Virtual Diabetes SelfManagement Education Lori Gardiner DNP APRN

Virtual Diabetes Self-Management Education Lori Gardiner DNP, APRN, FNP-BC PRACTICE PROBLEM ❖ Diabetes is the 7 th leading cause of death in the United States. ❖ This disease affects 30 million Americans (422 million worldwide). ❖ 86 million Americans are at risk or undiagnosed (Schub & Parks. Chapman, 2018). ❖ Areas of central Texas have reported diabetes prevalence above the national average (Texas Demographic Center, 2015). ❖ The cost of diabetes in Texas is roughly $23. 7 billions dollars each year (American Diabetes Association, 2018). ❖ The purpose of the DNP project is to impact weight/BMI and glucose for patients with diabetes at an Army MTF. PICOT For patients with diabetes at a Medical Treatment Facility in central Texas, will implementation of a Diabetes Self. Management Education (DSME) program, compared to current practice, impact weight/BMI, and glucose in 8 -10 weeks? RESEARCH POSTER PRESENTATION TEMPLATE © 2019 www. Poster. Presentations. com METHODOLOGY Translation Science Model: ❖ Nola Pender’s Health Promotion Model (HPM) ❖ Knowledge to Action (KTA) Setting: ❖ Military Treatment Facility serving soldiers, dependents, department of defense civilians, veterans, and retirees. ❖ Weekly virtual communication Population: ❖ Ten civilians (non active duty) ❖ 4 males 6 females Intervention: ❖ National Standards for Diabetes Self. Management Education Data collection: ❖ Pre-implementation weight/BMI and blood glucose ❖ 8 week implementation period ❖ Post-implementation weight/BMI and blood glucose Evaluation: Question/answer sessions with participants. Teach-back sessions Data Analysis: Wilcoxon signed rank test, G-power software A total of nine participants ranging in age from 46 to 75 and diagnosed with type 2 diabetes participated in the program. The male population was 44. 4% compared to a 55. 6% female population. Of the nine participants, 55. 6% were African American while 33. 3% were Caucasian. Averaged across the sample, body weight, BMI, and glucose levels did decrease slightly over the eight-week period, but the decreases were not statistically significant ❖ Improvement in overall health outcomes for patients ❖ Reduction in diabetes complications ❖ Decrease in morbidity and mortality rates ❖ Increase in diabetes self-management ❖ Positive outcomes for healthcare providers Diabetes has the propensity to render Americans helpless and disabled. Nonadherence to diabetes self-management can lead to major damage to the eyes, kidneys, and limbs. This disease left untreated leaves people more susceptible to heart disease and stroke (WHO, 2016). Current evidence has shown that DSME’s are effective at improving patient outcomes (ADA, 2020). The DSME provided during the eight-week period laid a foundation to help participants navigate decisions and empower them to perform self-care. American Diabetes Association. (2018). The burden of diabetes in Texas. Retrieved from http: //www. diabetes. org/assets/pdfs/advocacy/state-factsheets/texas-state-fact-sheet. pdf Schub, T. , & Parks-Chapman, J. (2018, September 21). Diabetes mellitus, Type 2. Cinahl Information Systems. Retrieved from https: //eds-a-ebscohostcom. chamberlainuniversity. idm. oclc. org/eds/pdfviewer/pd fviewer? vid=4&sid=9 cc 325 d 6 -0 b 0 a-429 e-a 96 bec 78 f 640 dfdb%40 sessionmgr 4010 Texas Demographic Center. (2015). Diabetes in Texas. Retrieved from https: //demographics. texas. gov/Resources/publications/20 18/2018_12_17_Diabetes. Profile. pdf