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self-management, diabetes, primary care

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https://www.readbyqxmd.com/read/27909958/using-group-medical-visits-with-those-who-have-diabetes-examining-the-evidence
#1
REVIEW
Laura M Housden, Sabrina T Wong
The number of people with diabetes is expected to rise to over 592 million by the year 2035. Past work provides evidence that the conventional method of primary care delivery may not meet many patients' needs. An alternative to the conventional one-on-one appointment is care offered to a group of patients through group medical visits (GMVs). Group medical visits for diabetes have a positive impact on physiologic and self-care outcomes including improved HbA1c, blood pressure control and self-management skills...
December 2016: Current Diabetes Reports
https://www.readbyqxmd.com/read/27878750/the-relationship-between-patients-knowledge-of-diabetes-therapeutic-goals-and-self-management-behaviour-including-adherence
#2
Mohammad Waheedi, Abdelmoneim Awad, Hind T Hatoum, Hannes Enlund
: Background The Middle East region has one the highest prevalence rates of diabetes in the world. Little is known about the determinants of adherence and the role of knowledge in diabetes self-management within these populations. Objective To investigate the relationship between patients knowledge of diabetes therapeutic targets with adherence to self-care measures in a sample of patients with type 2 diabetes in Kuwait. Setting Primary care chronic care clinics within the Ministry of Health of Kuwait...
November 23, 2016: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/27877024/understanding-the-physical-social-and-emotional-experiences-of-people-with-uncontrolled-type-2-diabetes-a-qualitative-study
#3
Anna Berenguera, Àngels Molló-Inesta, Manel Mata-Cases, Josep Franch-Nadal, Bonaventura Bolíbar, Esther Rubinat, Dídac Mauricio
PURPOSE: The purpose of this study was to identify the perceptions, barriers, and facilitators of self-management of Type 2 diabetes mellitus (T2DM) to determine the factors to consider when developing and implementing a person-centered intervention in patients with poor glycemic control attending primary care. METHODS: This was a qualitative study conducted in 6 primary care health centers in Catalonia. Patients who had been diagnosed with T2DM and had glycated hemoglobin of 9% or more were included...
2016: Patient Preference and Adherence
https://www.readbyqxmd.com/read/27875542/educational-outreach-with-an-integrated-clinical-tool-for-nurse-led-non-communicable-chronic-disease-management-in-primary-care-in-south-africa-a-pragmatic-cluster-randomised-controlled-trial
#4
Lara R Fairall, Naomi Folb, Venessa Timmerman, Carl Lombard, Krisela Steyn, Max O Bachmann, Eric D Bateman, Crick Lund, Ruth Cornick, Gill Faris, Thomas Gaziano, Daniella Georgeu-Pepper, Merrick Zwarenstein, Naomi S Levitt
BACKGROUND: In many low-income countries, care for patients with non-communicable diseases (NCDs) and mental health conditions is provided by nurses. The benefits of nurse substitution and supplementation in NCD care in high-income settings are well recognised, but evidence from low- and middle-income countries is limited. Primary Care 101 (PC101) is a programme designed to support and expand nurses' role in NCD care, comprising educational outreach to nurses and a clinical management tool with enhanced prescribing provisions...
November 2016: PLoS Medicine
https://www.readbyqxmd.com/read/27864988/time-to-question-diabetes-self-management-support-for-arabic-speaking-migrants-exploring-a-new-model-of-care
#5
H Alzubaidi, K McNamara, C Browning
AIM: The objective of this study was to explore a new model for diabetes self-management support in Arabic-speaking migrants. METHODS: Two qualitative methods were used: face-to-face semi-structured individual interviews and focus groups. Interviews were audio-taped, transcribed verbatim and coded thematically. Arabic-speaking migrants with Type 2 diabetes were recruited from several primary, secondary and tertiary healthcare settings in metropolitan Melbourne, Australia...
November 16, 2016: Diabetic Medicine: a Journal of the British Diabetic Association
https://www.readbyqxmd.com/read/27842539/a-randomized-wait-list-control-trial-to-evaluate-the-impact-of-a-mobile-application-to-improve-self-management-of-individuals-with-type-2-diabetes-a-study-protocol
#6
Laura Desveaux, Payal Agarwal, Jay Shaw, Jennifer M Hensel, Geetha Mukerji, Nike Onabajo, Husayn Marani, Trevor Jamieson, Onil Bhattacharyya, Danielle Martin, Muhammad Mamdani, Lianne Jeffs, Walter P Wodchis, Noah M Ivers, R Sacha Bhatia
BACKGROUND: Management of diabetes through improved glycemic control and risk factor modification can help prevent long-term complications. Much diabetes management is self-management, in which healthcare providers play a supporting role. Well-designed e-Health solutions targeting behavior change can improve a range of measures, including glycemic control, perceived health, and a reduction in hospitalizations. METHODS: The primary objective of this study is to evaluate if a mobile application designed to improve self-management among patients with type 2 diabetes (T2DM) improves glycemic control compared to usual care...
November 15, 2016: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/27842495/effectiveness-of-the-empower-par-intervention-in-improving-clinical-outcomes-of-type-2-diabetes-mellitus-in-primary-care-a-pragmatic-cluster-randomised-controlled-trial
#7
Anis Safura Ramli, Sharmini Selvarajah, Maryam Hannah Daud, Jamaiyah Haniff, Suraya Abdul-Razak, Tg Mohd Ikhwan Tg-Abu-Bakar-Sidik, Mohamad Adam Bujang, Boon How Chew, Thuhairah Rahman, Seng Fah Tong, Asrul Akmal Shafie, Verna K M Lee, Kien Keat Ng, Farnaza Ariffin, Hasidah Abdul-Hamid, Md Yasin Mazapuspavina, Nafiza Mat-Nasir, Chun W Chan, Abdul Rahman Yong-Rafidah, Mastura Ismail, Sharmila Lakshmanan, Wilson H H Low
BACKGROUND: The chronic care model was proven effective in improving clinical outcomes of diabetes in developed countries. However, evidence in developing countries is scarce. The objective of this study was to evaluate the effectiveness of EMPOWER-PAR intervention (based on the chronic care model) in improving clinical outcomes for type 2 diabetes mellitus using readily available resources in the Malaysian public primary care setting. METHODS: This was a pragmatic, cluster-randomised, parallel, matched pair, controlled trial using participatory action research approach, conducted in 10 public primary care clinics in Malaysia...
November 14, 2016: BMC Family Practice
https://www.readbyqxmd.com/read/27825340/patient-and-provider-acceptance-of-telecoaching-in-type-2-diabetes-a-mixed-method-study-embedded-in-a-randomised-clinical-trial
#8
I Odnoletkova, H Buysse, F Nobels, G Goderis, B Aertgeerts, L Annemans, D Ramaekers
BACKGROUND: Despite advances in diagnosis and treatment of type 2 diabetes, suboptimal metabolic control persists. Patient education in diabetes has been proved to enhance self-efficacy and guideline-driven treatment, however many people with type 2 diabetes do not have access to or do not participate in self-management support programmes. Tele-education and telecoaching have the potential to improve accessibility and efficiency of care, but there is a slow uptake in Europe. Patient and provider acceptance in a local context is an important pre-condition for implementation...
November 9, 2016: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/27799136/the-use-of-ehealth-and-provider-based-health-services-by-patients-with-diabetes-mellitus-protocol-for-a-cross-sectional-study
#9
Anne Helen Hansen, Meghan Bradway, Jan Broz, Tor Claudi, Øystein Henriksen, Silje C Wangberg, Eirik Årsand
BACKGROUND: The prevalence of diabetes and the use of electronic health (eHealth) resources are increasing. People with diabetes need frequent monitoring and follow-up of health parameters, and eHealth services can be of great significance in this regard. However, little is known about the extent to which different kinds of eHealth tools are used, and how the use of eHealth is associated with the use of provider-based health care services among people with diabetes. OBJECTIVE: The primary objective of this study is to investigate the use of eHealth and its association with the use of provider-based health care services...
October 31, 2016: JMIR Research Protocols
https://www.readbyqxmd.com/read/27793836/educating-professionals-to-support-self-management-in-people-with-asthma-or-diabetes-protocol-for-a-systematic-review-and-scoping-exercise
#10
Nicola McCleary, Amanda Andrews, Susan Morrow, Sharon Wiener-Ogilvie, Monica Fletcher, Liz Steed, Stephanie J C Taylor, Hilary Pinnock
INTRODUCTION: Supported self-management for asthma helps people adjust their treatment in response to symptom changes. This improves day-to-day control and reduces the risk of asthma attacks and the need for emergency healthcare. However, implementation remains poor in routine clinical practice. This systematic review is part of a programme of work developing an intervention to help primary care practice teams embed self-management support into routine asthma care. The aim of the review is to synthesise the evidence regarding the effectiveness of educational interventions for professionals supporting self-management in people with asthma or diabetes (type 1 and type 2)...
October 28, 2016: BMJ Open
https://www.readbyqxmd.com/read/27784994/patient-centeredness-and-quality-management-in-dutch-diabetes-care-organizations-after-a-1-year-intervention
#11
Marjo Je Campmans-Kuijpers, Lidwien C Lemmens, Caroline A Baan, Guy Ehm Rutten
BACKGROUND: More focus on patient-centeredness in care for patients with type 2 diabetes requests increasing attention to diabetes quality management processes on patient-centeredness by managers in primary care groups and outpatient clinics. Although patient-centered care is ultimately determined by the quality of interactions between patients and clinicians at the practice level, it should be facilitated at organizational level too. This nationwide study aimed to assess the state of diabetes quality management on patient-centeredness at organizational level and its possibilities to improve after a tailored intervention...
2016: Patient Preference and Adherence
https://www.readbyqxmd.com/read/27782342/a-qualitative-follow-up-study-of-diabetes-patients-appraisal-of-an-integrated-diabetes-service-in-primary-care
#12
Letitia H Burridge, Michele M Foster, Maria Donald, Jianzhen Zhang, Anthony W Russell, Claire L Jackson
As the prevalence of type 2 diabetes continues to escalate, health system reform is seeking better patient outcomes through new models of care that aim to provide the most appropriate care when needed. Patients' experiences of service innovations can shed light on the successes and challenges of implementing change. This paper explores patients' views of a new model of integrated care for patients with type 2 diabetes. A mixed-methods, randomised control trial evaluated a beacon clinic model of care for complex type 2 diabetes led by specialist general practitioners (GPs) in primary care settings in Brisbane, Australia...
October 26, 2016: Health & Social Care in the Community
https://www.readbyqxmd.com/read/27762618/improving-diabetes-knowledge-and-self-care-practices
#13
Cynthia Formosa, Ryan Muscat
BACKGROUND: This study sought to identify the nature and extent of diabetes-related knowledge and self-care practices in people living with type 2 diabetes who attend primary-care clinics and to determine whether a correlation between the two exists. METHODS: In a nonexperimental prospective study, the Diabetes Knowledge Questionnaire and the Summary of Diabetes Self-care Activities were used to assess knowledge and self-management in 50 patients. RESULTS: The mean diabetes knowledge score was 14...
September 2, 2016: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/27746088/pathways-for-the-relationship-between-diabetes-distress-depression-fatalism-and-glycemic-control-in-adults-with-type-2-diabetes
#14
Christopher C Asuzu, Rebekah J Walker, Joni Strom Williams, Leonard E Egede
BACKGROUND: The aim of this study was to examine the mechanism by which depressive symptoms, diabetes distress, and diabetes fatalism together influence diabetes outcomes using structured equation modeling. METHODS: 615 adults with type 2 diabetes were recruited from two primary care clinics in the southeastern United States. Psychosocial factors found to be associated with diabetes outcomes were measured using validated questionnaires. Structured equation modeling (SEM) was used to investigate the relationship between diabetes fatalism, depressive symptoms, diabetes distress, self-care and glycemic control...
September 30, 2016: Journal of Diabetes and its Complications
https://www.readbyqxmd.com/read/27699179/effects-of-a-patient-provider-collaborative-medication-planning-tool-a-randomized-controlled-trial
#15
James F Graumlich, Huaping Wang, Anna Madison, Michael S Wolf, Darren Kaiser, Kumud Dahal, Daniel G Morrow
Among patients with various levels of health literacy, the effects of collaborative, patient-provider, medication-planning tools on outcomes relevant to self-management are uncertain. Objective. Among adult patients with type II diabetes mellitus, we tested the effectiveness of a medication-planning tool (Medtable™) implemented via an electronic medical record to improve patients' medication knowledge, adherence, and glycemic control compared to usual care. Design. A multicenter, randomized controlled trial in outpatient primary care clinics...
2016: Journal of Diabetes Research
https://www.readbyqxmd.com/read/27686320/diabetes-and-travel
#16
Fatema Jawad, Sanjay Kalra
This article encapsulates pragmatic advice that is necessary to ensure safe travel for people with diabetes. Written in simple words, it empowers the primary care physician to answer questions that are frequently asked by patients planning travel. It includes discussion on insulin dose adjustment, self monitoring, foot care and sick day management.
October 2016: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/27683021/intervention-for-diabetes-with-education-advancement-and-support-ideas-study-protocol-for-a-cluster-randomised-controlled-trial
#17
Jun Yang Lee, Carina Ka Yee Chan, Siew Siang Chua, Chirk Jenn Ng, Thomas Paraidathathu, Kenneth Kwing-Chin Lee, Shaun Wen Huey Lee
BACKGROUND: The high market penetration of mobile phones has triggered an opportunity to combine mobile technology with health care to overcome challenges in today's health care setting. Although Malaysia has a high Internet and mobile penetration rate, evaluations of the efficacy of incorporating this technology in diabetes care is not common. We report the development of a telemonitoring coaching system, using the United Kingdom (UK) Medical Research Council (MRC) framework, for patients with type 2 diabetes mellitus...
September 29, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27659518/positive-parenting-for-healthy-living-triple-p-for-parents-of-children-with-type-1-diabetes-protocol-of-a-randomised-controlled-trial
#18
Aditi Lohan, Amy E Mitchell, Ania Filus, Kate Sofronoff, Alina Morawska
BACKGROUND: Type 1 diabetes is a serious, life-long condition which causes major health, social and economic burden for children, their families and the community. Diabetes management involves strict adherence to a complex regimen, and poor management and non-adherence are a persistent problem among children. Parent-child interactions and parenting have been identified as crucial points of intervention to support children's health and emotional well-being, yet few parenting interventions have been developed or evaluated for parents of young children...
2016: BMC Pediatrics
https://www.readbyqxmd.com/read/27638542/lifestyle-and-risk-factor-management-in-people-at-high-risk-of-cardiovascular-disease-a-report-from-the-european-society-of-cardiology-european-action-on-secondary-and-primary-prevention-by-intervention-to-reduce-events-euroaspire-iv-cross-sectional-survey
#19
Kornelia Kotseva, Dirk De Bacquer, Guy De Backer, Lars Rydén, Catriona Jennings, Viveca Gyberg, Ana Abreu, Carlos Aguiar, Almudena C Conde, Kairat Davletov, Mirza Dilic, Maryna Dolzhenko, Dan Gaita, Borislav Georgiev, Nina Gotcheva, Nebojsa Lalic, Aleksandras Laucevicius, Dragan Lovic, Silvia Mancas, Davor Miličić, Raphael Oganov, Andrzej Pajak, Nana Pogosova, Željko Reiner, Dusko Vulic, David Wood, The Euroaspire Investigators
BACKGROUND: European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) IV in primary care was a cross-sectional survey carried out by the European Society of Cardiology, EURObservational Research Programme in 2014-2015 in 71 centres from 14 European countries. The main objective was to determine whether the 2012 Joint European Societies' guidelines on cardiovascular disease (CVD) prevention in people at high CVD risk have been followed in clinical practice...
September 16, 2016: European Journal of Preventive Cardiology
https://www.readbyqxmd.com/read/27625706/brazilian-multicenter-study-for-the-evaluation-of-patients-satisfaction-of-blood-glucose-self-monitoring-with-bgstar-%C3%A2-blood-glucose-meter-in-insulinized-patients-with-diabetes-mellitus-type-1-and-2
#20
Miguel Nasser Hissa
BACKGROUND: Diabetes mellitus (DM) is considered a global epidemic, and patient self-management education and support are critical in preventing and reducing the risk of complications. Self-monitoring of blood glucose (SMBG) is essential for care of individuals with DM, helping patients to achieve and maintain target blood glucose levels. The purpose of this study is to compare the satisfaction of insulinized DM patients on SMBG with use of investigational blood glucose meter (BGM) versus their routine device...
2016: Diabetology & Metabolic Syndrome
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