The art and science of diabetes self-management education (DSME): a culture out of balance in Pakistan
Location
Auditorium Pond Side
Start Date
26-2-2014 10:30 AM
Abstract
Background & Objectives: Group-based diabetes self-management education (DSME) programmes have been shown to be effective. In spite of growing evidence of the value of DSME in reducing hospitalization costs, improvement in glucose, weight and medication adherence, DSME remains an underutilized insurance benefit and access to qualified diabetes educators is problematic (Tomky, et al., 2013). The purpose of this study is to summarize the accumulated state of knowledge in the area of diabetes patient education research and highlight important issues that research has left unanswered.
Methods: An integrative literature review was conducted on the topic of diabetes patient education between the years 2000 and 2013. Keywords used in the computerized search were diabetes mellitus, patient education, health education, research, and behavior change. The databases searched were MEDLINE, CINAHL, HealthSTAR, EMBASE, and CHID-HE. A total of 25 papers were reviewed
Results: Most studies lacked a theoretical framework and the majority of studies were conducted in an outpatient setting. HbA, was the most frequently employed outcome measure, with little, if any, description of the interventions. Since diabetes is a complex condition reaching pandemic proportions, which requires self-management of the chronic disease on a daily basis, the future of DSME faces challenges in the current fee for service environment. The National Standards for Diabetes self-management education and support and the American Association of Diabetes Educators Practice Guidelines offers new concepts for meeting the future demand of diabetes educators and education.
Conclusion: With the emphasis on patient-centered care, patients and care providers can consider options based on DSME intervention features for its broad and specific impact on outcomes to potentially make programming more effective. Much has been learned in terms of the effectiveness of diabetes education on improving knowledge.
Keywords: HAART, HIV Protease Inhibitors, Cardiovascular Diseases, Primary Prevention
The art and science of diabetes self-management education (DSME): a culture out of balance in Pakistan
Auditorium Pond Side
Background & Objectives: Group-based diabetes self-management education (DSME) programmes have been shown to be effective. In spite of growing evidence of the value of DSME in reducing hospitalization costs, improvement in glucose, weight and medication adherence, DSME remains an underutilized insurance benefit and access to qualified diabetes educators is problematic (Tomky, et al., 2013). The purpose of this study is to summarize the accumulated state of knowledge in the area of diabetes patient education research and highlight important issues that research has left unanswered.
Methods: An integrative literature review was conducted on the topic of diabetes patient education between the years 2000 and 2013. Keywords used in the computerized search were diabetes mellitus, patient education, health education, research, and behavior change. The databases searched were MEDLINE, CINAHL, HealthSTAR, EMBASE, and CHID-HE. A total of 25 papers were reviewed
Results: Most studies lacked a theoretical framework and the majority of studies were conducted in an outpatient setting. HbA, was the most frequently employed outcome measure, with little, if any, description of the interventions. Since diabetes is a complex condition reaching pandemic proportions, which requires self-management of the chronic disease on a daily basis, the future of DSME faces challenges in the current fee for service environment. The National Standards for Diabetes self-management education and support and the American Association of Diabetes Educators Practice Guidelines offers new concepts for meeting the future demand of diabetes educators and education.
Conclusion: With the emphasis on patient-centered care, patients and care providers can consider options based on DSME intervention features for its broad and specific impact on outcomes to potentially make programming more effective. Much has been learned in terms of the effectiveness of diabetes education on improving knowledge.
Keywords: HAART, HIV Protease Inhibitors, Cardiovascular Diseases, Primary Prevention