Diabetes to Go: Knowledge- and Competency-Based Hospital Survival Skills Diabetes Education Program Improves Postdischarge Medication Adherence. 

 -  2014 
<br/><br/>Available online from MWHC library: 1999 - present, Available in print through MWHC library: 1999 - 2006 
<br/><br/> 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).  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.  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.  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. 
<br/><br/><br/>English 
<br/><br/><label>ISSN: </label>0145-7217 
<br/><br/><label>Subjects--Topical Terms: </label><br/>*Competency-Based Education/mt [Methods]<br/>*Diabetes Mellitus/px [Psychology]<br/>*Medication Adherence<br/>*Patient Education as Topic/mt [Methods]<br/>*Self Care/px [Psychology]<br/>Adult<br/>African Americans<br/>Diabetes Mellitus/dt [Drug Therapy]<br/>Diabetes Mellitus/eh [Ethnology]<br/>Feasibility Studies<br/>Female<br/>Health Knowledge, Attitudes, Practice<br/>Humans<br/>Hypoglycemic Agents/tu [Therapeutic Use]<br/>Male<br/>Non-Randomized Controlled Trials as Topic<br/>Patient Discharge<br/>Pilot Projects<br/>Program Evaluation<br/>Prospective Studies
<br/><br/><label>Subjects--Geographic Terms: </label><br/>MedStar Health Research Institute<br/>MedStar Washington Hospital Center
<br/><br/><label>Index Terms--Occupation: </label><br/>Medicine/Endocrinology<br/>MedStar Diabetes Institute
<br/><br/><label>Index Terms--Function: </label><br/>Journal Article