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Diabetes self management education

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https://www.readbyqxmd.com/read/28643607/diabetes-self-management-training-in-a-virtual-environment
#1
Louise Reagan, Katherine Pereira, Vanessa Jefferson, Kathryn Evans Kreider, Susan Totten, Gail D'Eramo Melkus, Constance Johnson, Allison Vorderstrasse
Diabetes self-management training (DSMT) improves diabetes health outcomes. However, low numbers of patients receive DSMT. Using virtual environments (VEs) for DSMT is an innovative approach to removing barriers for patients. The purpose of this paper is to describe the experience of health professionals and diabetes educators establishing and teaching DSMT in a VE, Diabetes LIVE© (Learning in Virtual Environments), and the implications for future use of VEs in DSMT. It was found that providing DSMT in a VE preserves real-time interaction between patients and educators...
June 1, 2017: Diabetes Educator
https://www.readbyqxmd.com/read/28631241/improving-self-management-of-type-2-diabetes-in-overweight-and-inactive-patients-through-an-educational-and-motivational-intervention-addressing-diet-and-physical-activity-a-prospective-study-in-naples-south-italy
#2
Francesca Gallé, Valeria Di Onofrio, Assunta Cirella, Mirella Di Dio, Alessandra Miele, Tiziana Spinosa, Giorgio Liguori
INTRODUCTION: Nutrition and physical activity are key elements in the prevention and management of type 2 diabetes. A community-based, multidisciplinary educational intervention aimed to improve quality of life and disease self-management in sedentary, overweight/obese type 2 diabetic patients was implemented in Naples, South Italy. METHODS: The 9-month intervention included a motivational program, a nutrition program, and an exercise program. Satisfaction, worry, and embarrassment regarding their condition, together with disease-related behaviors and propensity towards physical activity, were evaluated through a validated questionnaire before and after the intervention; health status perception was evaluated through the short-form 12 questionnaire...
June 19, 2017: Diabetes Therapy: Research, Treatment and Education of Diabetes and related Disorders
https://www.readbyqxmd.com/read/28619041/assessment-of-short-and-long-term-outcomes-of-diabetes-patient-education-using-the-health-education-impact-questionnaire-heiq
#3
Ditte Hjorth Laursen, Karl Bang Christensen, Ulla Christensen, Anne Frølich
BACKGROUND: Type 2 diabetes is a progressive chronic illness that will affect more than 500 million people worldwide by 2030. It is a significant cause of morbidity and mortality. Finding the right care management for diabetes patients is necessary to effectively address the growing population of affected individuals and escalating costs. Patient education is one option for improving patient self-management. However, there are large discrepancies in the outcomes of such programs and long-term data are lacking...
June 15, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28614997/resilience-based-diabetes-self-management-education-perspectives-from-african-american-participants-community-leaders-and-healthcare-providers
#4
H Matthew Lehrer, Susan K Dubois, Sharon A Brown, Mary A Steinhardt
Purpose The purpose of this qualitative, focus group study was to further refine the Resilience-Based Diabetes Self-Management Education (RB-DSME) recruitment process and intervention, build greater trust in the community, and identify strategies to enhance its sustainability as a community-based intervention in African American church settings. Methods Six 2-hour focus groups (N = 55; 10 men and 45 women) were led by a trained moderator with a written guide to facilitate discussion. Two sessions were conducted with individuals diagnosed with type 2 diabetes mellitus (T2DM) who participated in previous RB-DSME pilot interventions and their family members, two sessions with local church leaders, and two sessions with community healthcare providers who care for patients with T2DM...
June 1, 2017: Diabetes Educator
https://www.readbyqxmd.com/read/28608579/positive-behavioural-change-requires-clarity-objectivity-and-support
#5
Sue Cradock
The study by Byrne et al. [1] in this edition of Diabetic Medicine reports the results of an extensive survey of healthcare professionals regarding their experience of training support to help people with diabetes. The authors conclude that healthcare professionals are 'insufficiently equipped to provide diabetes self-management education including emotional and psychological aspects of diabetes'. This conclusion prompted me to reflect on how far we have, or rather have not, come in the last decade. This article is protected by copyright...
June 13, 2017: Diabetic Medicine: a Journal of the British Diabetic Association
https://www.readbyqxmd.com/read/28602812/impact-of-hypoglycaemia-on-patient-reported-outcomes-from-a-global-24-country-study-of-27-585-people-with-type-1-and-insulin-treated-type-2-diabetes
#6
Kamlesh Khunti, Saud Alsifri, Ronnie Aronson, Maja Cigrovski Berković, Catherine Enters-Weijnen, Tom Forsén, Gagik Galstyan, Petronella Geelhoed-Duijvestijn, Margalit Goldfracht, Helge Gydesen, Rahul Kapur, Nebojsa Lalic, Bernhard Ludvik, Erik Moberg, Ulrik Pedersen-Bjergaard, Ambady Ramachandran
AIMS: Data on the impact of hypoglycaemia on patients' daily lives and diabetes self-management, particularly in developing countries, are lacking. The aim of this study was to assess fear of, and responses to, hypoglycaemia experienced by patients globally. MATERIALS AND METHODS: This non-interventional, multicentre, 4-week prospective study using self-assessment questionnaires and patient diaries consisted of 27,585 patients, ≥18years, with type 1 diabetes (n=8022) or type 2 diabetes (n=19,563) treated with insulin for >12months, at 2004 sites in 24 countries worldwide...
May 12, 2017: Diabetes Research and Clinical Practice
https://www.readbyqxmd.com/read/28599868/a-latent-profile-analysis-on-patient-empowerment-programme-in-a-hong-kong-primary-care-setting
#7
Mike K T Cheung, Sam C C Chan, Anchor T F Hung, Angela Y M Leung, Albert Lee, Frank W K Chan, K L Chung, Peter K K Poon, Chetwyn C H Chan
OBJECTIVE: This study identified the profiles of subgroups of type 2 diabetic (T2DM) patients of the Patient Empowerment Programme (PEP) by different levels of benefits gained in diabetic self-management behaviors, self-efficacy, and health literacy. METHODS: This study adopted a non-experimental repeated-measures design on T2DM patients who joined PEP, using structured questionnaires. Latent profile analysis (LPA) was used to identify patterns of participants' change on the outcome measures...
May 24, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28597199/predictors-of-diabetes-fatalism-among-arabs-a-cross-sectional-study-of-lebanese-adults-with-type-2-diabetes
#8
Ola Sukkarieh-Haraty, Leonard E Egede, Joelle Abi Kharma, Maya Bassil
Fatalism is a grounded cultural belief that is common among Arabs and is known to hinder self-care in chronic diseases including diabetes (Nabolsi and Carson in Scand J Caring Sci 25(4):716-724, 2011). The purpose of this study is to identify predictors of diabetes fatalism in this population. Data on 280 Lebanese patients with type 2 diabetes (mean age 58.24 ± 13.48 years; mean HbA1c 7.90 ± 1.90%; 53.76% females) recruited from one hospital in greater Beirut, Lebanon, and from the community using snowballing technique were examined...
June 8, 2017: Journal of Religion and Health
https://www.readbyqxmd.com/read/28592205/pilot-feasibility-study-of-a-digital-storytelling-intervention-for-immigrant-and-refugee-adults-with-diabetes
#9
Mark L Wieland, Jane W Njeru, Marcelo M Hanza, Deborah H Boehm, Davinder Singh, Barbara P Yawn, Christi A Patten, Matthew M Clark, Jennifer A Weis, Ahmed Osman, Miriam Goodson, Maria D Porraz Capetillo, Abdullah Hared, Rachel Hasley, Laura Guzman-Corrales, Rachel Sandler, Valentina Hernandez, Paul J Novotny, Jeff A Sloan, Irene G Sia
Purpose The purpose of this pilot feasibility project was to examine the potential effectiveness of a digital storytelling intervention designed through a community-based participatory research (CBPR) approach for immigrants and refugees with type 2 diabetes mellitus (T2DM). Methods The intervention was a 12-minute culturally and linguistically tailored video consisting of an introduction, 4 stories, and a concluding educational message. A structured interview was used to assess the intervention for acceptability, interest level, and usefulness among 25 participants with T2DM (15 Latino, 10 Somali) across 5 primary care clinical sites...
June 1, 2017: Diabetes Educator
https://www.readbyqxmd.com/read/28588375/insights-from-the-national-diabetes-education-program-national-diabetes-survey-opportunities-for-diabetes-self-management-education-and-support
#10
Linda J Piccinino, Roshni Devchand, Joanne Gallivan, Diane Tuncer, Christina Nicols, Linda M Siminerio
IN BRIEF Diabetes self-management education and support (DSMES) provides the foundation to help people with diabetes (PWD) navigate the numerous self-management decisions and complex care activities they face daily and has been shown to improve outcomes. Without DSMES, PWD often lack the skills and knowledge necessary to handle the demands of managing this chronic disease. Understanding self-management behaviors and responses to DSMES is essential for improving DSMES processes and diabetes outcomes. This article provides the most recent findings from questions regarding self-management behaviors and DSMES practices obtained through the National Diabetes Education Program National Diabetes Survey...
May 2017: Diabetes Spectrum: a Publication of the American Diabetes Association
https://www.readbyqxmd.com/read/28588374/mindful-eating-with-diabetes
#11
Carla K Miller
IN BRIEF This article provides a description of mindfulness and mindful eating and addresses the application of mindful eating as a component of diabetes self-management education. Mindful eating helps individuals cultivate awareness of both internal and external triggers to eating, interrupt automatic eating, and eat in response to the natural physiological cues of hunger and satiety. Mindful eating interventions have been effective in facilitating improvement in dysregulated eating and dietary patterns. Through practice over time, eating mindfully can interrupt habitual eating behaviors and provide greater regulation of food choice...
May 2017: Diabetes Spectrum: a Publication of the American Diabetes Association
https://www.readbyqxmd.com/read/28587696/uncomplicated-urinary-tract-infections-in-the-emergency-department-a-review-of-local-practice-patterns
#12
Elizabeth Poon, Lauren Self, Shelley L McLeod, Sean Caine, Bjug Borgundvaag
OBJECTIVES: To determine the number of urine cultures ordered for women who presented to the emergency department (ED) with symptoms of uncomplicated UTI, and whether a culture result impacted subsequent management. METHODS: This was a retrospective chart review of non-pregnant women aged 18-39 presenting to one of two academic EDs with a discharge diagnosis of uncomplicated UTI over a one-year study period. Patients were excluded if there was documentation of fever, immunocompromised state, diabetes mellitus, absence of lower urinary tract symptoms, ED administration of intravenous antibiotics, a previous UTI treated with antibiotics in the last 90 days, two weeks post-partum or post-instrumentation...
June 7, 2017: CJEM
https://www.readbyqxmd.com/read/28583913/patient-level-cost-of-diabetes-self-management-education-programmes-an-international-evaluation
#13
Gerardine Doyle, Shane O'Donnell, Etáin Quigley, Kate Cullen, Sarah Gibney, Diane Levin-Zamir, Kristin Ganahl, Gabriele Müller, Ingrid Muller, Helle Terkildsen Maindal, Wushou Peter Chang, Stephan Van Den Broucke
OBJECTIVES: The objective of this study was to examine the value of time-driven activity-based costing (TDABC) in understanding the process and costs of delivering diabetes self-management education (DSME) programmes in a multicountry comparative study. SETTING: Outpatient settings in five European countries (Austria, Denmark, Germany, Ireland, UK) and two countries outside Europe, Taiwan and Israel. PARTICIPANTS: Providers of DSME programmes across participating countries (N=16) including healthcare professionals, administrators and patients taking part in DSME programmes...
June 4, 2017: BMJ Open
https://www.readbyqxmd.com/read/28574154/what-role-could-community-pharmacists-in-malaysia-play-in-diabetes-self-management-education-and-support-the-views-of-individuals-with-type-2-diabetes
#14
E Lyn Lee, Pei Se Wong, Ming Yeong Tan, Janie Sheridan
OBJECTIVES: This study explored the experiences and views of individuals with type 2 diabetes mellitus (T2D) on their diabetes self-management and potential roles for community pharmacists in diabetes self-management education and support (DSME/S) in Malaysia. METHODS: A qualitative study, using semi-structured, face-to-face interviews, was conducted with patients with T2D attending a primary care health clinic in Kuala Lumpur, Malaysia. The interviews were audio-recorded, transcribed verbatim and analysed inductively...
June 2, 2017: International Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/28562700/adaptation-and-validation-of-the-diabetes-management-self-efficacy-scale-to-brazilian-portuguese
#15
Ana Emilia Pace, Lilian Cristiane Gomes, Daniela Comelis Bertolin, Helena Maria Almeira Macedo Loureiro, Jaap Van Der Bijl, Lillie M Shortridge-Baggett
Objective: to perform the cultural adaptation and validation of the Diabetes Management Self-efficacy Scale for Patients with Type 2 Diabetes Mellitus with a Brazilian population sample. Method: cross-sectional methodological study in which the adaptation and validation process included the stages recommended in the literature. Construct validity and reliability were assessed with 200 adults with type 2 diabetes mellitus. Results: the items indicated by the panel of judges and by the target population were adjusted in the cultural adaptation to improve clarity and understanding...
May 22, 2017: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/28561193/success-rates-in-a-diabetes-specialist-nurse-led-education-programme-re-setting-the-glucostat
#16
A H Heald, S G Anderson, A Khan, J Stocker, S Davies, K Bliss, M Livingston, P Donnelly
Analysis of National Diabetes Audit data from 2011-2012 of newly diagnosed people with type 1 diabetes mellitus (DM) found low initial success rates in much of the UK at 20% on initial training, while an unusually high success rate of 75% achieving target HbA1C<58 mmol/mol (< 7.5%) was found in Cheshire (England average=40.8%). We present a review of the approach taken by the Cheshire Diabetes team in the 12 months following diagnosis. Between 2012 and 2013, 15 consecutive newly diagnosed people with type 1 DM were followed up for 18 months...
May 2017: Experimental and Clinical Endocrinology & Diabetes
https://www.readbyqxmd.com/read/28560898/a-systematic-review-of-reviews-evaluating-technology-enabled-diabetes-self-management-education-and-support
#17
Deborah A Greenwood, Perry M Gee, Kathy J Fatkin, Malinda Peeples
BACKGROUND: Since the introduction of mobile phones, technology has been increasingly used to enable diabetes self-management education and support. This timely systematic review summarizes how currently available technology impacts outcomes for people living with diabetes. METHODS: A systematic review of high quality review articles and meta analyses focused on utilizing technology in diabetes self-management education and support services was conducted. Articles were included if published between January 2013 and January 2017...
May 1, 2017: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/28558495/-it-feels-good-to-know-that-someone-cares
#18
Annie L Nguyen, Enedina Sepulveda, Marco Angulo
INTRODUCTION: Diabetes is the leading cause of death in Hispanic communities. Self-management is an important part of diabetes care, and diabetes self-management education (DSME) aims to teach the skills necessary for preventing and delaying complication. However, DSME is underutilized. The purpose of this study was to explore Hispanic adults' motivations for attending a DSME class to identify effective strategies for promoting class participation and retention. METHOD: Nineteen adults participated in seven focus groups conducted in Spanish...
June 2017: Hispanic Health Care International: the Official Journal of the National Association of Hispanic Nurses
https://www.readbyqxmd.com/read/28545846/is-diabetes-self-management-education-still-the-cinderella-of-diabetes-care
#19
Lorna Hurley, Máire O'Donnell, Mary Clare O'Hara, Marian E Carey, Ingrid Willaing, Heather Daly, Seán F Dinneen
This paper reflects on the status of diabetes self-management education (DSME) as a branch of diabetology in Europe and discusses some opportunities for better supporting DSME delivery. DSME (also commonly known as Therapeutic Patient Education) has been evolving as a therapy for diabetes for decades. As a continent, Europe is fortunate to have nurtured many pioneers in DSME, and currently has many experts in the field progressing the knowledge base and striving to improve access to DSME for people with diabetes...
May 17, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28541137/clinical-use-of-continuous-glucose-monitoring-in-adults-with-type-2-diabetes
#20
Anders L Carlson, Deborah M Mullen, Richard M Bergenstal
Hemoglobin A1c is an excellent population health measure for the risk of vascular complications in diabetes, while continuous glucose monitoring (CGM) is a tool to help personalize a diabetes treatment plan. The value of CGM in individuals with type 1 diabetes (T1D) has been well demonstrated when compared with utilizing self-monitoring of blood glucose (SMBG) to guide treatment decisions. CGM is a tool for patients and clinicians to visualize the important role that diet, exercise, stress management, and the appropriate selection of diabetes medications can have in managing type 2 diabetes (T2D)...
May 2017: Diabetes Technology & Therapeutics
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