Document Type

DNP Project


School of Nursing

Date of Degree

Spring 2018


Doctor of Nursing Practice (DNP)

Primary Advisor

Linda Briggs DNP, ANP-BC, ACNP-BC, FAANP; Rebecca Boone DNP, FNP-C, CDE


Background: Diabetes is a complex, chronic disease that, without adequate glycemic control, may result in avoidable complications. Without proper diabetes self-management education, achieving good glycemic control is difficult. Furthermore, lacking self-efficacy to perform such tasks may prevent even the most educated patients from achieving good glycemic control. Studies have shown that live diabetes education has improved self-efficacy in patients with diabetes, but few look at the effects of a lecture-style educational format in an online approach.

Objectives: The purpose of this study is to determine if an online, lecture-style diabetes self-management educational class will improve self-efficacy among patients with type 2 diabetes.

Methods: In this pre-post prospective design study, 50 participants with type 2 diabetes recruited from a private endocrinology practice in Ocala, FL were asked to complete a pre-self-efficacy survey called the Diabetes Self-Efficacy Scale, after which they attended an online diabetes educational class with an optional 1-hour discussion session. Following the class, they completed the same self-efficacy survey with 2 additional investigator-developed questions regarding class benefit. Wilcoxon Signed-Rank and Mann-Whitney U Tests were performed via SPSS23 for statistical analysis.

Results: The study found improvements in self-efficacy scores in participants with type 2 diabetes after the online class; however, these results were not significant. Over 92% of the participants reported perceived benefit in the class and 100% were interested in participating in another similar class.

Conclusions: The study found a perceived benefit in an online diabetes self-management educational class on diabetes self-management behaviors in patients with type 2 diabetes.

Open Access




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