Pub Date : 2019-04-19DOI: 10.1177/2325160319839208
J. MacLeod, R. Head, T. Smithson
{"title":"How Enterprising Educators Embrace the Golden Opportunity of Technology-Enabled Diabetes Services","authors":"J. MacLeod, R. Head, T. Smithson","doi":"10.1177/2325160319839208","DOIUrl":"https://doi.org/10.1177/2325160319839208","url":null,"abstract":"","PeriodicalId":87215,"journal":{"name":"AADE in practice","volume":" ","pages":"12 - 17"},"PeriodicalIF":0.0,"publicationDate":"2019-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2325160319839208","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47455063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-02-13DOI: 10.1177/2325160318824152
Julia E. Blanchette
{"title":"The Diverse Roles of the Diabetes Educator in the Camp Setting","authors":"Julia E. Blanchette","doi":"10.1177/2325160318824152","DOIUrl":"https://doi.org/10.1177/2325160318824152","url":null,"abstract":"","PeriodicalId":87215,"journal":{"name":"AADE in practice","volume":"7 1","pages":"50 - 51"},"PeriodicalIF":0.0,"publicationDate":"2019-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2325160318824152","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48751803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-02-13DOI: 10.1177/2325160318824163
I. Cohen
{"title":"From Bliss to Balance: Using Yoga and Meditation in Diabetes Care","authors":"I. Cohen","doi":"10.1177/2325160318824163","DOIUrl":"https://doi.org/10.1177/2325160318824163","url":null,"abstract":"","PeriodicalId":87215,"journal":{"name":"AADE in practice","volume":"7 1","pages":"18 - 20"},"PeriodicalIF":0.0,"publicationDate":"2019-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2325160318824163","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46678201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-02-13DOI: 10.1177/2325160318824173
A. McCulloch
Spotlight on Janelle Couture, MA, RDN, CD Janelle Couture, MA, RDN, CD, is the Health and Nutrition Education Specialist at Aging & In-Home Services of Northeast Indiana, Inc. When the area agency decided to develop a diabetes education program, they turned to Couture to help get it off the ground When she and her colleagues were developing the DSMES program, they made an effort to gather patient preferences and feedback while they were still in the beginning stages. Couture says, “With funding from the Older Americans Act, our agency provides no-cost lunches at various sites throughout our 9-county area. Part of my job is to provide nutrition and wellness education talks at these sites. When the Agency decided to create a more formalized diabetes education practice for older adults, they asked me to help develop the program. Our patient population is 60 and over, and they have very particular needs. I knew that a standard program would not effectively serve our patients.” Couture continues, “Prior to development, we met with a consultant and she suggested that we start with a patient needs assessment to determine the best program design for our target population. We developed a survey and sent it out to case managers and patients so that we got a clear understanding of how to best serve them. “Part of our agency’s services is to connect with older individuals and provide them with support and care to help them stay in their homes,” says Couture. “We work with case managers who are continually in contact with their clients. So, we had them conduct the surveys over the course of a month. I also did surveys during my nutrition talks. This was a great source of information, and we used the findings to help design the program.” The survey gathered information about the individual’s preferences on how to receive care— the delivery method and timing of sessions—and their priorities and concerns. Couture explains, “The survey helped us have a better understanding of our older patients. What were they interested in? How much did they know about diabetes selfmanagement? What days of the week were best for receiving care? We found that 40% had never taken diabetes education and of those who had, they had education well over 5 years ago. Approximately 45% said they were interested in receiving diabetes education. Their feedback made it clear Individualization and patient-centered care are featured prominently in the recent versions of the National Standards for Diabetes Self-Management Education and Support (National Standards). So what does that mean for educators who are designing a new DSMES system or updating the services they currently offer? This is Part 3 of a 5-part series, “Innovation in DSMES,” focusing on patient-centered strategies to help educators improve the design and delivery of diabetes care.
{"title":"Building Patient-Centered Systems of Care: Innovation in DSMES Programs, Part 3","authors":"A. McCulloch","doi":"10.1177/2325160318824173","DOIUrl":"https://doi.org/10.1177/2325160318824173","url":null,"abstract":"Spotlight on Janelle Couture, MA, RDN, CD Janelle Couture, MA, RDN, CD, is the Health and Nutrition Education Specialist at Aging & In-Home Services of Northeast Indiana, Inc. When the area agency decided to develop a diabetes education program, they turned to Couture to help get it off the ground When she and her colleagues were developing the DSMES program, they made an effort to gather patient preferences and feedback while they were still in the beginning stages. Couture says, “With funding from the Older Americans Act, our agency provides no-cost lunches at various sites throughout our 9-county area. Part of my job is to provide nutrition and wellness education talks at these sites. When the Agency decided to create a more formalized diabetes education practice for older adults, they asked me to help develop the program. Our patient population is 60 and over, and they have very particular needs. I knew that a standard program would not effectively serve our patients.” Couture continues, “Prior to development, we met with a consultant and she suggested that we start with a patient needs assessment to determine the best program design for our target population. We developed a survey and sent it out to case managers and patients so that we got a clear understanding of how to best serve them. “Part of our agency’s services is to connect with older individuals and provide them with support and care to help them stay in their homes,” says Couture. “We work with case managers who are continually in contact with their clients. So, we had them conduct the surveys over the course of a month. I also did surveys during my nutrition talks. This was a great source of information, and we used the findings to help design the program.” The survey gathered information about the individual’s preferences on how to receive care— the delivery method and timing of sessions—and their priorities and concerns. Couture explains, “The survey helped us have a better understanding of our older patients. What were they interested in? How much did they know about diabetes selfmanagement? What days of the week were best for receiving care? We found that 40% had never taken diabetes education and of those who had, they had education well over 5 years ago. Approximately 45% said they were interested in receiving diabetes education. Their feedback made it clear Individualization and patient-centered care are featured prominently in the recent versions of the National Standards for Diabetes Self-Management Education and Support (National Standards). So what does that mean for educators who are designing a new DSMES system or updating the services they currently offer? This is Part 3 of a 5-part series, “Innovation in DSMES,” focusing on patient-centered strategies to help educators improve the design and delivery of diabetes care.","PeriodicalId":87215,"journal":{"name":"AADE in practice","volume":"23 28","pages":"46 - 48"},"PeriodicalIF":0.0,"publicationDate":"2019-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2325160318824173","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41256681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-02-13DOI: 10.1177/2325160319826960
Amy M. Egras, N. White, Victor Diaz, Kyle B. Holsinger
Shared Medical Appointments SMAs are clinical encounters in which a population of patients receives diabetes care in a group setting. SMAs differ from diabetes education or support groups because in addition to patient education, counseling, and clinical support, there is also a medical component that may include a physical exam, medication adjustment, or other medical interventions.2 Because of this, SMAs must involve an advance practice provider or physician and include an interprofessional team approach.3 The theory behind group models such as SMAs is the ability to combine a patient’s own efficacy in managing medical issues as a part of their own health care team with the patient’s own support community.4 Studies looking at the effectiveness of SMAs on clinical outcomes in diabetes management have been inconsistent due to the variability in SMA interventions in diabetes management such as clinical and educational strategies.3,5 Despite this, there is research that has shown that SMAs in diabetes management improve health outcomes (eg, A1C, blood pressure), improve health-related quality of life, improve self-management activities (eg, home blood glucose monitoring, medication adherence, diabetes knowledge, self-efficacy), and improve patient satisfaction.4 SMAs are guided by the theory of adult learning. Adults learn by sharing lived experiences. A group setting can enhance the effects of diabetes self-management as it allows the opportunity for patients to come together for support to cope with the physical, social, and psychological effects of diabetes.4 SMAs allow patients to learn and interact with their peers and the health care team as a group.6 Here we describe one such program. DISH: Diabetes Information and Support for Your Health In 2009, the Department of Family and Community Medicine at Thomas Jefferson University in Philadelphia began the diabetes SMA program Diabetes Information and Support for your Health, also known as DISH. The family medicine practice is a Level 3 Patient-Centered Medical Home that is a large, academic, urban-based practice site with approximately 35 000 patients. SMAs are comprised of an interprofessional team including attending and resident physicians, a nurse practitioner, a clinical psychologist, clinical pharmacists, diabetes educators, medical assistants, and health professional students (medical, pharmacy, public health, and nursing). The program is a working collaboration between the health care team and participating patients to help empower them to manage their diabetes. DISH sessions are attended by people with diabetes who are newly diagnosed or have never attended a diabetes management class, those struggling with diabetes management, those diagnosed with prediabetes, those who want diabetes information and support, and family and friends of participants wanting to learn more to support the individual. Components of DISH include:
{"title":"Games as a Unique Teaching Strategy Used in Diabetes Shared Medical Appointments","authors":"Amy M. Egras, N. White, Victor Diaz, Kyle B. Holsinger","doi":"10.1177/2325160319826960","DOIUrl":"https://doi.org/10.1177/2325160319826960","url":null,"abstract":"Shared Medical Appointments SMAs are clinical encounters in which a population of patients receives diabetes care in a group setting. SMAs differ from diabetes education or support groups because in addition to patient education, counseling, and clinical support, there is also a medical component that may include a physical exam, medication adjustment, or other medical interventions.2 Because of this, SMAs must involve an advance practice provider or physician and include an interprofessional team approach.3 The theory behind group models such as SMAs is the ability to combine a patient’s own efficacy in managing medical issues as a part of their own health care team with the patient’s own support community.4 Studies looking at the effectiveness of SMAs on clinical outcomes in diabetes management have been inconsistent due to the variability in SMA interventions in diabetes management such as clinical and educational strategies.3,5 Despite this, there is research that has shown that SMAs in diabetes management improve health outcomes (eg, A1C, blood pressure), improve health-related quality of life, improve self-management activities (eg, home blood glucose monitoring, medication adherence, diabetes knowledge, self-efficacy), and improve patient satisfaction.4 SMAs are guided by the theory of adult learning. Adults learn by sharing lived experiences. A group setting can enhance the effects of diabetes self-management as it allows the opportunity for patients to come together for support to cope with the physical, social, and psychological effects of diabetes.4 SMAs allow patients to learn and interact with their peers and the health care team as a group.6 Here we describe one such program. DISH: Diabetes Information and Support for Your Health In 2009, the Department of Family and Community Medicine at Thomas Jefferson University in Philadelphia began the diabetes SMA program Diabetes Information and Support for your Health, also known as DISH. The family medicine practice is a Level 3 Patient-Centered Medical Home that is a large, academic, urban-based practice site with approximately 35 000 patients. SMAs are comprised of an interprofessional team including attending and resident physicians, a nurse practitioner, a clinical psychologist, clinical pharmacists, diabetes educators, medical assistants, and health professional students (medical, pharmacy, public health, and nursing). The program is a working collaboration between the health care team and participating patients to help empower them to manage their diabetes. DISH sessions are attended by people with diabetes who are newly diagnosed or have never attended a diabetes management class, those struggling with diabetes management, those diagnosed with prediabetes, those who want diabetes information and support, and family and friends of participants wanting to learn more to support the individual. Components of DISH include:","PeriodicalId":87215,"journal":{"name":"AADE in practice","volume":"7 1","pages":"12 - 17"},"PeriodicalIF":0.0,"publicationDate":"2019-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2325160319826960","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41324954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-02-13DOI: 10.1177/2325160319826554
K. Kemmis
{"title":"Addressing Inclusive Diabetes Care at AADE19","authors":"K. Kemmis","doi":"10.1177/2325160319826554","DOIUrl":"https://doi.org/10.1177/2325160319826554","url":null,"abstract":"","PeriodicalId":87215,"journal":{"name":"AADE in practice","volume":" ","pages":"6 - 7"},"PeriodicalIF":0.0,"publicationDate":"2019-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2325160319826554","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47768217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-02-13DOI: 10.1177/2325160319826571
{"title":"Catching Up with Communities of Interest","authors":"","doi":"10.1177/2325160319826571","DOIUrl":"https://doi.org/10.1177/2325160319826571","url":null,"abstract":"","PeriodicalId":87215,"journal":{"name":"AADE in practice","volume":"7 1","pages":"53 - 53"},"PeriodicalIF":0.0,"publicationDate":"2019-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2325160319826571","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41921233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-02-13DOI: 10.1177/2325160318824327
G. Scheiner, S. Weiner
{"title":"Why Invest in Patient Retention?","authors":"G. Scheiner, S. Weiner","doi":"10.1177/2325160318824327","DOIUrl":"https://doi.org/10.1177/2325160318824327","url":null,"abstract":"","PeriodicalId":87215,"journal":{"name":"AADE in practice","volume":"7 1","pages":"11 - 8"},"PeriodicalIF":0.0,"publicationDate":"2019-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2325160318824327","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49043167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-02-13DOI: 10.1177/2325160319827307
Teresa L. Pearson
At the beginning of this year, a record-setting 42 new women were elected to Congress. They were sworn into office in a historical ceremony of the most diverse “freshman” class to ever take office in Washington, DC. As stated in the New York Times, “It is the most racially diverse and most female group of representatives ever elected to the House, whose history spans more than 200 years. And it boasts an avalanche of firsts, from the first Native American congresswomen to the first Muslim congresswomen.” Among the milestones are the first Muslim women elected to Congress (Rep. Ilhan Omar of Minnesota and Rep. Rashida Tlaib of Michigan), the first Native American women (Rep. Sharice Davids of Kansas and Rep. Deb Haaland of New Mexico), and the youngest female member ever elected, at 29 years old (Rep. Alexandria Ocasio-Cortez of New York). The Pew Research Center breaks it down like this.
{"title":"Do the People We Serve See Themselves in Us?","authors":"Teresa L. Pearson","doi":"10.1177/2325160319827307","DOIUrl":"https://doi.org/10.1177/2325160319827307","url":null,"abstract":"At the beginning of this year, a record-setting 42 new women were elected to Congress. They were sworn into office in a historical ceremony of the most diverse “freshman” class to ever take office in Washington, DC. As stated in the New York Times, “It is the most racially diverse and most female group of representatives ever elected to the House, whose history spans more than 200 years. And it boasts an avalanche of firsts, from the first Native American congresswomen to the first Muslim congresswomen.” Among the milestones are the first Muslim women elected to Congress (Rep. Ilhan Omar of Minnesota and Rep. Rashida Tlaib of Michigan), the first Native American women (Rep. Sharice Davids of Kansas and Rep. Deb Haaland of New Mexico), and the youngest female member ever elected, at 29 years old (Rep. Alexandria Ocasio-Cortez of New York). The Pew Research Center breaks it down like this.","PeriodicalId":87215,"journal":{"name":"AADE in practice","volume":"7 1","pages":"4 - 5"},"PeriodicalIF":0.0,"publicationDate":"2019-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2325160319827307","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47588049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-02-13DOI: 10.1177/2325160319827297
Nationally recognized for his efforts to create a more just and sustainable food system, Terry’s work has received notice in such publications as Newsweek, Vibe and Organic Style, which named him one of Tomorrow’s Environmental Power Players. Terry and b-healthy! have received numerous awards, including a Sea Change Residency, a Wave of the Future Award, and an Open Society Institute Community Fellowship.
{"title":"News & Events","authors":"","doi":"10.1177/2325160319827297","DOIUrl":"https://doi.org/10.1177/2325160319827297","url":null,"abstract":"Nationally recognized for his efforts to create a more just and sustainable food system, Terry’s work has received notice in such publications as Newsweek, Vibe and Organic Style, which named him one of Tomorrow’s Environmental Power Players. Terry and b-healthy! have received numerous awards, including a Sea Change Residency, a Wave of the Future Award, and an Open Society Institute Community Fellowship.","PeriodicalId":87215,"journal":{"name":"AADE in practice","volume":"7 1","pages":"58 - 59"},"PeriodicalIF":0.0,"publicationDate":"2019-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2325160319827297","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49471987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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