Sustaining short-term improvements over the long-term: results from a 2-year diabetes self-management support (DSMS) intervention.
Aim: This study examined the long-term impact of a 24-month, empowerment-based diabetes self-management support (DSMS) intervention on sustaining health-gains achieved from previous diabetes self-management education (DSME).Methods: Prior to the intervention, all participants received 6 months of ma...
| Published in: | Diabetes Research & Clinical Practice Vol. 95; no. 1; pp. 85 - 93 |
|---|---|
| Main Authors: | , , , , , , , , , |
| Format: | research Journal Article |
| Published: |
Elsevier B.V.
Jan2012
|
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104619223&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104619223 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01688227 3K1 jtl: Diabetes Research & Clinical Practice issn: 01688227 maglogo: N pubinfo: dt: Jan2012 vid: 95 iid: 1 pid: 1004 pub: Elsevier B.V. artinfo: ui: 104619223 NLM21872962 2011410924 10.1016/j.diabres.2011.04.003 NLM21872962 PMC3783218 104619223 ppf: 85 ppct: 8 formats: tig: atl: Sustaining short-term improvements over the long-term: results from a 2-year diabetes self-management support (DSMS) intervention. aug: au: Tang TS Funnell MM Noorulla S Oh M Brown MB Tang, Tricia S Funnell, Martha M Noorulla, Salma Oh, Mary Brown, Morton B affil: University of Michigan, Department of Medical Education, University of Michigan Medical School, and Michigan Diabetes Research and Training Center, United States sug: subj: Diabetes Mellitus, Type 2 Therapy Patient Education Power Quality of Life Self Care Methods Adaptation, Psychological Adult African Americans Aged Aged, 80 and Over Blood Glucose Analysis Blood Glucose Self-Monitoring Body Weight Cholesterol Blood Diabetes Mellitus, Type 2 Psychosocial Factors Diet Female Goals and Objectives Human Male Middle Age Problem Solving Self Care Psychosocial Factors Treatment Outcomes Adult: 19-44 years Aged: 65+ years Aged, 80 & over Middle Aged: 45-64 years Female Male ab: Aim: This study examined the long-term impact of a 24-month, empowerment-based diabetes self-management support (DSMS) intervention on sustaining health-gains achieved from previous diabetes self-management education (DSME).Methods: Prior to the intervention, all participants received 6 months of mailed DSME consisting of weekly educational newsletters coupled with clinical feedback. The intervention consisted of 88 weekly group-based sessions that participants were encouraged to attend as frequently as they needed. Sessions were guided by participants' self-management questions and also emphasized experiential learning, coping, goal-setting, and problem-solving. Baseline, 6-month, and 30-month assessments measured A1C, weight, body mass index (BMI), blood pressure, lipids, self-care behaviors, and QOL.Results: This report is based on 60 African-American adults with type 2 diabetes (n=89 recruited at baseline) who completed the study. Post 6-month DSME, participants demonstrated significant improvements for diastolic BP (p<0.05), serum cholesterol (p<0.001), healthy diet (p<0.01), blood glucose monitoring (p<0.05) and foot exams (p<0.01). Post 24-month intervention, participants sustained the improvements achieved from the 6-month DSME and reported additional improvements for healthy diet (p<0.05), carbohydrate spacing (p<0.01), insulin use (p<0.05), and quality of life (p<0.05).Conclusions: Findings suggest that an empowerment-based DSMS model can sustain or improve diabetes-related health gains achieved from previous short-term DSME. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|