N586 Module 3 Assignment Annotated Bibliography aims to describe the application of an electronic diabetes education referral protocol at an FQHC to improve the DSMES referral process. This project enhanced e-referral to DSMES among patients with type 2 diabetes by implementing the DSMES Algorithm in EHR and conducting protocol training. The findings obtained demonstrated the increased rates of referral, which implies that EHR-based intervention can be beneficial in overcoming challenges related to diabetes education, especially for patients from rural areas. The findings of the study highlight the need for team care assistance, and constant evaluation of the effect of such practices to ensure long-term impacts.
The findings of this paper cover the effects of the Health Extension for Diabetes (HED), which is a community health program that has been developed to enhance self-management of diabetes in adults. The program outcome was evaluated with the help of the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire. The outcomes demonstrated enhanced self-care practices, including diet, blood glucose monitoring, physical activity, and foot care among the participants, especially, the Black/African Americans population. In specifically analyzing HED, the study points out that there is a positive impact since the community can adopt self-care measures to enhance the management of their diabetes better.
Assessing DSMES Access and Engagement Among T2DM Patients
This N 586 Module 3 Annotated Bibliography aims to identify the frequency of T2DM patients with no prior DSMES education receipt and the number of DSMES hours provided. The researchers compared information from a clinic and two hospitals, and they determined that less than 50 percent of the patients were referred to DSMES. Among the preferred, the majority of them were dropping out of school with little or no education.
he one hour and eight or more hours of DSMES intervention had significant improvement in blood sugar outcomes compared to those who did DSMES. The results imply that increased attention should be paid to the first session of DSMES to prevent patients from losing interest in the process and that the referral process should be optimized for better patient outcomes. In the present investigation, a program called SALT-IN, specifically designed to guide Latino adults with type 2 diabetes in rural South Texas where access to diabetes education is low was implemented for pilot testing.
Impact of CHWs and mHealth on Diabetes Education and Patient Engagement
The intervention involved using CHWs and mHealth in the provision of diabetes education and support for 12 weeks. Overall, 15 participants were chosen, and the majority were compliant agreed to go through the program, and expressed a high level of satisfaction. Some of the common things that they did include adhering to the lesson plans, documenting steps taken, recording food intake as well as weighing and observing their blood sugar levels. In general, participants had a small decrease in body weight and no changes in blood sugar levels. The study also proves that this approach could be effective in enhancing diabetes education among the targeted communities.
This article describes how telehealth which is a form of care that employs electronic communication to support care can assist the diabetic populace particularly those with low income. Here the emphasis is on developing and employing telehealth interventions to enhance diabetes self-management support and care for individuals who may have a difficult time getting to clinics and hospitals.
Overcoming Diabetes Care Barriers in Low-Income Groups
The article examines a couple of studies on diabetes-related interventions for low-income groups in the U.S. and concludes that these groups encounter several barriers such as perceived stigma, and lack of access to care and support. The meta-synthesis revealed that telehealth could be a useful approach to connect minority groups and enhance their diabetes self-care.
The purpose of this research focused on an environmental diabetes management program for people from a small island of Hawai’i that has few health facilities. Friends and families, community health services, and telehealth classes inclusive of mobile technology were integrated into the program to enable type 2 diabetes patients to effectively manage the disease. A total of seven pairs of participants (one with diabetes and a companionship person) completed the study over nine months.
Community-Based Diabetes Management for Vulnerable Populations
The majority of participants with diabetes got a reduction in their blood glucose level and a better understanding of diabetes and self-care. It has been established that community participation and technology integration are viable approaches to DM management in low-resource rural settings.This paper examined the factors that would encourage people to attend a community-based, self-management DM program for beneficiaries who belong to structurally vulnerable populations, including racial minorities and low-income populations.
The researchers conducted focus groups with the participants and interviewed the health coaches. They also discovered that the perceived threat influenced whether people were enlisted in the program and stayed. Supplements from peers and other coaches were also very important for motivation. Some of the key factors highlighted were that the program lasted 12 weeks, taught practical skills, used plain language, and emphasized small effective changes. Chronic illness or disability and other caring responsibilities emerged as the most common constraints to attendance. Some of the recommendations may be used to enhance participation in similar programs in the future.
2022 National Standards for Diabetes Management
This paper focuses on the revised National Standards for DSMES which serves as the framework for quality diabetes management. These standards are then updated every five years by specialists in the field to be reflective as well as research-based. The 2022 update concentrates on decreasing the regulatory burden on clinicians while stressing that care should be patient-centered, culturally sensitive, and contextually relevant. It also challenges payers to adapt reimbursement demands to the standards as it regards the needs of those with diabetes.
Barriers and Facilitators in Self-Management of Type 2 Diabetes for Vulnerable Groups
The N 586 Module 3 Annotated Bibliography of these guidelines is to facilitate practical integration of them by the entire healthcare society to enhance diabetic management and outcomes. The present research aimed to identify the facilitators and barriers that can influence the self-management of patients with T2 DM, particularly those belonging to vulnerable population groups. Patients and healthcare professionals were also asked to attend focus group discussions that the researchers had organized. Kind et al., enumerated some of the barriers as lack of access to support, perceived stigma, and hopelessness.
On the other hand, factors that were perceived as beneficial included receiving individual attention, support from friends or fellow patients, and gaining important information on how to deal with diabetes. This work aimed at assessing a sample of patients with diabetes how many of them had attended a diabetes self-management class and the impact of that education on healthy practices. The researchers studied nearly 61, 424 adults with diabetes in the United States to determine that approximately two-fifths of all have ever been educated about the disease.
Patients who participated in at least one diabetes class had higher levels of self-care compliance, including daily monitoring of blood glucose levels, non-smoking, and exercising. They were also more likely to gain access to such crucial medical tests and immunizations. The study finds that there is a need for more patients with diabetes to be educated to enhance their health and avoid other challenges.
Telemedicine and CHWs in Diabetes Care for Older Adults
This systematic review aimed at identifying the effectiveness of the use of telemedicine and CHWs in supporting older adults with diabetes from underrepresented populations. The study revealed that diabetes self-management education (DSME) provided via telemedicine and with CHWs improved glycaemic control (A1C%), self-care behaviors, and satisfaction among patients and healthcare providers for patients aged 50 and older. However, some barriers like constraints on resources, mobility, and lack of social contact are still effective. The proposed review indicates that organized, Cochrane-based interventions might lessen diabetes complications amongst the elderly but the study is required for higher-aged people, particularly, aged 65 and over.
This N 586 Module 3 Annotated Bibliography at enhancing diabetes self-management among African Americans focusing on their cultural beliefs and perceived medication-taking regimes. Under this program, the researchers carried out an experiment involving group education and support from peers who are African American and have been living with type 2 diabetes well. In the study, three “ambassadors” who reported ongoing daily medication use, provided support to eight “buddies” who were reported to have some difficulty in adhering to their medications.
Optimizing Text Message Interventions for Diabetes Self-Care in African-American Adults
In the period of more than six months, the buddies improved slightly more on their hemoglobin A1C, and the patients expressed more confidence in dealing with their diabetes. The feedback received was positive and with the outcomes identified it was deduced that the program could be easily taken through a pilot with a higher population. The purpose of this study was to develop and optimize the content of the text messages to enhance self-care for AA adults with DM in medication adherence, diet, and exercise. The researchers enlisted more than 5000 texts and fine-tuned them with the help of professionals and the focus group of African-American patients.
The feedback resulted in providing messages that were positive but not condescending, avoiding complicated words, offering clear and concrete instructions, and making the messages easily understandable concerning regular life situations. This paper showed that while people update their status occasionally, constant reminders or similar messages provoked into the populace’s consciousness lead to improved habits and changes in behavior. Community feedback for the messages was therefore imperative to make them saturated and meaningful.
N 586 Module 3 Annotated Bibliography
This N 586 Module 3 Annotated Bibliography researched the effectiveness of a community intervention program in an underserved Latinx population focusing on diabetes. This program was specifically known as the Latino Health Access Diabetes Self-Management Program (LHA-DSMP) and comprised of two sessions with 12 weeks each to be facilitated by the community health workers. This program was compared to routine care offered at a local health center and in the environment. The participants recruited for this study were 688 predominantly Spanish-speaking Latinxs with T2D.
The findings demonstrated that the LHA-DSMP yielded a larger reduction in HB A1c compared to usual care. In light of these insights, the research postulates that community-based interventions are a superior approach to enhancing diabetes management when compared to conventional clinical treatment. The impact of diabetes distress on the mobile health program “Dulce Digital” was investigated in this study as the emotional toll of managing diabetes; it is an educational messaging, medication reminder, and blood glucose monitoring application for Hispanic adults with type 2 diabetes.
In this study, it was revealed that those individuals who originally demonstrated a high level of diabetes distress received more benefit from the program in question, as well as demonstrating a greater improvement in their levels of blood glucose control than other, less-distressed individuals. Thus it implies that those who already have concerns about using; mobile health support simple low burden may benefit more since those with diabetes stress might be overwhelmed by aversive health outcomes.
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