Novel Patient‐Centered Diabetes Education Program: A Study to Assess The Feasibility, Design, Implementation, and Impact On Patients

Davis, Amy

dc.contributor.author	Davis, Amy
dc.date.accessioned	2017-05-08T19:04:05Z
dc.date.available	2017-05-08T19:04:05Z
dc.date.issued	2017-05-08
dc.identifier.uri	http://hdl.handle.net/10150/623427
dc.description	A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine.	en
dc.description.abstract	Type 2 diabetes (T2D) continues to be a growing public health concern and will be the seventh leading cause of death by 2030. Education programs have shown to be moderately effective in disease management, but there are little known about interactive patient‐centered diabetes programs. This study implemented a single‐group pretest‐posttest quasi‐experimental design including a three‐session novel patient‐centered diabetes education program at the Phoenix Veterans Affairs Medical Center using the model originally developed by Esden and Nichols. Measurements were obtained using validated and reliable instruments from Michigan Diabetes Research Training Center (MDRTC), which included the Brief Diabetes Knowledge Test (BDKT) and Diabetes Empowerment Scale (DES), and a participant satisfaction survey. Results showed participants’ knowledge of diabetes was higher at three months follow up (M = 17; SD = 4.64) than at baseline/pretest (M = 13.8; SD = 2.95) with a 23 percent change in knowledge scores from baseline 95% CI [0.24,6.16], with corrected Cohen’s dunbiased = 0.66 (i.e., medium effect). There was very good pre‐test reliability for the DES subscales: “managing the psychosocial aspects of diabetes” (0.93), “assessing dissatisfaction and readiness to change (0.83), “setting and achieving goals” (0.88). Despite moderate effects in these 3 subscales, there were no statistically significant differences in posttest scores. In conclusion, Esden and Nichol’s model was successfully replicated in the VA Heath Care setting, and future work with a larger sample size and matched control is needed to further validate the results found in this study.
dc.language.iso	en_US	en
dc.publisher	The University of Arizona.	en_US
dc.rights	Copyright © is held by the author. Digital access to this material is made possible by the College of Medicine - Phoenix, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.	en_US
dc.subject	Patient-centered	en
dc.subject.mesh	Diabetes Mellitus, Type 2	en
dc.subject.mesh	Education; Health	en
dc.subject.mesh	Patients	en
dc.subject.mesh	Feasibility Studies	en
dc.subject.mesh	Patient-Centered Care	en
dc.subject.mesh	Patient Outcome Assessment	en
dc.title	Novel Patient‐Centered Diabetes Education Program: A Study to Assess The Feasibility, Design, Implementation, and Impact On Patients	en_US
dc.type	text; Electronic Thesis	en
dc.contributor.department	The University of Arizona College of Medicine - Phoenix	en
dc.description.collectioninformation	This item is part of the College of Medicine - Phoenix Scholarly Projects 2017 collection. For more information, contact the Phoenix Biomedical Campus Library at pbc-library@email.arizona.edu.	en_US
dc.contributor.mentor	Rehman, Shakaib	en
refterms.dateFOA	2018-09-11T19:23:42Z
html.description.abstract	Type 2 diabetes (T2D) continues to be a growing public health concern and will be the seventh leading cause of death by 2030. Education programs have shown to be moderately effective in disease management, but there are little known about interactive patient‐centered diabetes programs. This study implemented a single‐group pretest‐posttest quasi‐experimental design including a three‐session novel patient‐centered diabetes education program at the Phoenix Veterans Affairs Medical Center using the model originally developed by Esden and Nichols. Measurements were obtained using validated and reliable instruments from Michigan Diabetes Research Training Center (MDRTC), which included the Brief Diabetes Knowledge Test (BDKT) and Diabetes Empowerment Scale (DES), and a participant satisfaction survey. Results showed participants’ knowledge of diabetes was higher at three months follow up (M = 17; SD = 4.64) than at baseline/pretest (M = 13.8; SD = 2.95) with a 23 percent change in knowledge scores from baseline 95% CI [0.24,6.16], with corrected Cohen’s dunbiased = 0.66 (i.e., medium effect). There was very good pre‐test reliability for the DES subscales: “managing the psychosocial aspects of diabetes” (0.93), “assessing dissatisfaction and readiness to change (0.83), “setting and achieving goals” (0.88). Despite moderate effects in these 3 subscales, there were no statistically significant differences in posttest scores. In conclusion, Esden and Nichol’s model was successfully replicated in the VA Heath Care setting, and future work with a larger sample size and matched control is needed to further validate the results found in this study.