266750 Measuring diabetes self-management education duration among adults: Results from the 2008 Florida Behavioral Risk Factor Surveillance System

Tuesday, October 30, 2012 : 9:20 AM - 9:35 AM

Tammie M. Johnson, DrPH , Department of Public Health, Brooks College of Health, University of North Florida, Jacksonville, FL
James Churilla, PhD, MPH , Department of Clinical and Applied Movement Science, University of North Florida, Jacksonville, FL
Diabetes self-management education (DSME) is an important part of diabetes management. Prior studies have shown that DSME duration is independently associated with improved self-care. Measuring DSME duration among those with diabetes is difficult outside of small-study settings. The purpose of this study was to examine the association between DSME duration and diabetes-related outcomes as measured by the Behavioral Risk Factor Surveillance System (BRFSS). In 2008, Florida added questions to the BRFSS survey to collect population-based data concerning DSME duration among adults with diabetes. BRFSS is cross-sectional survey conducted in all US states. In 2008, 1445 Florida respondents had been diagnosed with diabetes. Among those who received any DSME (48.4% of the study population), 22% had less than four hours, 14.8% had 4-10 hours, and 11.6% had over 10 hours. Compared to those who did not receive DSME, the adjusted odds ratio (AOR) for self-monitoring blood glucose was over 2.0 times higher among those who received 4 or more hours of DSME. The AOR for having an annual foot exam was 1.8 times higher among those who received up to four hours and 2.0 times higher among those receiving 4-10 hours of DSME. The AOR for having at least two A1C tests in the past year was 2.8 times higher among those who received 4 or more hours of DSME. Enhanced state-level BRFSS collection offers an opportunity to measure DSME duration on a population level and allows public health officials to better understand the associations between DSME duration and diabetes-related outcomes.

Learning Areas:
Epidemiology

Learning Objectives:
1. Describe the methods for collecting data using the Behavioral Risk Factor Surveillance System. 2. Discuss the associations between diabetes self-management duration and diabetes-related outcomes.

Keywords: Diabetes, Surveillance

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have worked in the area of public health surveillance and epidemiology for over 17 years. I am currently an Assistant Professor at the University of North Florida in the Department of Public Health. I am published in the area of chronic diseases, diabetes, metabolic syndrome, and tobacco. I have worked with complex survey data since 1998.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 4028.0: Diabetes Epidemiology