Twelve- and Eighteen-Month Evaluation of a Self-Awareness Intervention for Adults with Type 1 Diabetes and Hypoglycemia Unawareness

2.50
Hdl Handle:
http://hdl.handle.net/10755/147268
Type:
Presentation
Title:
Twelve- and Eighteen-Month Evaluation of a Self-Awareness Intervention for Adults with Type 1 Diabetes and Hypoglycemia Unawareness
Abstract:
Twelve- and Eighteen-Month Evaluation of a Self-Awareness Intervention for Adults with Type 1 Diabetes and Hypoglycemia Unawareness
Conference Sponsor:Sigma Theta Tau International
Conference Year:2003
Author:Hernandez, Cheri Ann, RN, PhD, CDE
P.I. Institution Name:University of Windsor
Title:Associate Professor
Co-Authors:Margaret Hume, RN, MScN, CDE; N. Wilson Rodger, MD, FRCPC, CDE
Objectives: Hypoglycemia unawareness (HU) affects about 50% of those with Type 1 diabetes and often has devastating physical, psychological, and social ramifications. The purpose of this pilot study was to evaluate the effectiveness of a self-awareness intervention (SAI) in promoting increased awareness of body cues associated with various levels of glycemia and in enhancing physiological and psychosocial well-being, in adults with Type 1 diabetes and HU. Design: The conceptual framework for this study was Hernandez’ theory of integration. This intervention study had a pre- (baseline) and post- (X3) measurement design. Population, Sample, Setting: Twenty-four subjects (12 males, 12 females) between the ages of 24 and 73 years, and with diabetes duration of 7 to 45 years completed the SAI. Concept or Variables Studied Together: Outcomes measured were both physiological (hemoglobin A1c, hypoglycemia unawareness related events, number of glucose cues) and psychological (integration, diabetes quality of life). Methods: The SAI consisted of eight 3-hour sessions held biweekly and conducted using a collaborative alliance educational method. The focus of the SAI was enhancing self-awareness sensitivity, body cue detection, and development of self-awareness strategies. Baseline measures of the study variables were taken pre-intervention and at 6, 12 and 18 month post-intervention. Findings: Study results indicated that subjects could identify more cues of normal and low blood glucose, had increased integration, and had better glycemic control as measured by hemoglobin A1c (p
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleTwelve- and Eighteen-Month Evaluation of a Self-Awareness Intervention for Adults with Type 1 Diabetes and Hypoglycemia Unawarenessen_GB
dc.identifier.urihttp://hdl.handle.net/10755/147268-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Twelve- and Eighteen-Month Evaluation of a Self-Awareness Intervention for Adults with Type 1 Diabetes and Hypoglycemia Unawareness</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Hernandez, Cheri Ann, RN, PhD, CDE</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Windsor</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">cherih@uwindsor.ca</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Margaret Hume, RN, MScN, CDE; N. Wilson Rodger, MD, FRCPC, CDE</td></tr><tr><td colspan="2" class="item-abstract">Objectives: Hypoglycemia unawareness (HU) affects about 50% of those with Type 1 diabetes and often has devastating physical, psychological, and social ramifications. The purpose of this pilot study was to evaluate the effectiveness of a self-awareness intervention (SAI) in promoting increased awareness of body cues associated with various levels of glycemia and in enhancing physiological and psychosocial well-being, in adults with Type 1 diabetes and HU. Design: The conceptual framework for this study was Hernandez&rsquo; theory of integration. This intervention study had a pre- (baseline) and post- (X3) measurement design. Population, Sample, Setting: Twenty-four subjects (12 males, 12 females) between the ages of 24 and 73 years, and with diabetes duration of 7 to 45 years completed the SAI. Concept or Variables Studied Together: Outcomes measured were both physiological (hemoglobin A1c, hypoglycemia unawareness related events, number of glucose cues) and psychological (integration, diabetes quality of life). Methods: The SAI consisted of eight 3-hour sessions held biweekly and conducted using a collaborative alliance educational method. The focus of the SAI was enhancing self-awareness sensitivity, body cue detection, and development of self-awareness strategies. Baseline measures of the study variables were taken pre-intervention and at 6, 12 and 18 month post-intervention. Findings: Study results indicated that subjects could identify more cues of normal and low blood glucose, had increased integration, and had better glycemic control as measured by hemoglobin A1c (p</td></tr></table>en_GB
dc.date.available2011-10-26T09:30:43Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:30:43Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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