Online Program

Effectiveness of a Diabetes Self-Management Program Offered at a Patient Centered Medical Home

Wednesday, November 4, 2015 : 11:30 a.m. - 11:50 a.m.

Diana Hassan, PhD, CHES, Interdisciplinary Health Studies, Western Michigan University, Kalamazoo, MI
Amy B. Curtis, PhD, MPH, Interdisciplinary Health Sciences PhD Program/Health Data Research Analysis and Mapping (HDReAM) Center, Western Michigan University, Kalamazoo, MI
Jane Hanneken, MD, School of Medicine, Western Michigan University, Kalamazoo, MI
Catherine L. Kothari, PhD, Department of Biomedical Sciences, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, MI
Backgroun: Diabetes is the seventh leading cause of death in the US. If not managed properly, diabetes can lead to numerous complications. While 9.3% of the population has diabetes, patients of lower socioeconomic status are disproportionately affected by the disease and continue to suffer from severe complications and morbidity. Diabetes self-management education (DSME) is essential in managing this disease. Individuals who receive DSME have improved diabetes health outcomes. Initiative for Diabetes Education and Support (IDEAS), a 4-hour DSME that aligns with the American Diabetes Association (ADA) recommendations, was tailored specifically to individuals with low socioeconomic status and was offered at a patient centered medical home (PCMH) in a rural community in Michigan.

Methods: PCMH physicians recruited patients who weren’t managing their diabetes. A b multidisciplinary team (health educator, PCMH physician and pharmacist) delivered the program. Eight sessions were conducted from 2010 to 2014 (n=33) with pre/post measures. PCMH medical records were reviewed to determine changes in weight and A1c at the beginning of the program and at 3-12 months post program.

Results: 39.4% had a high school degree. 48.5% had a yearly income below $20,000. Patients’ A1c levels dropped from 7.73 to 6.93 (p=.018) post program. No change was found in patients’ weight. There was a negative relationship between patients’ reported ability to set goals and their A1c levels, r= -.374, p (2-tailed)= .035. A pre/post knowledge test also shows that patients increased their diabetes knowledge (p<.001).

Conclusion: Overall, IDEAS patients reduced their A1c levels to below ADA recommended levels after attending one 4-hour class.

Learning Areas:

Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
Identify effective diabetes self-management strategies to prevent diabetes complications. Discuss the benefits of health education programs offered at patient centered medical homes.

Keyword(s): Diabetes, Patient-Centered Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a health educator (CHES) and have been involved in various research projects that focus on community education specifically in the area of diabetes research. I am also pursuing my PhD in Interdisciplinary Health Sciences.
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.