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A novel approach to diabetes prevention: implementation of a multimedia-based diabetes prevention program

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TitleInfo
Title
A novel approach to diabetes prevention: implementation of a multimedia-based diabetes prevention program
Name (type = personal)
NamePart (type = family)
Buonocore
NamePart (type = given)
Rosemary
NamePart (type = date)
1987-
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Rosemary Buonocore
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RoleTerm (authority = RULIB)
author
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Gunkel
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Kathy
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Kathy Gunkel
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Advisory Committee
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chair
Name (type = personal)
NamePart (type = family)
Lefkowitz
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Miriam
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Miriam Lefkowitz
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Advisory Committee
Role
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outside member
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
School of Nursing - RBHS
Role
RoleTerm (authority = RULIB)
school
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Text
Genre (authority = marcgt)
theses
OriginInfo
DateCreated (encoding = w3cdtf); (keyDate = yes); (qualifier = exact)
2020
DateOther (encoding = w3cdtf); (qualifier = exact); (type = degree)
2020-05
Language
LanguageTerm (authority = ISO 639-3:2007); (type = text)
English
Abstract (type = abstract)
More than one in three Adults are diagnosed with Prediabetes in the United States (U.S.) (Centers for Disease Control and Prevention [CDC], 2018). People diagnosed with prediabetes are at high risk for developing type 2 diabetes mellitus, heart disease, stroke, and other cardiovascular risk factors such as hypertension and hyperlipidemia. Type 2 Diabetes Mellitus is considered a global epidemic and was reported as the seventh leading cause of death in the U.S. in 2015 (CDC, 2018). Prediabetes can be reversed by implementing lifestyle changes such as eating a healthy diet, increasing physical activity, and losing weight (CDC, 2018; Watson, 2017). Lifestyle modification is the gold standard of treatment to delay the progression of prediabetes and prevent type 2 diabetes mellitus (ADA, 2018; CDC, 2018; Watson, 2017). Through discussions with key stakeholders, patients, and research, this gap of care was revealed for patients who are diagnosed with prediabetes. Implementing a multimedia-based diabetes prevention program (DPP), to educate about lifestyle modifications (diet, exercise, weight loss), can reduce the progression of prediabetes and lead to the prevention of type 2 diabetes mellitus (CDC, 2018; Watson, 2017).

Purpose of Project:
The purpose of this quality improvement project was to determine whether a multimedia-based diabetes prevention program reverses or reduces the progression of prediabetes and prevents type 2 diabetes mellitus.

Methodology:
The proposed DNP pilot project used a quasi-experimental quantitative design. This project included a purposeful sample of men and women in central New Jersey from an internal medicine practice that were diagnosed with prediabetes. Recruitment was completed using Recruitment Flyers, In-Person Recruitment during office visits, Telephone Conversation. Participants were asked to sign consent and they were given the opportunity to raise any concerns and they were informed that they may withdraw from the study at any time. There was minimal risk with the implementation of the DNP Project. The intervention consisted of a pre/post intervention questionnaire, Diabetes Prevention Program Educational PowerPoint with voice audio, educational handouts and a food diary journal.

Results:
Overall, the participant weight, BMI, and HbA1c all decreased at the completion of the project. There was a 10 point increase in the score of the post intervention questionnaire for three participants and one participant scored a 100% on both the pre and post intervention questionnaire. The results showed that there was an increase in participant knowledge about prediabetes and type 2 diabetes mellitus prevention after the completion of the multimedia-based diabetes prevention educational intervention. The results corroborated that the implementation of the multi media-based Diabetes Prevention Program delayed the progression of prediabetes and prevented type 2 diabetes mellitus

Implications for Practice:
The implications of this multimedia based Diabetes Prevention Program intervention is that it minimized the gap in care by educating patients about lifestyle modifications (diet, exercise, weight loss), reduced the progression of prediabetes and prevented type 2 diabetes mellitus. There was minimal to no financial cost to the practice by creating and implementing the educational PowerPoint presentation. There was also no financial cost to the participants by participating in the DNP project. The multimedia based Diabetes Prevention Program intervention saved the practitioner time and improved quality of patient care. Instead of educating patients for five minutes, the practitioner can simply play the PowerPoint which ensures the patient has received the proper education about their condition and how to treat prediabetes. Implementing the Diabetes Prevention Program into clinical practice reduces delivery costs and participant burden, improves quality of care, and saves the practitioner time. A goal was for this multimedia-based diabetes prevention program to become part of the standard of care in the primary care setting.
Subject (authority = local)
Topic
Prediabetes
Subject (authority = local)
Topic
Diabetes Prevention Program
Subject (authority = local)
Topic
Diabetes prevention
Subject (authority = local)
Topic
Effectiveness
Subject (authority = local)
Topic
Primary care
Subject (authority = local)
Topic
Education video
Subject (authority = RUETD)
Topic
Family Nurse Practitioner
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Title
Rutgers University Electronic Theses and Dissertations
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ETD
Identifier
ETD_10902
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application/pdf
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text/xml
Extent
1 online resource (154 pages) : illustrations
Note (type = degree)
DNP
Note (type = bibliography)
Includes bibliographical references
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TitleInfo
Title
School of Nursing (RBHS) DNP Projects
Identifier (type = local)
rucore10004500001
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NjNbRU
Identifier (type = doi)
doi:10.7282/t3-q16q-yb14
Genre (authority = ExL-Esploro)
ETD doctoral
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Rights

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The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Buonocore
GivenName
Rosemary
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Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2020-04-30 14:53:31
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Name
Rosemary Buonocore
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Affiliation
Rutgers University. School of Nursing - RBHS
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Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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Type
Embargo
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2020-05-31
DateTime (encoding = w3cdtf); (qualifier = exact); (point = end)
2022-05-31
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after May 31st, 2022.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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