Eguh, Nwamaka H.. The effects of 1:1 individualized diabetes self-management education and support on glycemic control. Retrieved from https://doi.org/doi:10.7282/t3-y0t8-5r28
DescriptionPurpose of Project: Diabetes self-management education and support (DSMES) has been shown to improve the management and health of people living with diabetes, improve their knowledge, reduce HBA1c and hospital readmission rates. The purpose of this DNP project was to evaluate the effectiveness of 1:1 diabetes self-management education and support (DSMES) on knowledge, HbA1c and hospital readmission rates of diabetic patients.
Methodology: Pretest – posttest study. Participants completed two paper questionnaires – the modified Revised Michigan Diabetes Knowledge Test (DKT2) and the diabetes self-management questionnaire (DSMQ) – before and after the intervention. Hospital charts were reviewed for HbA1c, admission glucose levels, and 90 days past admission records. All data were de-identified and stored on Rutgers University password protected cloud storage. Intervention included inpatient diabetes self-management education (DSME) followed by outpatient phone support. Outcome measured were pre-/post-intervention diabetes knowledge, HbA1c level, and 90 -day-readmission rates. Coding and analysis of the data was done using SPSS. Data analyses included descriptive statistics and nonparametric tests- Wilcoxon ranks sum and Mann-Whitney U due to the small sample size.
Results: The findings include statistically significant improvements in knowledge (p = .011), HbA1c (p= .027) and diabetes related hospital readmission rates (p = .008).
Implications for Practice: The findings of this project support the need for a greater focus on patient/caregiver centered care. The creation of patient centered medical homes and hospital to home transitional support. It supports the need for primary care providers to continually refer their diabetic patients/caregivers for DSME as part of their routine management.