ResilienceBased Diabetes SelfManagement Education RBDSME Community Partner Debbie
Resilience-Based Diabetes Self-Management Education (RB-DSME) Community Partner Debbie Morris-Harris, Ph. D, MD, Chief Medical Officer, Comm. Unity. Care University of Texas Team Prof. Mary Steinhardt, Ed. D, Kin. & Health Education Susan Dubois, MD, Comm. Unity. Care, Dell Medical School Prof. Sharon Brown, Ph. D, School of Nursing Prof. Hiro Tanaka, Ph. D, Kin. & Health Education Matt Lehrer, Ph. D candidate, Kin. & Health Education
Resilience-Based Diabetes Self-Management Education (RB-DSME) Paired t-test for bio-behavioral and psychological variables (N=35) Bio-behavioral Variables Baseline 6 Months t-value A 1 c 8. 8 8. 1 2. 9* Steps 3951 5625 6. 6* Diabetes Self-Management 3. 15 3. 86 8. 0* Psychological Variables Baseline 6 Months t-value Resilience 3. 0 3. 7 3. 9** Adaptive Coping 2. 8 3. 2 3. 5* Diabetes Empowerment 3. 6 4. 1 3. 3* Diabetes Distress 3. 9 2. 6 7. 6** 6. 5 Depressive Symptoms 12. 4 6. 6 4. 7** 6 A 1 c change among participants who decreased medication use 9 (n = 9) 8. 5 8. 7 A 1 C 8 7. 5 7 * p <. 01; ** p <. 001 2 Groups North Central Community Health Center 2 Groups Southeast Health & Wellness Center 7. 2 Pretest Post-test (6 Months)
Policy Implications: RB-DSME intervention was effective but requires sustained support and resources. Practice Implications: I am feeling overwhelmed, but if I do something simple like testing my sugar I will feel better. I am so overwhelmed right now… I just can’t. Resilient Resources Optimal Diabetes Care Manage STRESS Sustained Wellbeing ü ü Positive Mindset Tiny Behavior Changes Community Support System Supportive Environment
Where is this research/collaboration headed? Partnership with Department of Internal Medicine at Dell Medical School starting in September to include medical interns in the groups as co-facilitators Writing an R 01 for October submission
- Slides: 4