Diabetes to Go: Knowledge- and Competency-Based Hospital Survival Skills Diabetes Education Program Improves Postdischarge Medication Adherence.
Citation: Diabetes Educator. 40(3):344-350, 2014 MayPMID: 24557596Institution: MedStar Health Research Institute | MedStar Washington Hospital CenterDepartment: Medicine/Endocrinology | MedStar Diabetes InstituteForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Competency-Based Education/mt [Methods] | *Diabetes Mellitus/px [Psychology] | *Medication Adherence | *Patient Education as Topic/mt [Methods] | *Self Care/px [Psychology] | Adult | African Americans | Diabetes Mellitus/dt [Drug Therapy] | Diabetes Mellitus/eh [Ethnology] | Feasibility Studies | Female | Health Knowledge, Attitudes, Practice | Humans | Hypoglycemic Agents/tu [Therapeutic Use] | Male | Non-Randomized Controlled Trials as Topic | Patient Discharge | Pilot Projects | Program Evaluation | Prospective StudiesYear: 2014Local holdings: Available online from MWHC library: 1999 - present, Available in print through MWHC library: 1999 - 2006ISSN:- 0145-7217
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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Journal Article | MedStar Authors Catalog | Article | 24557596 | Available | 24557596 |
Available online from MWHC library: 1999 - present, Available in print through MWHC library: 1999 - 2006
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.
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