Elizabeth A. Beverly|Shane Fitzgerald|Kelly Brooks|Brittney A. Hultgren|Om P Ganda|Medha Munshi|Katie Weinger
Impact of Reinforcement of Diabetes Self-Care on Poorly Controlled Diabetes
Joslin Diabetes Center|Harvard University|Joslin Diabetes Center|Harvard University|Joslin Diabetes Center|Harvard University|Joslin Diabetes Center|Harvard University|Joslin Diabetes Center|Harvard University|Joslin Diabetes Center|Harvard University|Joslin Diabetes Center|Harvard University
purpose purpose study assess value reinforcing diabetes selfmanagement improving glycemia selfcare among adults type 2 diabetes least 3 hours prior diabetes education methods randomized controlled trial 134 participants 75 white 51 female 59 9 years old 13 8 years diabetes a1c 84 12 randomized either group mapbased program intervention group education cholesterol blood pressure control participants assessed a1c levels diabetes selfcare behaviors 3day pedometer readings 6minute walk test blood glucose checks frequency selfcare psychosocial factors distress frustration quality life baseline 3 6 12 months post intervention health literacy baseline results groups differ baseline characteristics including a1c levels health literacy selfcare however intervention group years education controls intervention arm participants modestly improved a1c levels 3 months post intervention maintain improvement 6 12 months control patients improve a1c levels time followup importantly frequency selfreported selfcare diabetes quality life diabetesrelated distress frustration diabetes selfcare improved groups time conclusions reinforcing selfcare diabetes education patients met glycemic targets helps improve a1c could considered necessary component ongoing diabetes care best method accomplish reinforcement needs established