"Impact of Telehealth Education Versus Standard Care on Increasing Self" by Glenda A. Tisdale MSN RN

Document Type

DNP Project

Department

School of Nursing

Date of Degree

Summer 2019

Degree

Doctor of Nursing Practice (DNP)

Primary Advisor

Qiuping Pearl Zhou, PhD; Lorena Jung, PhD

Abstract

Background: Evidence supports the use of telehealth as an effective method to support the increase in self-efficacy and knowledge among patients with Diabetes Mellitus.

Objectives: This study was to determine whether using telehealth education in conjunction with standard care compared to standard care only, could increase self-efficacy scores and knowledge for adults with diabetes.

Methodology: A randomized, pre-posttest design is used. A convenient sample of 58 adults with self-reported type 2 diabetes were recruited from a faith-based environment. The control group received two 45-minutes standard education sessions about diabetes and diabetes care. The intervention group received weekly smart-phone messaging for three weeks in addition to the two 45-minute standard education sessions. Diabetes self-efficacy and knowledge were measured before and after the interventions.

Results: There were 28 participants in the control group and 30 in the intervention group. We found a significant difference on self-efficacy from baseline to post-education (6.32 versus 7.77, p<0.001), and from baseline to the two-week follow up (6.32 vs. 8.88, p<0.001). Diabetes knowledge were also significantly higher after the two education sessions. However, we did not find a significant difference between the two group on diabetes self-efficacy or knowledge.

Conclusion: The results of this study suggest that education sessions in faith-based settings can significantly increase adult’s diabetes knowledge and self-efficacy. Telehealth along with standard education did not significantly increase self-efficacy scores and knowledge than educations sessions alone. This could be due to the short follow up time.

Open Access

1

Included in

Nursing Commons

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