strategies, (2) to identify women's barriers to self-management, and (3) to compare self-management strategies of diabetes and human immunodeficiency virus (HIV). African American women living with HIV are at high risk for developing diabetes because of genetics, lifestyle, and HIV treatment. Self-management of each of these conditions is critical to decrease morbidity and mortality. Conclusions A literature search resulted in 15 articles: 10 on the topic of HIV and 5 on diabetes...
October 2018: Diabetes Educator
Prakash Poudel, Rhonda Griffiths, Vincent W Wong, Amit Arora, Jeff R Flack, Chee L Khoo, Ajesh George
Purpose The purpose of this study was to explore the current perceptions and practices of diabetes educators (DEs) in providing oral health care to people with diabetes. Methods A qualitative study design involving focus groups was used to gather data. Purposive sampling was used to recruit DEs working across 3 metropolitan hospitals in South Western Sydney, Australia. Results Fourteen DEs participated in 3 focus groups. Participants had a mean ± SD age of 44.4 ± 9.2 years and 5.2 ± 5.3 years of work experience in diabetes care...
October 2018: Diabetes Educator
Harsimran Singh, Khajika Soyoltulga, Taylor Fong, John Billimek
Purpose The purpose of this study was to evaluate perinatal outcomes and experiences of managing gestational diabetes (GDM) in a multiethnic cohort from a community hospital. Methods A retrospective cohort study of 647 ethnically diverse women with GDM was conducted. Multivariable logistic regression models were used to examine ethnic differences in cesarean delivery rates and emergency department (ED) utilization during pregnancy. Semi-structured interviews were conducted to evaluate experiences of GDM and perceptions of type 2 diabetes risk...
October 2018: Diabetes Educator
Bonnie J Wakefield, Mary Vaughan-Sarrazin
Purpose The purpose of this study was to identify predictors of informal caregiver strain and satisfaction associated with caring for veterans with type 2 diabetes (T2DM). Methods This study is a secondary analysis of data from 2 prior studies of caregiving in the Veterans Health Administration. The original studies used a telephone survey to examine veteran and caregiver (CG) characteristics associated with caregivers' responses to caregiving. The data reported here include 202 veterans with T2DM and 202 caregivers...
October 2018: Diabetes Educator
Claire Chang, Sonia Khurana, Rachel Strodel, Anne Camp, Elizabeth Magenheimer, Nicola Hawley
Purpose The purpose of this study was to examine perceived barriers to physical activity among low-income Latina women who were at risk for type 2 diabetes, as well as the demographic factors that influence these perceived barriers. Methods Recruited in the waiting room of a community health center in a low-income neighborhood (n = 160), Latina women between the ages of 18 and 49 years completed a survey to assess demographic characteristics and perceived barriers to physical inactivity. Descriptive statistics, chi-square tests, and multivariate regression analyses were conducted to identify barriers to physical activity and the associations between demographic factors and perceived barriers...
October 2018: Diabetes Educator
Kimberly Freeman, Michael Hanlon, Sheri Denslow, Vallire Hooper
Purpose The purpose of this study was to describe the effects of an innovative rural community-based, diabetes self-management education and support (DSMES) program on patient behaviors and outcomes. Methods A 12-month pre-post study design with physiological data collection at program initiation, 16 weeks, and 6 and 12 months postenrollment was used for program assessment. The program consisted of an American Diabetes Association-accredited curriculum provided by the hospital and interfaced with a YMCA curriculum promoting lifestyle change...
August 2018: Diabetes Educator
Jennifer Saylor, Sara Lee, Michelle Ness, Jodie M Ambrosino, Emily Ike, Melissa Ziegler, Christina L Roth, Christina Calamaro
Purpose The purpose of this study is to examine the characteristics and health outcomes of college students with type 1 diabetes mellitus (T1DM) as it relates to membership in a local university-based diabetes student organization. Methods This descriptive, correlational research design is a secondary analysis of data. The sample consisted of nationally representative young adults in college (n = 317) between 18 and 30 years of age who were diagnosed with T1DM. Data were collected during April 2017 using a secure electronic diabetes management survey to inquire about self-reported barriers to diabetes management, hypoglycemia, and diabetic ketoacidosis of members of a diabetes organization...
August 2018: Diabetes Educator
Briana Mezuk, William Thornton, Shawnita Sealy-Jefferson, Joshua Montgomery, Jana Smith, Evanise Lexima, Maria Jose Mejia Ruiz, Jeannie B Concha
Purpose The purpose of this study was to describe how a community-academic partnership developed and implemented a shared goal of evaluating the impact of a large community-based diabetes self-management program on diabetes care and mental health outcomes. Methods Data came from the YMCA of Greater Richmond Diabetes Control Program (DCP), a 12-week, group-format self-management program led by lay health coaches. Adults with type 2 diabetes (N = 312) completed baseline assessments of sociodemographic characteristics, diabetes history, and mental health...
August 2018: Diabetes Educator
Stephanie Griggs, Nancy S Morris
Purpose The aim of this review was to integrate empirical and theoretical literature on fatigue among adults with type 1 diabetes mellitus (T1DM). A methodological review using an integrative approach was used. Databases MEDLINE via Pubmed, CINAHL, PsycINFO, and Science Direct were searched for peer-reviewed articles published in English from 2007-2017, using the following search terms and Boolean operators: "Type 1 Diabetes" and "Fatigue." Of 199 articles initially retrieved, 14 were chosen for inclusion...
August 2018: Diabetes Educator
Kelley Newlin Lew, Caroline Dorsen, Gail D Melkus, Monika Maclean
Purpose The purpose of this study is to assess the weighted prevalence and odds ratios of obesity, prediabetes, and diabetes by (1) female sexual orientation (lesbian, bisexual, and straight) with racial/ethnic (Hispanic, non-Hispanic black, and non-Hispanic white) groups combined and (2) across and within racial/ethnic groups by sexual orientation. Methods A secondary analysis of pooled 2014-2015 Behavioral Risk Factor Surveillance System data from 28 states (N = 136 878) was conducted. Rao-Scott chi-square test statistics were computed and logistic regression models were developed to assess weighted prevalence and odds ratios of obesity, prediabetes, and diabetes with adjustments for demographics (age, income, and education), depression, and health care access factors...
August 2018: Diabetes Educator
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