Document Type

DNP Project


School of Nursing

Date of Degree

Spring 2020


Doctor of Nursing Practice (DNP)

Primary Advisor

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.

Open Access


Included in

Nursing Commons



To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.