Evaluating the effectiveness of a patient-centered type 2 diabetes prevention program
Sharie Blythe, DNP, MSN-Ed, RN, CNE
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Introduction: According to the American Diabetes Association (ADA), 34.2 million adults or 10.5% of the population had diabetes (ADA, 2018). In 2015, 88 million Americans age 18 and older had prediabetes (ADA, 2018). Diabetes remains the 7th leading cause of death in the United States (U.S.). The “Prevent T2 Program” is an example of an initiative supported by the Centers for Disease Control and Prevention to address the increasing burden of prediabetes and type 2 diabetes in the U.S. The program aims to prevent diabetes and complications associated with the disease through diabetes self-management education (DSME) and peer support.
Methods: This project was a retrospective descriptive program evaluation, guided by the PRECEDE/PROCEED and Plan-Do-Study-Act models. The hemoglobin A1c levels pre-and-post intervention will be evaluated in pre-diabetics and type 2 diabetes participants after enrolling in the “Prevent T2 Program” at the Charles County Health Department. Data in the post-intervention survey includes HbA1c levels and knowledge acquisition from participants in two cohorts (January 2021 and June 2021). The outcomes of post HbA1c and the LMC Skills, Confidence, and Preparedness Index Scale were evaluated three to six months after the intervention was initiated.
Results: Data was collected three to six months after the initiation of the intervention. Three participants completed the survey (6.5% response rate) with self-reported HbA1c results pre-intervention and three to six month follow up of HbA1c results, while completing the DSME and peer support classes. Twenty-three questions from the LMC Skills, Confidence, and Preparedness Index tool were utilized to assess the participants’ comprehension of diabetes management resulting in the participants scoring above five in the three subscales.
Conclusions: Based on the results and low response rate, an adequate program evaluation cannot be determined regarding the effectiveness of the Prevent T2 Program in diabetes prevention and knowledge acquisition. The hemoglobin A1cs and feedback indicate diabetes self-management education and peer support may influence participants to produce positive outcomes. In my opinion, the Prevent T2 Program is important and promising in its potential to promote disease management and self-care in pre-diabetic and diabetic individuals. Although further development and testing is warranted, it is recommended that the program incorporate the survey in their workflow during the initial enrollment and throughout the program to monitor the progress of participants and assess the program’s outcomes.
Tool(s) Used: The PRECEDE/PROCEED Model and the Plan-Do-Study-Act Model.
|Type||DNP Capstone Project|
|Review Type||Faculty Approved: Degree-based Submission|
|Research Approach||Qualitative Research|
|Keywords||Type 2 Diabetes;
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