{"id":{"repo_id":"msu","oai_identifier":"oai:d.lib.msu.edu:dnp_11"},"canonical_url":"https://search.dev.ndltd.org/etd/msu/oai:d.lib.msu.edu:dnp_11","repository":{"repo_id":"msu","name":"Michigan State University","base_url":"https://d.lib.msu.edu/oai"},"display":{"title":"Assessment of self-care and education in patients with type 2 diabetes mellitus","abstract":"Background and Significance: The annual cost of diagnosed type 2 diabetes mellitus (DM2) in the United States is $327 billion, with individuals with DM2 spending 2.3 times more on health care than individuals without DM2. Education, such as Diabetes Self-Management Education and Support (DSMES) programs, and self-care support, utilizing tools such as the Summary of Diabetes Self-Care Activities (SDSCA) Measure, are the cornerstones of improving care and outcomes for patients with DM2. Purpose: The purpose of this quality improvement project was to implement a standardized self-care assessment and educational intervention for a mid-Michigan internal medicine clinic's adult patient population over 18 years of age with DM2 and hemoglobin A1c (HbA1c) greater than 9% and improve patient self-care. Methods: The Plan, Do, Act, Study (PDSA) Cycle and the Chronic Care Model were used as a framework to guide the project. Eligible participants were identified by clinic staff and received self-care education. Evaluation: The validated SDSCA tool was utilized to assess self-care pre- and post- educational intervention. A two-tailed paired t-test was then performed to compare pre- and post-intervention scores. Outcomes: Of 25 eligible patients in the clinic, 13 patients participated in the initial phase with 3 patients lost to follow-up, leaving 10 patients included in data analysis. A statistically significant improvement was seen in DM2 self-care with mean scores increasing from 4.1 days/week to 4.8 days/week (t = -6.5, p < 0.01). Implications/Conclusion: Identification of specific areas of patient educational needs can improve self-care in patients with DM2 and improve their overall health outcomes.","abstract_html":"Background and Significance: The annual cost of diagnosed type 2 diabetes mellitus (DM2) in the United States is $327 billion, with individuals with DM2 spending 2.3 times more on health care than individuals without DM2. Education, such as Diabetes Self-Management Education and Support (DSMES) programs, and self-care support, utilizing tools such as the Summary of Diabetes Self-Care Activities (SDSCA) Measure, are the cornerstones of improving care and outcomes for patients with DM2. Purpose: The purpose of this quality improvement project was to implement a standardized self-care assessment and educational intervention for a mid-Michigan internal medicine clinic&#x27;s adult patient population over 18 years of age with DM2 and hemoglobin A1c (HbA1c) greater than 9% and improve patient self-care. Methods: The Plan, Do, Act, Study (PDSA) Cycle and the Chronic Care Model were used as a framework to guide the project. Eligible participants were identified by clinic staff and received self-care education. Evaluation: The validated SDSCA tool was utilized to assess self-care pre- and post- educational intervention. A two-tailed paired t-test was then performed to compare pre- and post-intervention scores. Outcomes: Of 25 eligible patients in the clinic, 13 patients participated in the initial phase with 3 patients lost to follow-up, leaving 10 patients included in data analysis. A statistically significant improvement was seen in DM2 self-care with mean scores increasing from 4.1 days/week to 4.8 days/week (t = -6.5, p &lt; 0.01). Implications/Conclusion: Identification of specific areas of patient educational needs can improve self-care in patients with DM2 and improve their overall health outcomes.","abstract_has_math":false,"creators":["Monroe, Kristen M. (Kristen Mae)","Wilkerson, Adrianne M. (Adrianne Marie)"],"institution":null,"degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":["Schrader, Kara"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2022,"date_issued":"2022","date_published":"2022","updated_at":"2026-07-24T03:16:39Z","subjects":["Diabetics--Medical care","Self-care, Health","Patient education","Type 2 diabetes"],"languages":["English"],"rights":["In Copyright"],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier","label":"Identifier","values":["dnp:11","oclc:1334682357","local:R_2aS1KnZkqv3FxOA"],"render_values":[{"text":"dnp:11","href":null,"code":true},{"text":"oclc:1334682357","href":null,"code":true},{"text":"local:R_2aS1KnZkqv3FxOA","href":null,"code":true}]}]},"links":{"outbound_url":"https://doi.org/doi:10.25335/5x5n-9j18","outbound_label":"DOI","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Schrader, Kara"]},{"key":"dc:creator","label":"Author","values":["Monroe, Kristen M. 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Education, such as Diabetes Self-Management Education and Support (DSMES) programs, and self-care support, utilizing tools such as the Summary of Diabetes Self-Care Activities (SDSCA) Measure, are the cornerstones of improving care and outcomes for patients with DM2. Purpose: The purpose of this quality improvement project was to implement a standardized self-care assessment and educational intervention for a mid-Michigan internal medicine clinic's adult patient population over 18 years of age with DM2 and hemoglobin A1c (HbA1c) greater than 9% and improve patient self-care. Methods: The Plan, Do, Act, Study (PDSA) Cycle and the Chronic Care Model were used as a framework to guide the project. Eligible participants were identified by clinic staff and received self-care education. Evaluation: The validated SDSCA tool was utilized to assess self-care pre- and post- educational intervention. A two-tailed paired t-test was then performed to compare pre- and post-intervention scores. Outcomes: Of 25 eligible patients in the clinic, 13 patients participated in the initial phase with 3 patients lost to follow-up, leaving 10 patients included in data analysis. A statistically significant improvement was seen in DM2 self-care with mean scores increasing from 4.1 days/week to 4.8 days/week (t = -6.5, p < 0.01). Implications/Conclusion: Identification of specific areas of patient educational needs can improve self-care in patients with DM2 and improve their overall health outcomes.","Thesis (D.N.P.)--Michigan State University. Family nurse practitioner, 2022","Includes bibliographical references (pages 28-32)"]},{"key":"dc:format","label":"Dc Format","values":["48 pages","application/pdf"]},{"key":"dc:title","label":"Title","values":["Assessment of self-care and education in patients with type 2 diabetes mellitus"]}]}],"canonical_facts":{"dc:contributor":["Schrader, Kara"],"dc:coverage":["Michigan"],"dc:creator":["Monroe, Kristen M. (Kristen Mae)","Wilkerson, Adrianne M. (Adrianne Marie)"],"dc:date":["2022"],"dc:description":["Background and Significance: The annual cost of diagnosed type 2 diabetes mellitus (DM2) in the United States is $327 billion, with individuals with DM2 spending 2.3 times more on health care than individuals without DM2. Education, such as Diabetes Self-Management Education and Support (DSMES) programs, and self-care support, utilizing tools such as the Summary of Diabetes Self-Care Activities (SDSCA) Measure, are the cornerstones of improving care and outcomes for patients with DM2. Purpose: The purpose of this quality improvement project was to implement a standardized self-care assessment and educational intervention for a mid-Michigan internal medicine clinic's adult patient population over 18 years of age with DM2 and hemoglobin A1c (HbA1c) greater than 9% and improve patient self-care. Methods: The Plan, Do, Act, Study (PDSA) Cycle and the Chronic Care Model were used as a framework to guide the project. Eligible participants were identified by clinic staff and received self-care education. Evaluation: The validated SDSCA tool was utilized to assess self-care pre- and post- educational intervention. A two-tailed paired t-test was then performed to compare pre- and post-intervention scores. Outcomes: Of 25 eligible patients in the clinic, 13 patients participated in the initial phase with 3 patients lost to follow-up, leaving 10 patients included in data analysis. A statistically significant improvement was seen in DM2 self-care with mean scores increasing from 4.1 days/week to 4.8 days/week (t = -6.5, p < 0.01). Implications/Conclusion: Identification of specific areas of patient educational needs can improve self-care in patients with DM2 and improve their overall health outcomes.","Thesis (D.N.P.)--Michigan State University. Family nurse practitioner, 2022","Includes bibliographical references (pages 28-32)"],"dc:format":["48 pages","application/pdf"],"dc:identifier":["dnp:11","oclc:1334682357","local:R_2aS1KnZkqv3FxOA","https://doi.org/doi:10.25335/5x5n-9j18"],"dc:language":["English"],"dc:relation":["Doctor of Nursing Practice Projects"],"dc:rights":["In Copyright"],"dc:subject":["Diabetics--Medical care","Self-care, Health","Patient education","Type 2 diabetes"],"dc:title":["Assessment of self-care and education in patients with type 2 diabetes mellitus"],"dc:type":["Text","Theses"]},"updated_at":"2026-07-24T03:16:39Z"}