MedStar Authors catalog › Details for: Diabetes to Go: Knowledge- and Competency-Based Hospital Survival Skills Diabetes Education Program Improves Postdischarge Medication Adherence.
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Diabetes to Go: Knowledge- and Competency-Based Hospital Survival Skills Diabetes Education Program Improves Postdischarge Medication Adherence.

by Magee, Michelle; Khan, Nawreen H; Desale, Sameer; Nassar, Carine M.
Citation: Diabetes Educator. 40(3):344-350, 2014 May.Journal: The Diabetes educator.Published: 2014ISSN: 0145-7217.Full author list: Magee MF; Khan NH; Desale S; Nassar CM.UI/PMID: 24557596.Subject(s): Adult | African Americans | *Competency-Based Education/mt [Methods] | Diabetes Mellitus/dt [Drug Therapy] | Diabetes Mellitus/eh [Ethnology] | *Diabetes Mellitus/px [Psychology] | Feasibility Studies | Female | Health Knowledge, Attitudes, Practice | Humans | Hypoglycemic Agents/tu [Therapeutic Use] | Male | *Medication Adherence | Non-Randomized Controlled Trials as Topic | Patient Discharge | *Patient Education as Topic/mt [Methods] | Pilot Projects | Program Evaluation | Prospective Studies | *Self Care/px [Psychology]Institution(s): MedStar Health Research Institute | MedStar Washington Hospital CenterDepartment(s): Medicine/Endocrinology | MedStar Diabetes InstituteActivity type: Journal Article.Medline article type(s): Journal ArticleDigital Object Identifier: https://dx.doi.org/10.1177/0145721714523684 (Click here) Abbreviated citation: Diabetes Educ. 40(3):344-350, 2014 May.Local Holdings: Available online from MWHC library: 1999 - present, Available in print through MWHC library: 1999 - 2006.Abstract: PURPOSE: The primary purpose of this study was to demonstrate the feasibility of providing inpatient knowledge-based diabetes "survival skills" education. In addition, the preliminary impact of the survival skills education intervention on medication adherence and hospital plus emergency department admissions was assessed.Abstract: METHODS: This study was a prospective nonrandomized pilot study conducted in an urban teaching hospital. In sum 125 adults consented-the majority of whom were African American women-with uncontrolled diabetes: blood glucose > 200 mg/dL or < 40 mg/dL upon admission to general medicine units. Mean admitting blood glucose was 283 +/- 128 mg/dL. Evaluation measures were diabetes knowledge, medication adherence, and hospital admissions plus emergency department visits at and/or 3 months before baseline and at 2 weeks and 3 months postdischarge.Abstract: RESULTS: There was improvement in diabetes knowledge and medication adherence, which was sustained to 3 months. A trend was observed toward reduction in emergency department and/or hospital admissions from 3 months preintervention to 3 months postdischarge for uncontrolled diabetes.Abstract: CONCLUSIONS: This knowledge-based program successfully provided survival skills education to hospital patients with uncontrolled diabetes and demonstrated preliminary evidence of a positive impact on medication adherence and a trend toward reduction in hospital and emergency department admissions. Copyright (c) 2014 The Author(s).

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