Abstract

Objective: To improve self-efficacy in patients with type 2 diabetes and a Hemoglobin A1c (HbA1c) of 8% (64 mmol/mol) or greater using an innovative education multidisciplinary approach in a group setting.

Research Design and Methods: Out of 248 patients that were contacted with type 2 diabetes, who had a HbA1c of 8% or greater, five patients from a large clinic in the Midwest agreed to participate in group education. The primary outcome of interest was lowering HbA1c levels to increase the number of patients with type 2 diabetes who meet the community standard of care.

Results: Patients who attended a scheduled group education session exhibited a positive response/increased learning to group education although not statistically significant (p = 0.1239).

Conclusions: This research using a Johns Hopkins Model for evaluating group education for patients with type 2 diabetes suggested the multidisciplinary approach with group education would lead to greater self-efficacy, better glycemic control, and improved patient outcomes offering lower costs overall to the patient and/or their family. Additional time is needed to evaluate the effects of the group education as well as further research in general.

Date of Project Completion

Summer 6-25-2020

Document Type

Project Paper

Degree Name

Doctor of Nursing Practice

Department

Nursing

First Advisor

Sandra Paddock, DNP, APRN, CNP

Second Advisor

Jenny A. Prochnow, DNP, MBA, RNC-MNN, NEA-BC, PHN

Comments

The author would like to acknowledge the statistical contributions of Silas Bergen, Associate Professor at Winona State University, Winona, Minnesota

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