Assessment of a National Diabetes Education Program diabetes management booklet: The GRADE experience

作者：Devchand Roshni^*; Nicols Christina; Gallivan Joanne M; Tiktin Margaret; Krause Steinrauf Heidi; Larkin Mary; Tuncer Diane M

来源：Journal of the American Association of Nurse Practitioners, 2017, 29(5): 255-263.

DOI：10.1002/2327-6924.12445

• Diabetes mellitus type 2
• self-management
• pre-post tests
• patient education
• self-efficacy
• communication
• adults
• chronic illness
• care management
• nurse practitioner
• advanced practice nurse

Background and purpose: The National Diabetes Education Program created the 4 Steps to Manage Your Diabetes for Life (4 Steps) booklet to help patients with diabetes learn the basics of self-management and care recommendations. The purpose of this study is to explore the impact of 4 Steps on participants' diabetes management knowledge and self-efficacy in the Glycemia Reduction Approaches in Diabetes: A Comparative Effectiveness Study (GRADE).
Methods: A sample of 348 adults with type 2 diabetes enrolled in GRADE was included in this analysis. Participants took a pretest, were sent home with 4 Steps, then took a posttest at their next visit. The Wilcoxon signed rank test was used to detect differences in knowledge and self-efficacy between scale scores pre- and posttest.
Conclusions: Analyses revealed increases in participants' diabetes management knowledge (p < .001) and self-efficacy (p < .001) from pre- to posttest. Participants who reported no formal previous diabetes education showed a statistically significant increase in knowledge scores compared to those with previous diabetes education (p < .05).
Implications for practice: Appropriate, relevant diabetes education materials may improve self-management knowledge and self-efficacy among adults with type 2 diabetes. Providers should feel confident using 4 Steps as a resource for clinical practice.

• 出版日期2017-5
• 单位NIH