Quality improvement: Improving type 2 diabetes self-management and A1C levels in older adult veterans using an automated message system
Danielle Brunson, BSN, RN, email@example.com
- Sigma Affiliation
- Lambda Rho at-Large
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Brunson, Danielle by View
Popular Works for Brunson, Danielle by Download
Background: Diabetes mellitus is prevalent among the US population; particularly type 2 diabetes. As the population ages, the number of adults 65 years of age or older with diabetes is increasing. Diabetes is also common among U.S. veterans. Approximately 25% of U.S. Department of VA patients have diabetes. Evidence demonstrated a prevalence of diabetes among older veterans. Innovative approaches to improve diabetes care and health outcomes for veterans are needed.
Aim: This quality improvement (QI) project examined the use of a unidirectional automated text message system (Annie) to improve self-management behaviors of veterans with Type 2 diabetes, as evidenced by glycated hemoglobin (HbA1c) and self-reported behavior change.
Methods: Participants were selected from an outpatient VA clinic in Florida. Evidence-based diabetes self-management education was implemented in older veterans with Type 2 diabetes through Annie to improve self-management behaviors and reduce HbA1cs within 90 days. A pre- and postintervention Summary of Diabetes Self-Care Activities questionnaire determined if behaviors improved after evidence-based education. Baseline HbA1c data were compared to the postintervention data to determine if diabetes outcomes improved among older veterans who received diabetes education through Annie.
Results: Findings demonstrated clinical changes in diet and foot care, with statistical significance only seen in foot care. Although no statistically significant changes were observed in HbA1c points for this project, some clinically significant reductions were seen when comparing mean pre- and postintervention HbA1cs.
Conclusion: Results suggest that continued implementation of Annie among older veterans could improve Type 2 diabetes self-management and reduce HbA1c levels.
|Type||DNP Capstone Project|
|Review Type||Faculty Approved: Degree-based Submission|
|Evidence Level||Quality Improvement|
Type 2 Diabetes;
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
The following license files are associated with this item:
Showing items related by title, author, creator and subjects.
The effect of depression on diabetes self-management behaviors in older adults with type 2 diabetes mellitus: An empirical test of the information-motivation-behavioral skills model Choi, Suyoung; Song, Mi Soon (2012-9-12)Purpose: The purpose of this study was to empirically test the Information-Motivation-Behavioral Skills (IMB) model to predict diabetes self-management, and to examine the effect of depression on diabetes self-management ...
A diabetes self-management education program based on the Information-Motivation-Behavioral Skills Model: Effects on older adults with type 2 diabetes in Korea Choi, Suyoung; Seo, Kyoungsan; Song, Mi Soon; Lee, Soo Jin; Kim, Se-an (2014-11-17)Session presented on Sunday, July 27, 2014: Purpose: The purpose of this study was to evaluate the effect of the Diabetes Self-Management Education for Older Koreans (DSME-OK) program based on the Information-Motivation ...
A Bilingual Diabetes Self-Management Education Program for Hispanic Adults with Type 2 Diabetes Mellitus Castillo, Juanita (2017-11-27)The aim of this intervention was to determine whether diabetes self-management education will help Hispanics/Latinos with type 2 diabetes mellitus change unhealthy behaviors and effectively manage their disease. Healthcare ...
Educational Intervention for Improving Self-Management in Low-Income Mexican People With Type 2 Diabetes Compean-Ortiz, Lidia G.; Aguilera, Paulina; Berry, Diane C.; Del Angel, Beatriz; Rivera-Perez, Jose (2017-10-05)This is an ongoing project part of the PH-LEADER program 2015-2016, and recently got a Small Grant from Sigma Theta Tau International Honor Society of Nursing. The main objective is to test the feasibility of an educational ...
Griggs, Stephanie; Redeker, Nancy S.; Grey, MargaretThe first aim was to determine the feasibility of recruiting, enrolling, and retaining 20 young adults ages 18-30 with T1D to complete baseline questionnaires and neurocognitive tests, and to wear a continuous glucose ...