Analysis of the Efficacy of Diabetes Self-Management Education among an Underserved Population
MeSH SubjectsPublic Health
MetadataShow full item record
PublisherThe University of Arizona.
DescriptionA Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine.
AbstractQuestion: Does the St. Vincent de Paul Diabetes Self-Management Education (DSME) program improve diabetic control among adults who have received care or are currently receiving care at the St. Vincent de Paul free clinic? Background: Diabetes Mellitus is a disease that requires substantial lifestyle modification to control and prevent significant complication. Because of this, Diabetes Self-Management Education (DSME) is an important part of treatment. This study is designed to evaluate diabetic control among patients who have attended the program as compared to those who have not. Methods: Subjects will be recruited from St. Vincent de Paul’s electronic health records (EHR). Patients having completed at least four DSME classes will be placed into the experimental group, and patients having completed fewer than four classes and who are not currently enrolled in a DSME program will be recruited into the control group. A combo of chart review, biometrics and survey will assess thirteen dichotomous variables either on-site or from medical records. A subject will be considered “controlled” with a pass in at least 70% of variables. Results: The primary outcome for diabetic control, meeting the criteria for 70% of the quality metrics, was met in 46% of patients on the treatment group and 19% of those in the control (P=0.052). A1c was ?8% in 54% of the treatment group and 14% of the control (P=0.02) and blood pressure was controlled in 96% of the treatment group and 52% of the control group (P=0.04). Conclusions: There was a nonsignificant improvement in overall diabetic control among patients who attended the DSME course, though A1c and blood pressure were significantly impacted. Though limited by sample size, the study shows that there is promise for future research in DSME.