Pub Date : 2023-08-01DOI: 10.1177/26350106231186159
{"title":"ADCES 2023 Research Abstracts","authors":"","doi":"10.1177/26350106231186159","DOIUrl":"https://doi.org/10.1177/26350106231186159","url":null,"abstract":"","PeriodicalId":29851,"journal":{"name":"Science of Diabetes Self-Management and Care","volume":"49 1","pages":"328 - 334"},"PeriodicalIF":1.9,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42411440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-22DOI: 10.1177/26350106221105805
E. Taghadom, J. Kandari, S. Murad, Dherar Alroudhan, Amal Abdullah, Amira Megahed, M. Azizieh, Mohammad Irshad
Background/Purpose: Hispanic individuals are disproportionately affected by diabetes and the associated morbidity and mortality. Peers are a major source of diabetes information and support within the Hispanic community. Ongoing peer support that reinforces diabetes education is highly desired by Hispanics living with diabetes. This study had the following goals: (1) to describe the training experiences of Hispanic peer facilitators (PFs) and (2) to understand PFs’ perspectives on their role in an online peer support community that facilitates continuous glucose monitoring (CGM) use. Methods: Peer Facilitators completed The Association of Diabetes Care & Education Specialists (ADCES) paraprofessional and study-specific training for a 12-week online peer support intervention using CGM for Hispanics living with diabetes. An exit interview was conducted at the conclusion of the pilot study, titled “Combining CGM and an Online Peer Support Community for Hispanic Adults With T2DM.” A qualitative descriptive analysis was conducted using a triangulated approach and thematic analysis. The PFs developed 7 web-based training videos to augment the ADCES paraprofessional training for a larger CGM and Online Peer Support Intervention study Results: Five PFs Background/Purpose: The semiautomated insulin delivery systems currently available require individualized insulin regimens to start therapy and meal doses based on carbohydrate counting for routine operation. In contrast, the bionic pancreas (BP), initialized only with body weight, makes all dosing decisions and delivers insulin autonomously. The BP uses a Meal Announcement that does not require carbohydrate counting, using instead a qualitative estimate of carbohydrate content relative to the user’s typical meal. This 13-week trial was designed to test the hypothesis that in persons living with type 1 diabetes (T1DM), the BP would reduce A1C compared to standard of care (any insulin delivery method with continuous glucose monitoring [CGM]) without increasing hypoglycemia. Methods: A total of 326 persons 6 to 79 years old with T1DM (baseline A1C 5.5%-13.1%) were randomly assigned 2:1 to BP treatment with insulin aspart or lispro (n = 219) or standard of care (any insulin delivery method with CGM, n = 107). The primary outcome was A1C level at 13 weeks. The key secondary outcome was the percentage of time CGM glucose was < 54 mg/dl (3.0 mmol/l). Results: Participants’ race and ethnicity were 74% non-Hispanic White, 10% non-Hispanic Black, 10% Hispanic or Latino, and 3% more than 1 race. Participants’ education level was 33% less than a bachelor’s degree, 35% bachelor’s degree, and 29% master’s degree or above. A1C levels decreased from 7.9% to 7.3% in the BP group and did not change (7.7% to 7.7%) in the standard-of-care group (mean adjusted difference at 13 weeks −0.5 percentage points, 95% confidence interval [CI] −0.6 to −0.3; P Background/Purpose: Only 14% of emerging adults, aged 18 to 25 years, living
{"title":"ADCES 2022 Research Abstracts","authors":"E. Taghadom, J. Kandari, S. Murad, Dherar Alroudhan, Amal Abdullah, Amira Megahed, M. Azizieh, Mohammad Irshad","doi":"10.1177/26350106221105805","DOIUrl":"https://doi.org/10.1177/26350106221105805","url":null,"abstract":"Background/Purpose: Hispanic individuals are disproportionately affected by diabetes and the associated morbidity and mortality. Peers are a major source of diabetes information and support within the Hispanic community. Ongoing peer support that reinforces diabetes education is highly desired by Hispanics living with diabetes. This study had the following goals: (1) to describe the training experiences of Hispanic peer facilitators (PFs) and (2) to understand PFs’ perspectives on their role in an online peer support community that facilitates continuous glucose monitoring (CGM) use. Methods: Peer Facilitators completed The Association of Diabetes Care & Education Specialists (ADCES) paraprofessional and study-specific training for a 12-week online peer support intervention using CGM for Hispanics living with diabetes. An exit interview was conducted at the conclusion of the pilot study, titled “Combining CGM and an Online Peer Support Community for Hispanic Adults With T2DM.” A qualitative descriptive analysis was conducted using a triangulated approach and thematic analysis. The PFs developed 7 web-based training videos to augment the ADCES paraprofessional training for a larger CGM and Online Peer Support Intervention study Results: Five PFs Background/Purpose: The semiautomated insulin delivery systems currently available require individualized insulin regimens to start therapy and meal doses based on carbohydrate counting for routine operation. In contrast, the bionic pancreas (BP), initialized only with body weight, makes all dosing decisions and delivers insulin autonomously. The BP uses a Meal Announcement that does not require carbohydrate counting, using instead a qualitative estimate of carbohydrate content relative to the user’s typical meal. This 13-week trial was designed to test the hypothesis that in persons living with type 1 diabetes (T1DM), the BP would reduce A1C compared to standard of care (any insulin delivery method with continuous glucose monitoring [CGM]) without increasing hypoglycemia. Methods: A total of 326 persons 6 to 79 years old with T1DM (baseline A1C 5.5%-13.1%) were randomly assigned 2:1 to BP treatment with insulin aspart or lispro (n = 219) or standard of care (any insulin delivery method with CGM, n = 107). The primary outcome was A1C level at 13 weeks. The key secondary outcome was the percentage of time CGM glucose was < 54 mg/dl (3.0 mmol/l). Results: Participants’ race and ethnicity were 74% non-Hispanic White, 10% non-Hispanic Black, 10% Hispanic or Latino, and 3% more than 1 race. Participants’ education level was 33% less than a bachelor’s degree, 35% bachelor’s degree, and 29% master’s degree or above. A1C levels decreased from 7.9% to 7.3% in the BP group and did not change (7.7% to 7.7%) in the standard-of-care group (mean adjusted difference at 13 weeks −0.5 percentage points, 95% confidence interval [CI] −0.6 to −0.3; P Background/Purpose: Only 14% of emerging adults, aged 18 to 25 years, living","PeriodicalId":29851,"journal":{"name":"Science of Diabetes Self-Management and Care","volume":"48 1","pages":"281 - 292"},"PeriodicalIF":1.9,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42426141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-04DOI: 10.1177/26350106221100779
Fang Chen, Carolyn B. Jasik, Timothy M. Dall, C. V. Siego
Objective: To analyze economic savings and health impacts associated with a virtual digitally enhanced diabetes self-management education and support (DSMES) program. Research design and methods: Participants (n = 1,494) were nonpregnant adults with diagnosed type 2 diabetes and baseline body mass index (BMI) of 25 kg/m2 (23 kg/m2 if of Asian descent) or higher who enrolled in virtual DSMES between February 2019 and April 2020 for at least 4 months. Participants’ changes in glycated hemoglobin (A1C) and body weight were calculated as the difference between program start and last recorded values between months 4 and 6. Outcomes for all participants were analyzed; subanalyses were done on 628 participants with starting A1C >7% (53 mmol/mol), who could benefit most from DSMES. Markov-based microsimulation approach was used to model the potential reductions in diabetes sequalae and medical expenditures if observed improvements in A1C and BMI were maintained. Results: DSMES participants with starting A1C >7% experienced average reductions of 0.9% A1C and 2.1 kg of body weight (−1.7% of BMI) within 6 months. If these improvements were maintained, simulated outcomes include reduced 5-year onset of ischemic heart disease by 9.2%, myocardial infarction by 10.6%, stroke by 12.1%, chronic kidney disease by 16.5%, and reduced onset of other sequelae. Simulated cumulative reduction in medical expenditures is $1160 after 1 year, $4150 after 3 years, $7790 after 5 years, and $18 020 after 10 years. Conclusions: Participation in virtual DSMES improves A1C and body weight, with the potential to slow onset of diabetes sequelae and reduce medical expenditures.
{"title":"Impact of a Digitally Enhanced Diabetes Self-Management Program on Glycemia and Medical Costs","authors":"Fang Chen, Carolyn B. Jasik, Timothy M. Dall, C. V. Siego","doi":"10.1177/26350106221100779","DOIUrl":"https://doi.org/10.1177/26350106221100779","url":null,"abstract":"Objective: To analyze economic savings and health impacts associated with a virtual digitally enhanced diabetes self-management education and support (DSMES) program. Research design and methods: Participants (n = 1,494) were nonpregnant adults with diagnosed type 2 diabetes and baseline body mass index (BMI) of 25 kg/m2 (23 kg/m2 if of Asian descent) or higher who enrolled in virtual DSMES between February 2019 and April 2020 for at least 4 months. Participants’ changes in glycated hemoglobin (A1C) and body weight were calculated as the difference between program start and last recorded values between months 4 and 6. Outcomes for all participants were analyzed; subanalyses were done on 628 participants with starting A1C >7% (53 mmol/mol), who could benefit most from DSMES. Markov-based microsimulation approach was used to model the potential reductions in diabetes sequalae and medical expenditures if observed improvements in A1C and BMI were maintained. Results: DSMES participants with starting A1C >7% experienced average reductions of 0.9% A1C and 2.1 kg of body weight (−1.7% of BMI) within 6 months. If these improvements were maintained, simulated outcomes include reduced 5-year onset of ischemic heart disease by 9.2%, myocardial infarction by 10.6%, stroke by 12.1%, chronic kidney disease by 16.5%, and reduced onset of other sequelae. Simulated cumulative reduction in medical expenditures is $1160 after 1 year, $4150 after 3 years, $7790 after 5 years, and $18 020 after 10 years. Conclusions: Participation in virtual DSMES improves A1C and body weight, with the potential to slow onset of diabetes sequelae and reduce medical expenditures.","PeriodicalId":29851,"journal":{"name":"Science of Diabetes Self-Management and Care","volume":"48 1","pages":"258 - 269"},"PeriodicalIF":1.9,"publicationDate":"2022-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45977573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-04DOI: 10.1177/26350106221102855
J. Dickinson, Michelle L. Litchman
Purpose: The purpose of this study was to gain a better understanding of real-world hypoglycemia experiences from people living with diabetes. Methods: An exploratory cross-sectional study of a convenience sample of 374 English-speaking adults affected by diabetes using an online survey was conducted. Results: Participant mean age was 37 years with an average diabetes duration of 21 years. On average, participants reported feeling hypoglycemia at 64 mg/dL (3.6 mmol/L), worrying about hypoglycemia at 63 mg/dL (3.5 mmol/L), and treating hypoglycemia at 72 mg/dL (4 mmol/L). Terminology used by study participants did not match the current classifications of hypoglycemia used in clinical research. Participants who have been told they have hypoglycemia unawareness treat at a significantly lower level compared to those without hypoglycemia unawareness. Only 58% always carry hypoglycemia treatment; there was a relationship with increasing age and always carrying hypoglycemia treatment. Thirty-eight percent of participants treat hypoglycemia with the recommended 15 g of carbohydrate (CHO). Survey respondents who wore continuous glucose monitors reported using significantly less CHO to treat hypoglycemia. Conclusions: In the real world, experiences related to feeling, worrying about, and treating hypoglycemia trend higher than what is noted in the standardized hypoglycemia classifications. Study findings have implications for teaching and supporting people with diabetes who experience hypoglycemia. Consuming less CHO to treat hypoglycemia could lead to fewer episodes of rebound hyperglycemia and less weight gain. Increased support for continuous glucose monitoring is warranted.
{"title":"Understanding Hypoglycemia in the Real World","authors":"J. Dickinson, Michelle L. Litchman","doi":"10.1177/26350106221102855","DOIUrl":"https://doi.org/10.1177/26350106221102855","url":null,"abstract":"Purpose: The purpose of this study was to gain a better understanding of real-world hypoglycemia experiences from people living with diabetes. Methods: An exploratory cross-sectional study of a convenience sample of 374 English-speaking adults affected by diabetes using an online survey was conducted. Results: Participant mean age was 37 years with an average diabetes duration of 21 years. On average, participants reported feeling hypoglycemia at 64 mg/dL (3.6 mmol/L), worrying about hypoglycemia at 63 mg/dL (3.5 mmol/L), and treating hypoglycemia at 72 mg/dL (4 mmol/L). Terminology used by study participants did not match the current classifications of hypoglycemia used in clinical research. Participants who have been told they have hypoglycemia unawareness treat at a significantly lower level compared to those without hypoglycemia unawareness. Only 58% always carry hypoglycemia treatment; there was a relationship with increasing age and always carrying hypoglycemia treatment. Thirty-eight percent of participants treat hypoglycemia with the recommended 15 g of carbohydrate (CHO). Survey respondents who wore continuous glucose monitors reported using significantly less CHO to treat hypoglycemia. Conclusions: In the real world, experiences related to feeling, worrying about, and treating hypoglycemia trend higher than what is noted in the standardized hypoglycemia classifications. Study findings have implications for teaching and supporting people with diabetes who experience hypoglycemia. Consuming less CHO to treat hypoglycemia could lead to fewer episodes of rebound hyperglycemia and less weight gain. Increased support for continuous glucose monitoring is warranted.","PeriodicalId":29851,"journal":{"name":"Science of Diabetes Self-Management and Care","volume":"48 1","pages":"270 - 280"},"PeriodicalIF":1.9,"publicationDate":"2022-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47593519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-04DOI: 10.1177/26350106221100539
Jordyn A. Brown, Melissa Leonard, Tiffany Clinton, J. Bower, S. Gillespie, Naleef Fareed, Nikki Thomas, Laura C. Prater, Allison Lorenz, Sara May, Christiane Voisin, S. Thung, R. Oza‐Frank, S. Bose Brill
Purpose: The purpose of this study is to characterize mothers’ experiences within a mother/infant dyad postpartum primary care program (Dyad) following gestational diabetes mellitus (GDM) to inform improvements in the delivery of care. Methods: A qualitative pilot study of women (n = 10) enrolled in a mother/infant Dyad program was conducted in a primary care practice at a large, urban academic medical center. Respondents were asked a series of open-ended questions about their experience with GDM, the Dyad program, and health behaviors. Interviews were audio-recorded, transcribed verbatim, and analyzed using ground theory with NVivo 12 Plus software. Results: Three key themes emerged: (1) Dyad program experience, (2) implementation of health behavior changes, and (3) acknowledgment of future GDM and type 2 diabetes mellitus (T2DM) health risks. Respondents felt that the program conveniently served mother and infant health care needs in a single appointment. Respondents also valued support from primary care providers when implementing health behavior changes. The Dyad program provided an opportunity for respondents to understand their current and future risk for developing GDM and T2DM. Conclusions: Postpartum women enrolled in the Dyad program received highly personalized primary care services. The results of our study will help integrate patient-centered strategies into models for GDM care to maintain patient engagement in postpartum clinical services.
{"title":"Mothers’ Perspectives on a Mother/Infant Dyad Postpartum Primary Care Program Following Gestational Diabetes Mellitus: A Qualitative Pilot Study","authors":"Jordyn A. Brown, Melissa Leonard, Tiffany Clinton, J. Bower, S. Gillespie, Naleef Fareed, Nikki Thomas, Laura C. Prater, Allison Lorenz, Sara May, Christiane Voisin, S. Thung, R. Oza‐Frank, S. Bose Brill","doi":"10.1177/26350106221100539","DOIUrl":"https://doi.org/10.1177/26350106221100539","url":null,"abstract":"Purpose: The purpose of this study is to characterize mothers’ experiences within a mother/infant dyad postpartum primary care program (Dyad) following gestational diabetes mellitus (GDM) to inform improvements in the delivery of care. Methods: A qualitative pilot study of women (n = 10) enrolled in a mother/infant Dyad program was conducted in a primary care practice at a large, urban academic medical center. Respondents were asked a series of open-ended questions about their experience with GDM, the Dyad program, and health behaviors. Interviews were audio-recorded, transcribed verbatim, and analyzed using ground theory with NVivo 12 Plus software. Results: Three key themes emerged: (1) Dyad program experience, (2) implementation of health behavior changes, and (3) acknowledgment of future GDM and type 2 diabetes mellitus (T2DM) health risks. Respondents felt that the program conveniently served mother and infant health care needs in a single appointment. Respondents also valued support from primary care providers when implementing health behavior changes. The Dyad program provided an opportunity for respondents to understand their current and future risk for developing GDM and T2DM. Conclusions: Postpartum women enrolled in the Dyad program received highly personalized primary care services. The results of our study will help integrate patient-centered strategies into models for GDM care to maintain patient engagement in postpartum clinical services.","PeriodicalId":29851,"journal":{"name":"Science of Diabetes Self-Management and Care","volume":"48 1","pages":"247 - 257"},"PeriodicalIF":1.9,"publicationDate":"2022-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42231836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-31DOI: 10.1177/26350106221102863
S. Abdoli, Evah W. Odoi, Mehri Doosti-Irani, P. Fanti, L. Beebe
Purpose The purpose of this study was to compare diabetes psychosocial comorbidities among adults with type 1 diabetes (T1D) across the United States during the onset of COVID-19 pandemic. Methods Adults with T1D from 4 main US geographic regions including South (n = 367), West (n = 234), Northeast (n = 250), and Midwest (n = 247) completed a cross-sectional online survey between April and June 2020. Data collection was done on psychosocial measures, glycemic variability, sociodemographic characteristics, and various challenges related to the COVID-19 pandemic. Chi-square, Fisher’s exact, Kruskal-Wallis tests, ordinary least squares, proportional odds, and ordinal logistic regression methods were used for data analysis. Results In the South, 51.2% of participants had moderate to high levels of diabetes distress, and this was significantly (P = .03) higher than other regions. Northeast region had the lowest prevalence of moderate to severe diabetes burnout (19.8%), but this was not significantly different compared to the other regions. Participants in the South had also the highest mean score on the 8-item Patient Health Questionnaire, with 30.3% of them reporting moderate to severe depressive symptoms. However, there were no significant differences in depressive symptoms among the regions. Glycemic control, demographic characteristics, and COVID-19-related challenges were associated with different psychosocial comorbidities in different regions. Conclusions When providing information and support to individuals with diabetes in time of crisis like the COVID pandemic, providers should consider psychosocial aspects of diabetes care. Diabetes disparities and contextual factors vary geographically in the United States; these factors may impact the psychosocial comorbidities of diabetes in each region.
{"title":"Regional Comparison of Diabetes Psychosocial Comorbidities Among Americans With Type 1 Diabetes During the COVID-19 Pandemic","authors":"S. Abdoli, Evah W. Odoi, Mehri Doosti-Irani, P. Fanti, L. Beebe","doi":"10.1177/26350106221102863","DOIUrl":"https://doi.org/10.1177/26350106221102863","url":null,"abstract":"Purpose The purpose of this study was to compare diabetes psychosocial comorbidities among adults with type 1 diabetes (T1D) across the United States during the onset of COVID-19 pandemic. Methods Adults with T1D from 4 main US geographic regions including South (n = 367), West (n = 234), Northeast (n = 250), and Midwest (n = 247) completed a cross-sectional online survey between April and June 2020. Data collection was done on psychosocial measures, glycemic variability, sociodemographic characteristics, and various challenges related to the COVID-19 pandemic. Chi-square, Fisher’s exact, Kruskal-Wallis tests, ordinary least squares, proportional odds, and ordinal logistic regression methods were used for data analysis. Results In the South, 51.2% of participants had moderate to high levels of diabetes distress, and this was significantly (P = .03) higher than other regions. Northeast region had the lowest prevalence of moderate to severe diabetes burnout (19.8%), but this was not significantly different compared to the other regions. Participants in the South had also the highest mean score on the 8-item Patient Health Questionnaire, with 30.3% of them reporting moderate to severe depressive symptoms. However, there were no significant differences in depressive symptoms among the regions. Glycemic control, demographic characteristics, and COVID-19-related challenges were associated with different psychosocial comorbidities in different regions. Conclusions When providing information and support to individuals with diabetes in time of crisis like the COVID pandemic, providers should consider psychosocial aspects of diabetes care. Diabetes disparities and contextual factors vary geographically in the United States; these factors may impact the psychosocial comorbidities of diabetes in each region.","PeriodicalId":29851,"journal":{"name":"Science of Diabetes Self-Management and Care","volume":"48 1","pages":"213 - 234"},"PeriodicalIF":1.9,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47105033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-26DOI: 10.1177/26350106221098995
J. Fain
{"title":"Revisiting The Association of Diabetes Care & Education Specialists (ADCES) 2019-2023 Strategic Plan and Research Agenda","authors":"J. Fain","doi":"10.1177/26350106221098995","DOIUrl":"https://doi.org/10.1177/26350106221098995","url":null,"abstract":"","PeriodicalId":29851,"journal":{"name":"Science of Diabetes Self-Management and Care","volume":"48 1","pages":"148 - 148"},"PeriodicalIF":1.9,"publicationDate":"2022-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42106971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-21DOI: 10.1177/26350106221094332
It is the position of Association of Diabetes Care & Education Specialists that all inpatient interdisciplinary teams include a diabetes care and education specialist to lead or support quality improvement initiatives that affect persons hospitalized with diabetes and/or hyperglycemia. This encompasses not only patient, family, and caregiver education but also education of interdisciplinary team members and achievement of diabetes-related organizational quality metrics and performance outcomes.
{"title":"The Role of the Diabetes Care and Education Specialist in the Hospital Setting","authors":"","doi":"10.1177/26350106221094332","DOIUrl":"https://doi.org/10.1177/26350106221094332","url":null,"abstract":"It is the position of Association of Diabetes Care & Education Specialists that all inpatient interdisciplinary teams include a diabetes care and education specialist to lead or support quality improvement initiatives that affect persons hospitalized with diabetes and/or hyperglycemia. This encompasses not only patient, family, and caregiver education but also education of interdisciplinary team members and achievement of diabetes-related organizational quality metrics and performance outcomes.","PeriodicalId":29851,"journal":{"name":"Science of Diabetes Self-Management and Care","volume":"48 1","pages":"184 - 191"},"PeriodicalIF":1.9,"publicationDate":"2022-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45844740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-21DOI: 10.1177/26350106221094527
Jamaica Pei Ying Tan, S. J. Seah, S. Harding, Jin Yu Pay, Jing Wang, Su Aw, Jocelin Lam, Raymond Boon Tar Lim
Purpose The purpose of the study was to explore the perspective and impact of diabetes, diabetes self-management, and quality of life (QoL) among older adults with Type 2 diabetes (T2DM) before and during the COVID-19 pandemic to better inform T2DM self-management interventions. Methods A qualitative descriptive approach with focus group discussions (n = 5 sessions with 5-6 older adults per session) and in-depth interviews (n = 15) was conducted with community-dwelling older adults with T2DM. Results Five themes emerged. The definition of diabetes carries negative connotations, QoL is defined in terms of biopsychosocial health, diabetes self-management refers to the ability to adhere to medical advice and lifestyle changes, the QoL of older adults is differentially affected by COVID-19 measures, and important aspects of diabetes self-management activities are impacted by COVID-19 measures. Conclusions Understanding older adults’ perspectives on diabetes, diabetes self-management, and QoL provided insights into the facilitators and barriers to diabetes self-management practices before and during the COVID-19 pandemic. Findings inform the need for greater bottom-up initiatives and the need for a multipronged approach that considers the intra- and interpersonal and current policy factors to encourage diabetes self-management behaviors, especially during the COVID-19 era.
{"title":"Exploring the Perspective of Diabetes, Diabetes Self-Management, and Quality of Life Among Older Adults With Type 2 Diabetes: A Qualitative Study Before and During the COVID-19 Pandemic","authors":"Jamaica Pei Ying Tan, S. J. Seah, S. Harding, Jin Yu Pay, Jing Wang, Su Aw, Jocelin Lam, Raymond Boon Tar Lim","doi":"10.1177/26350106221094527","DOIUrl":"https://doi.org/10.1177/26350106221094527","url":null,"abstract":"Purpose The purpose of the study was to explore the perspective and impact of diabetes, diabetes self-management, and quality of life (QoL) among older adults with Type 2 diabetes (T2DM) before and during the COVID-19 pandemic to better inform T2DM self-management interventions. Methods A qualitative descriptive approach with focus group discussions (n = 5 sessions with 5-6 older adults per session) and in-depth interviews (n = 15) was conducted with community-dwelling older adults with T2DM. Results Five themes emerged. The definition of diabetes carries negative connotations, QoL is defined in terms of biopsychosocial health, diabetes self-management refers to the ability to adhere to medical advice and lifestyle changes, the QoL of older adults is differentially affected by COVID-19 measures, and important aspects of diabetes self-management activities are impacted by COVID-19 measures. Conclusions Understanding older adults’ perspectives on diabetes, diabetes self-management, and QoL provided insights into the facilitators and barriers to diabetes self-management practices before and during the COVID-19 pandemic. Findings inform the need for greater bottom-up initiatives and the need for a multipronged approach that considers the intra- and interpersonal and current policy factors to encourage diabetes self-management behaviors, especially during the COVID-19 era.","PeriodicalId":29851,"journal":{"name":"Science of Diabetes Self-Management and Care","volume":"48 1","pages":"163 - 173"},"PeriodicalIF":1.9,"publicationDate":"2022-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43014615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-15DOI: 10.1177/26350106221087474
Julia E. Blanchette, Nancy A. Allen, Michelle L. Litchman
Purpose: The purpose of the study was to assess the feasibility and acceptability of a financial stress and health insurance education toolkit developed by a community advisory board for emerging adults, ages 18 to 25, with type 1 diabetes. Methods: This study is a longitudinal, randomized controlled trial that enrolled 39 emerging adults with type 1 diabetes. Participants randomized to the intervention group were given access to the T1D Financial Toolkit, an online financial and health insurance education toolkit, over 30 days. For the present analysis, feasibility was assessed by enrollment and attrition. Optional, qualitative interviews were conducted upon the conclusion of the intervention to evaluate feasibility, acceptability, satisfaction, and key recommendations for improvement. Results: Of the 39 participants who enrolled, 36 completed the study. The intervention period had 100% completion in both the control and intervention groups. Eleven participants from the intervention group completed interviews. Participants described few challenges accessing the toolkit and were highly satisfied with the intervention aesthetics, display, and content. Key recommendations included integrating more applied problem-solving into the experience of watching the videos. Conclusions: The T1D Financial Toolkit is a financial and health insurance education intervention tailored to emerging adults with type 1 diabetes. This resource is feasible, acceptable, and satisfactory. Diabetes care and education specialists can utilize this tool in practice to provide relevant, developmentally tailored education to emerging adults with type 1 diabetes, prompt applied problem-solving, reduce barriers to self-management, and improve psychosocial outcomes.
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