Document Type

DNP Project


School of Nursing

Date of Degree

Summer 2019


Doctor of Nursing Practice (DNP)

Primary Advisor

Qiuping Pearl Zhou, PhD; Lorena Jung, PhD


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


Included in

Nursing Commons



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