The implementation of daily glucose and dietary logs to improve self efficacy and overall management in African American patients with diabetes mellitus at a primary care office
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Benons, Renetta. The implementation of daily glucose and dietary logs to improve self efficacy and overall management in African American patients with diabetes mellitus at a primary care office. Retrieved from https://doi.org/doi:10.7282/t3-9mb9-s020
TitleThe implementation of daily glucose and dietary logs to improve self efficacy and overall management in African American patients with diabetes mellitus at a primary care office
DescriptionThe prevalence of type 2 diabetes mellitus (T2DM) in the US has drastically increased over the past several years. Moreover, African Americans with T2DM often suffer from diabetes-related complications than their Caucasian counterparts, in large part due to poor self-care practices. By improving self-efficacy through enhanced self-management practices, African Americans will be more equipped to effectively manage their illness.
Purpose: The purpose of this quality improvement project was to evaluate the effectiveness of daily glucose and dietary logs on self-efficacy and overall management of T2DM in African Americans.
Method: A convenience sample of 10 African Americans with T2DM at a primary care office in New Jersey was recruited to conduct this project. This quality improvement project used a standardized logbook to educate and empower patients with T2DM to improve overall management. Data analysis was achieved by evaluating the patients’ blood glucose and perceived self-efficacy pre-intervention through post-intervention over an 8-week period.
Results: Descriptive statistics were used to analyze the participants’ demographic data. The paired T-test and Wilcoxon Signed Rank Test was used to interpret the diabetes management self-efficacy scale and the self-care inventory scale, pre- and post-intervention. The results showed that patient educational and interactive programs that focused on self-management such as logbooks, can have a positive effect on self-efficacy and blood glucose levels, ultimately improving overall management.
Implications: In research, implications suggest how the results may impact practice, theory, policy and future research. This evidence-based quality improvement project was successful in providing an alternative to the identified gap in practice with the use of logbooks to transform self-care practices and optimize management in African Americans with Type 2 Diabetes. The study was both empirical and interpretive, as it provided several opportunities for future research in terms of policy development and clinical validation. Future research will be instrumental to refine and further expand the findings of this project.