The Effects of Diabetes Self-Care Management Education Paired with Behavior Change Support Program Using Mobile Technology in Improving Disease Knowledge, Self-Care Activities, and Health Outcomes in Adult Type II Diabetes
School of Nursing
Date of Degree
Doctor of Nursing Practice (DNP)
Dr. Allen, Cynthia, PhD, APRN, FNP-BC; Dr. Zhou, Qiuping, PhD, RN
Background: Research has shown that Diabetes Self-care Management Education (DSME) paired with the Behavioral Changes Support Program using Mobile Technology (BCSP-MT) has improved patient outcomes by promoting self-care activities. Yet, not many primary practices provide BCSP-MT to improve diabetes care.
Objectives: The study aimed to assess the effectiveness of DSME paired with BCSP-MT in adult type 2 diabetes patients to improve diabetes knowledge, self-care practices, and diabetes control in a primary care setting.
Methods: In this quality improvement project, a 3-months, one-arm, pre-post pilot study was conducted in a clinic, the Northeastern U.S. A convenient sample of 14 people with diabetes with A1C above 7% was recruited. The intervention consisted of 3 weekly educational texts, 2 meetings, and 3 monthly phone calls between the DSME. The outcomes were measured by paired t-test on biometric data (BMI, BP, A1C, & LDL), the Diabetes Knowledge, and Self-Care Activities scores at 3-month marks.
Results: 11 people had reductions in a BMI, A1C, LDL (-0.08, -0.19, -4.45). Considerable improvement in both knowledge (p=.041) and self-care activities scores (p=.19) were noted in the diet, foot care, and exercise in 7 people. Marital status, race, age, and education levels had a significant effect on the completion of the program.
Conclusions: Biometrics, diabetes knowledge and self-care activities were improved after BCSP-MT. Demographic factors should be considered when planning future practice for quality improvement in diabetes care. Further research on a larger sample with a randomized control and 3- to 6-months intervals would increase the cogency of the study.
©2020 Ji Min. All rights reserved.
Min MSN, FNP-C, J. (2020). The Effects of Diabetes Self-Care Management Education Paired with Behavior Change Support Program Using Mobile Technology in Improving Disease Knowledge, Self-Care Activities, and Health Outcomes in Adult Type II Diabetes. , (). Retrieved from https://hsrc.himmelfarb.gwu.edu/son_dnp/66