Evaluation of Implemented Group Visits with a Self-management Tool for Patients with Pre-diabetes

Download or read book Evaluation of Implemented Group Visits with a Self-management Tool for Patients with Pre-diabetes written by Kathryn Doyle and published by . This book was released on 2011 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: One of the global emerging epidemics of non-communicable diseases is Type 2 Diabetes Mellitus (T2DM). The adverse consequences of T2DM are a lowered life expectancy of up to fifteen years and an increased risk of heart disease. T2DM is the leading cause of kidney failure lower limb amputations, and adult-onset blindness. As of 2010, eight percent of the United States population, or 24 million Americans, have T2DM and an estimated 57 million people have 'pre-diabetes'. In California, a University of California Los Angeles (UCLA) study found that T2DM has increased nearly 26 percent between 2001 and 2007. Orange county, California has an increase in the number of persons with T2DM from five percent in 2001 to seven percent in 2003. A solution in addressing the increase in T2DM cases is through and evidence-based system change implementing group visits led by a Certified Diabetic Educator (CDE) with a self-management tool for patients with pre-diabetes. The intended goal of such a program in a community clinic setting was a reduction or delay in conversion rates of pre-diabetics becoming T2DM. The Capstone system change took place in a North Orange County, California community health clinic. The Capstone system change involved the evaluation of implemented group visits with a self-management tool for patients with pre-diabetes. The classes were once a week, one hour in length, and taught over a four week period. The goal is to refer and provide timely, evidence-based, culturally appropriate, preventative health care for the pre-diabetic patients to delay the progression to T2DM. A six step framework developed by Larrabee was used to guide the development of the Capstone system change. The theoretical perspective of the Health Promotion Model designed by Pender was also used to emphasize the preventive health aspect throughout the Capstone system change. Researchers have shown educational group visits for T2DM and pre-diabetes can lead to improved clinical outcomes, is cost effective, improves patient satisfaction, and leads to greater self-efficacy for the patient. Incorporating a system change to include evidence-based group visits for T2DM and pre-diabetes is a recommended, feasible and affordable method in delaying the onset of T2DM for community clinics. For this Capstone system change, the group visits were an effective, culturally appropriate, efficient, and cost effective method of delivering preventive health care.