African Journal of Diabetes medicine received 1366 citations as per google scholar report
Diabetes is increasing at an alarming rate nationwide affecting mostly minorities. In fact, Saint Anthony Hospital (SAH) community in Chicago has a significant increase of diabetes prevalence from 8% in 2009 to 17% in 2015. SAH predominantly serves Hispanics (49%) followed by African-Americans (26%). Also, population assessment and chart reviews conducted in collaboration with SAH key stakeholders shows a high rate of uncontrolled diabetes (blood glucose of >212 mg/dl) and has led to increased emergency department visits. Purpose: A diabetic wellness and education program following American Diabetes Association guidelines has been developed to address the problem with a focus on diabetes self-management education and support (DSME/S).
Methods: DSME/S is the delivery of knowledge, skills and capacity needed for diabetes self-care with support for achieving and sustaining behaviors and coping skills needed for self-management after education. Following the PRECEDE-PROCEED planning framework, the program was divided into two phases. Phase one addressed organization change using Lewin’s planned change theory. Phase two was implementation of SAH redesigned DSME/S program called ‘Diabetes Connect’ using Bandura’s social cognitive theory for individual change. The program was delivered in English and Spanish in summer 2017. It includes four weeklies 90-120-minute sessions using Conversation Maps®.
Recruitment sites were an SAH satellite primary care clinic and the emergency department. Phase three, an addendum to the initial program, involved using a multimodal community based recruitment plan. Program objectives includes increasing diabetes knowledge scores through a pre- and post-test on knowledge using the Conversation Maps® as well as increase in diabetes self-efficacy scores using the Stanford Scale. Results: Two out of 13 participants completed the program necessitating a change in approach to recruitment and retention efforts. The multimodal community based recruitment plan took effect fall of 2017 and will conclude on the first week of October. The DSME/S program outcomes will be presented.
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