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Diabetes Education Curriculum Guiding Patients To Successful Self-management

New Models Of Care Pave Way For Improved Diabetes Education

New Models Of Care Pave Way For Improved Diabetes Education

New models of care pave way for improved diabetes education PHILADELPHIA By the end of the decade, diabetes will affect 15% of US adults, yet a dearth of diabetes educators may hinder the effective management of these patients. Better access to care through certified diabetes educators and health centers, however, can improve patient outcomes, presenters said at the American Diabetes Associations 72nd Scientific Sessions. Jessica Greene, PhD, MPH, an associate professor in the department of planning, public policy and management at the University of Oregon, discussed the Patient Activation Measure (PAM) a program designed to educate patients on healthy food choices, physical activity, the appropriate use of health care and chronic self-management, including HbA1c control and fewer hospital visits. For PAM, Greene and colleagues developed a list of 13 statements of confidence, knowledge and skills about managing ones health. These statemens are answered by patients on scale that ranges from zero to 100. Patients are then categorized into different levels according to their scores. In level one, patients are generally passive recipients of care, whereas in level four, patients engage in health promoting behavior, but sometimes struggle to maintain those changes or behaviors in times of stress, Greene said. During levels two and three, PAM focuses on building knowledge and confidence as well as guiding action. After linking patients activation level to their electronic health records (EHRs), Greene and colleagues found that patients with lower PAM scores had poorer health outcomes. They were also less likely to have cervical cancer screenings, visit the ED, and have triglycerides and HbA1c levels in the normal range. Higher PAM numbers mean more likelihood of having HbA1c Continue reading >>

Freedom: Diabetes Self-management Education And Support - Mississippi State Department Of Health

Freedom: Diabetes Self-management Education And Support - Mississippi State Department Of Health

Call 844-367-2566 for more information about Diabetes Self-Management Education and Support classes near you. This evidence-based program empowers those with diabetes to: Gain the knowledge and skills necessary for successful self-management. Prevent complications that may develop from uncontrolled diabetes. By guiding you in the essentials of eating right, exercising, and monitoring your health, Freedom lets you take control of your type 1 or 2 diabetesand your overall health and well-being. Freedom workshops are highly interactive and provide opportunities for clients to not only learn but to also share their experiences with others enrolled in the class. As a participant, youll make weekly action plans, share experiences, and work with others to solve the problems that you all encounterwhile creating your own personal diabetes self-management program. As part of the classes, you will also receive follow-up calls and visits to ensure that you have the essential support needed to improve your current health and start living better. The Freedom team will be working closely with your doctor as well, to discuss self-management strategies and help make sure those strategies are successful. The DSMES classes are taught in a group or individual setting by MSDH Registered Nurses, Registered Dieticians, Master's level social workers, and Pharmacists. The seven specific self-care behaviors included in the curriculum are the basis of diabetes education and care: Healthy eating: Choosing the right foods for a healthy blood sugar level. Being active: Getting enough physical activity to help keep your diabetes in control. Monitoring: Making sure your blood sugar levels are on target, adjusting your diet and physical activity for best results. Taking medication: Understanding your Continue reading >>

[full Text] Development Of Patient-centric Linguistically Tailored Psychoeducation | Ppa

[full Text] Development Of Patient-centric Linguistically Tailored Psychoeducation | Ppa

Editor who approved publication: Dr Johnny Chen Rebecca J Bartlett Ellis,1 Ulla Connor,2 James Marshall2 1Indiana University School of Nursing, 2Indiana University School of Liberal Arts, International Center for Intercultural Communication, Indiana University, Indianapolis, IN, USA Purpose: This study evaluated the feasibility of developing linguistically tailored educational messages designed to match the linguistic styles of patients segmented into types with the Descriptor, and to determine patient preferences for tailored or standard messages based on their segments. Patients and methods: Twenty patients with type 2 diabetes (T2DM) were recruited from a diabetes health clinic. Participants were segmented using the Descriptor, a language-based questionnaire, to identify patient types based on their control orientation (internal/external), agency (high/low), and affect (positive/negative), which are well studied constructs related to T2DM self-management. Two of the seven self-care behaviors described by the American Association of Diabetes Educators (healthy eating and taking medication) were used to develop standard messages and then linguistically tailored using features of the six different construct segment types of the Descriptor. A subset of seven participants each provided feedback on their preference for standard or linguistically tailored messages; 12 comparisons between standard and tailored messages were made. Results: Overall, the tailored messages were preferred to the standard messages. When the messages were matched to specific construct segment types, the tailored messages were preferred over the standard messages, although this was not statistically significant. Conclusion: Linguistically tailoring messages based on construct segments is feasible. Continue reading >>

My Aade Network : Blogs : The 2017 Revised National Standards For Diabetes Self-management Education And Support

My Aade Network : Blogs : The 2017 Revised National Standards For Diabetes Self-management Education And Support

The 2017 Revised National Standards for Diabetes Self-Management Education and Support Wondering what changes were made to the National Standards for DSMES and how they impact your DSMES service? This blog is intended to give a brief overview of the standards, highlight the changes that were made, and how to implement them into your DSMES services. Here is the article in full (if you are an AADE member you can access it free of chargejust sign in), published in The Diabetes Educator: It can also be found on the American Diabetes Association website: At the end of this blog is my contact information. I help DSMES services with meeting the National Standards and Recognition or Accreditation, so that you can bill Medicare. Im happy to help any way I can! The National Standards for Diabetes Self-Management Education and Support were developed and published in 1984, and programs were first recognized in 1987 using a review process based on the Standards. ADA became a National Accrediting Organization (NAO) in 1986, followed by AADE in 2009. CMS began reimbursing for education in 1997, and the National Standards have been the basis for determining quality and evidence-based diabetes education programs that could bill and be reimbursed for their services. I had the honor of serving on the current Revision Workgroup, and I have to say, it was an incredible learning opportunity! The Standards are typically revised every five years; the last revision happened in 2012, when Montanas Carla Cox was on that particular revision committee. It is possible that the next revision might be in three years because of how healthcare and DSMES are changing so quickly right now! One of the goals of this work was to not make things more complex for those offering DSMES services, but to continue Continue reading >>

2017 National Standards For Diabetes Self-management Education And Support

2017 National Standards For Diabetes Self-management Education And Support

Diabetes Self-Management Education and Support facilitates the knowledge, skills, and ability necessary for diabetes self-care as well as activities that assist a person in implementing and sustaining the behaviors needed to manage their condition on an ongoing basis. The evidence indicates that health care providers and people affected by diabetes are embracing technology, and this is having a positive impact of DSMES access, utilization, and outcomes. Quality DSMES continues to be a critical element of care for all people with diabetes. The DSMES services must be individualized and guided by the concerns, preferences, and needs of the person affected by diabetes. Even with the abundance of evidence supporting the benefits of DSMES, it continues to be underutilized, but as with other health care services, technology is changing the way DSMES is delivered and utilized with positive outcomes. Continue reading >>

Teaching Brief Motivational Interventions For Diabetes To Family Medicine Residents

Teaching Brief Motivational Interventions For Diabetes To Family Medicine Residents

Nightingale B, Gopalan P, Azzam P, Douaihy A, Conti T. Teaching Brief Motivational Interventions for Diabetes to Family Medicine Residents. Fam Med 2016;48(3):187-193. Teaching Brief Motivational Interventions for Diabetes to Family Medicine Residents Barbara Nightingale, MD; Priya Gopalan, MD; Pierre Azzam, MD; Antoine Douaihy, MD;Tracey Conti, MD Background and Objectives: As time and resource constraints grow in primary care, so does the value of efficient strategies to promote patient self-management, particularly for chronic diseases such as diabetes mellitus (DM). To that end, incorporating motivational interviewing (MI) into clinical practice has been shown to improve outcomes for patients with DM. Brief motivational interventions (BMI) draw from MI and may be integrated into more concise office visits. Little research has investigated strategies for BMI training for family medicine residents, particularly in the care of patients with DM. This study evaluates the impact of BMI training on improving DM self-management. Methods: Family medicine residents were trained in BMI for DM over four sessions, then implemented BMI during routine office visits for 1 year. Pre- and post-implementation surveys were compared between residents who received BMI training and those who did not. Results: After BMI training, residents self-reported use of MI-adherent approaches to managing unhealthy behaviors in patients with DM doubled, and knowledge of MI increased by nearly 50%. BMI-trained residents showed 19% improvement in the application of MI skills, using an objective measure of open-response questions to behavioral change statements. Conclusions: After fewer than four training sessions in BMI, residents not only improved in their ability to apply motivational skills but als Continue reading >>

Assessment Of Self-management In Patients With Diabetes Using The Novel Lmc Skills, Confidence And Preparedness Index (scpi)

Assessment Of Self-management In Patients With Diabetes Using The Novel Lmc Skills, Confidence And Preparedness Index (scpi)

Assessment of self-management in patients with diabetes using the novel LMC Skills, Confidence and Preparedness Index (SCPI) Author links open overlay panel RonnieAronsona The SCPI is a novel tool to assess self-management in patients with diabetes. SCPI is the first tool to assess skills, confidence and preparedness in diabetes. SCPI had high validity and reliability in a broad population of diabetes patients. SCPI scores are inversely correlated with patients glycated hemoglobin. The instant scoring and immediate feedback will optimize teaching individualization. The LMC Skills, Confidence & Preparedness Index (SCPI) is an electronic tool designed to meet ISOQOL standards and (a) assess three dimensions: knowledge, confidence and preparedness; (b) provide a clinically meaningful measure; (c) provide immediate feedback to the healthcare provider. Internal consistency and external validity have been previously reported in a refractory diabetes cohort. This larger evaluation, broader in glycemic control, sought to assess clinical relevance to glycemia. Participants with type 1 and type 2 diabetes were recruited from LMC Diabetes and Endocrinology specialist clinics, from April to October 2016. Participants completed the SCPI using a tablet. Demographic and laboratory data were extracted from the LMC Diabetes Patient Registry. In total, 529 patients met inclusion criteria and were included in psychometric analyses; 518 patients with established diabetes (>6 months) were assessed for SCPI glycemia correlations. SCPI scores were found to have a high degree of validity, internal consistency, and test-retest reliability. Most importantly, the tool showed good external validity in its relation to glycemic control, both in tertile analysis, demonstrating a threshold effect con Continue reading >>

Development Of A Diabetes Education Program Based On Modified Aade Diabetes Education Curriculum

Development Of A Diabetes Education Program Based On Modified Aade Diabetes Education Curriculum

Development of a diabetes education program based on modified AADE diabetes education curriculum 1Department of Gerontology, Ward 52, Xiangya Hospital of Central South University, Changsha, China 2Department of Endocrinology, Ward 27, Xiangya Hospital of Central South University, Changsha, China 3Department of Diabetes, The First Affiliated Hospital of Kunming Medical University, Kunming, China Address correspondence to: Liao-Fang Wu, Department of Endocrinology, Ward 27, Xiangya Hospital of Central South University, Changsha, Hunan, 410008, China. Tel: 86-731-89753027; E-mail: [email protected] ; [email protected] This article has been cited by other articles in PMC. To assess the feasibility and acceptability of a diabetes education program tailored to patients with type 2 diabetes in communities and the preliminary outcomes of the intervention. Methods: Two-phase, one group, mixed-method study design was used. Modified American Association of Diabetes Educators (AADE) diabetes education curriculum was used as the framework for the program. Patients with diabetes participated in classes and diabetes conversation map discussion. Feasibility and acceptability of the program were evaluated by the ability to recruit and retain participants and their satisfaction with the program. Diabetes knowledge test and the summary of diabetes self-care activities (SDSCA) were used to evaluate the knowledge and behavior changes of the patients. Results: 40 patients completed the program and the attrition rate was 11.1%. All participants were very satisfied with the program. Significant improvement in diabetes knowledge and blood glucose monitoring and foot care were reported. Conclusion: The diabetes education program based on modified AADE diabetes education curriculum combined Continue reading >>

Analytics Support The Delivery Of Effective Diabetes Self-management Education

Analytics Support The Delivery Of Effective Diabetes Self-management Education

Add “Using analytics, we are able to identify patients who are not yet using an insulin pump. Rather than waiting until a patient is on an insulin pump to provide education, we can now provide education to potential pump candidates to support their decision-making process, increasing readiness for self-management.” – Sarah Lyons, MD Endocrinologist EXECUTIVE SUMMARY Effectively educating pediatric and adolescent patients and families to self-manage diabetes is a critical part of diabetes care. Leaders at Texas Children’s Hospital, one of the top four children’s hospitals in the country, recognized that diabetes education that incorporates national standards and empowers patients can improve clinical outcomes and quality of life. While diabetes education has always been important to Texas Children’s, the education provided to patients was varied, no organizational standards existed, and tracking the effectiveness was not possible. To address these challenges, Texas Children’s created an Education Care Process Team (CPT) that focused on: developing a standard education curriculum based on national guidelines, creating consistent education materials, leveraging powerful analytics to identify potential learning gaps and customize patient goals, and investing in the professionals who deliver education. As a result of these efforts, Texas Children’s achieved the following: Implementation of a standard diabetes education curriculum. 97.5 percent relative improvement in the percent of diabetes educators who are CDEs. 70.7 percent of patients with diabetes have had an education visit with a CDE, and the hospital is on track to achieve its goal of 80 percent within the year. RECOGNIZING THE IMPORTANT ROLE OF EDUCATION IN IMPROVING OUTCOMES Texas Children’s Hospi Continue reading >>

Diabetes Curriculum And Client Books Home / Professional Training Services / Diabetes Curriculum And Client Books

Diabetes Curriculum And Client Books Home / Professional Training Services / Diabetes Curriculum And Client Books

Consistent with CDA Clinical Practice Guidelines WITHOUT WAITING and without tying up precious staff time needed for patient care. Available in both Native/Aboriginal and General Audience version, our diabetes self-management education program package gives you the all-in-one start you need to begin a diabetes education program. The Discovering Diabetes program includes: a program manual which guides the set up of your diabetes education program from vision to implementation to evaluation. a standardized, yet flexible diabetes education curriculum the clients Discovery Records, to guide their care having clients Discover how to have diabetes fit into their REAL life consistent messaging between educators and diabetes education programs support and advice from diabetes educators using the curriculum marketing tips on how to fill your classes with students Benefits to using this curriculum include: Addressing Multiple Learning Styles: HEARING your instruction for auditory learners, SEEI NG the slides and myth book for visual learners, and HANDS-ON using of the myth book and the Discovery record for kinesthetic learners. Active Participation: The curriculum is linked to pages in the myth book and encourages active participation and learning. Consistent Content and Terminology: Lack of message consistency between educators and programs is common and confusing to people with diabetes. Inconsistent or conflicting information makes learning very difficult for non-medical people, poor readers or English as a second language clients to understand. The Discovering Diabetes curriculum is taught as 4- 2 hour classes and uses the Myth Books and Tool of Discovery to help clients discover how diabetes works inside them. Each slide has a different key diabetes message with formatting Continue reading >>

Self-management And Self-management Support Outcomes: A Systematic Review And Mixed Research Synthesis Of Stakeholder Views

Self-management And Self-management Support Outcomes: A Systematic Review And Mixed Research Synthesis Of Stakeholder Views

Self-Management and Self-Management Support Outcomes: A Systematic Review and Mixed Research Synthesis of Stakeholder Views Affiliation Faculty of Health Sciences, University of Southampton, Southampton, United Kingdom Affiliation Faculty of Health Sciences, University of Southampton, Southampton, United Kingdom Affiliation Faculty of Health Sciences, University of Southampton, Southampton, United Kingdom Affiliation Faculty of Health Sciences, University of Southampton, Southampton, United Kingdom Affiliation Faculty of Health Sciences, University of Southampton, Southampton, United Kingdom Affiliation Department of Social Care and Education, St Georges and Kingston University of London, London United Kingdom Affiliation Faculty of Health Sciences, University of Southampton, Southampton, United Kingdom Affiliation Institute of Psychological Sciences, University of Leeds, Leeds, United Kingdom Affiliation Faculty of Health Sciences, University of Southampton, Southampton, United Kingdom Self-Management and Self-Management Support Outcomes: A Systematic Review and Mixed Research Synthesis of Stakeholder Views Self-management has received growing attention as an effective approach for long-term condition management. Little is known about which outcomes of supported self-management are valued by patients, their families, health professionals and those who commission self-management services. This study systematically reviewed published empirical evidence in accordance with PRISMA guidelines to determine the outcomes of self-management valued by these key stakeholder groups, using three prominent exemplar conditions: colorectal cancer, diabetes and stroke. To systematically review the literature to identify which generic outcomes of self-management have been targeted and a Continue reading >>

Curriculum | Careers At Premier Health

Curriculum | Careers At Premier Health

Clinical/Hospital rotations: Interns will learn about the role of the Registered Dietitian and Dietetic Technician, Registered in a hospital setting. Experiences occur in various practice areas including but not limited to cardiology, oncology, surgery, neurology, nephrology, pulmonology, and critical care. Interns complete the nutrition care process, including electronic medical record documentation and implementation of nutrition interventions. During the NICU rotation a performance improvement/mini research project is completed. Clinical Staff Relief rotation: The basic clinical rotations culminate in a 4 week staff relief experience in a clinical area of the intern's choice. This staff relief experience is designed to provide the intern with a work load that could be expected in an entry level position. This allows application of education and clinical decision-making while still providing the security of a mentor/preceptor. At the successful completion of the staff relief experience the dietetic intern is deemed ready for entry-level clinical practice. Public Health rotation: Interns spend a week with Public Health Dayton & Montgomery County learning about the role of the Registered Dietitian in the community setting with various populations and diverse cultures. Experiences include WIC, high risk prenatal clinic (at MVH), Head Start, a one-hour diabetes class, etc. Outpatient Bariatric Surgery rotation: The outpatient bariatric surgery rotation gives interns an opportunity to experience nutrition counseling and education for a variety of conditions including: diabetes, weight loss, cardiovascular disease, renal failure, foods allergies, and gastrointestinal disorders. Interns will have an opportunity to walk through the nutrition care process while interviewing p Continue reading >>

2017 National Standards For Diabetes Self-management Education And Support

2017 National Standards For Diabetes Self-management Education And Support

By the most recent estimates, 30.3 million people in the U.S. have diabetes. An estimated 23.1 million have been diagnosed with diabetes and 7.2 million are believed to be living with undiagnosed diabetes. At the same time, 84.1 million people are at increased risk for type 2 diabetes. Thus, more than 114 million Americans are at risk for developing the devastating complications of diabetes (1). Diabetes self-management education and support (DSMES) is a critical element of care for all people with diabetes. DSMES is the ongoing process of facilitating the knowledge, skills, and ability necessary for diabetes self-care, as well as activities that assist a person in implementing and sustaining the behaviors needed to manage his or her condition on an ongoing basis, beyond or outside of formal self-management training. In previous National Standards for Diabetes Self-Management Education and Support (Standards), DSMS and DSME were defined separately, but these Standards aim to reflect the value of ongoing support and multiple services. The Standards define timely, evidence-based, quality DSMES services that meet or exceed the Medicare diabetes self-management training (DSMT) regulations, however, these Standards do not guarantee reimbursement. These Standards provide evidence for all diabetes self-management education providers including those that do not plan to seek reimbursement for DSMES. The current Standards’ evidence clearly identifies the need to provide person-centered services that embrace the ever-increasing technological engagement platforms and systems. The hope is that payers will view these Standards as a tool for reviewing DSMES reimbursement requirements and consider change to align with the way their beneficiaries’ engagement preferences have evolved Continue reading >>

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