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The Effect of Diabetes Self-Management Education Using Simulation for Persons Diagnosed with Type II Diabetes

Miley, Lauren S The Effect of Diabetes Self-Management Education Using Simulation for Persons Diagnosed with Type II Diabetes. 2023. Radford University, Doctoral Capstone Project. Radford University Scholars' Repository.

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Abstract

Abstract Title/Author/Institution: The Effect of Simulation for Persons Diagnosed with Type II Diabetes Lauren Miley BSN, RN, PCCN Committee Members: Dr. Virginia Weisz, Dr. Judy Jenks, Dr. Christina Keller, Dr. Laura Reiter, & Dr. Chris Fish-Huson Radford University and Carilion Clinic Background: Over 30 million Americans have been diagnosed with diabetes with 90 to 95% of these patients having Type II (Centers for Disease Control and Prevention [CDC], 2021). Diabetes self-management education (DSME) is a cost-effective but underutilized intervention for patients (CDC, 2021). There have been few studies conducted to examine the effect of simulation as a patient education method. Purpose: This study aimed to examine the effect of a simulation-based educational intervention on diabetes self-care management. Methods: Subjects were adults diagnosed with diabetes with a glycated hemoglobin test (HbA1c) greater than or equal to eight, obtained within the past six months. The participants were randomized into the simulation or educational handout group. The instrument used was the Diabetes Self-Management Questionnaire (DSMQ), which assessed self-care interventions required for glycemic control (Schmitt, 2013). Both groups completed the DSMQ pretest and demographic survey, and then completed the DSMQ again at six weeks post intervention. Results: No formal comparisons were made due to low sample. The mean total DSMQ score was in 7.6 the simulation group and 5.9 in the handout group at pretest. The mean total DSMQ score was 9.1 in the simulation group and 7.5 in the handout group at posttest. Conclusions: The study suggested that immersive learning experiences may be effective in adults with diabetes, regardless of time since diagnosis. More formal education is needed for patients with type II diabetes, especially regarding nutrition. Further studies are needed to further explore the gaps on the use of simulation in patient education. References Centers for Disease Control and Prevention. (2020). National diabetes statistics report 2020: Estimates of diabetes and its burden in the United States. Retrieved from: https://www.cdc.gov/diabetes/pdfs/data/statistics/national-diabetes-statistics-report.pdf Centers for Disease Control and Prevention. (2021). Type 2 diabetes. Retrieved from https://www.cdc.gov/diabetes/basics/type2.html Powers, M. A., Bardsley, J. Cypress, M. Duker, P. Funnell, M. M., Fischi, A. H., Marynuik, M. D., Siminerio, L., and Vivian, E. (2015). Diabetes self-management education and support in type 2 diabetes: A joint position statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. Diabetes Care, 38, p. 1372–1382, doi: 10.2337/dc15-0730. Schmitt, A. Gahr, A., Hermanns, N., Kulzer, B., Huber, J. and Haak, T. (2013). The Diabetes Self-Management Questionnaire (DSMQ): Development and evaluation of an instrument to assess diabetes self-care activities associated with glycaemic control. Health and Quality of Life Outcomes, 11(138), https://hqlo.biomedcentral.com/articles/10.1186/1477-7525-11-138

Item Type: Doctoral Capstone Project
Additional Information: Faculty includes: Virginia Weisz vweisz@radford.edu Christina Keller cdkeller@radford.edu Judy Jenks jbjenks@radford.edu
Uncontrolled Keywords: diabetes, simulation, self-management, patient education, HbA1c, self-care deficit
Subjects: R Medicine > RT Nursing
Divisions: Radford University > School of Nursing
Date Deposited: 02 Aug 2023 01:56
Last Modified: 02 Aug 2023 01:56
URI: http://wagner.radford.edu/id/eprint/996

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