Development of a Diabetes Self-Management Support System Based on a Cognitive Behavioral Approach

2.50
Hdl Handle:
http://hdl.handle.net/10755/153244
Type:
Presentation
Title:
Development of a Diabetes Self-Management Support System Based on a Cognitive Behavioral Approach
Abstract:
Development of a Diabetes Self-Management Support System Based on a Cognitive Behavioral Approach
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:Azuma, Masumi, RN, MClEd
P.I. Institution Name:Japan Academy of Nursing Science
Title:Associate Professor
[2nd International Nursing Research Conference for the World Academy of Nursing Science - Presentation] Purpose:  This study aimed to develop a self-management support system through telenursing based on a cognitive behavioral approach and then to verify system efficacy for type 2 patients with diabetes. Methods:  The developed self-management support system was implemented for 3 months with 5 male patients diagnosed with type 2 diabetes. The concept of this program was based on Kanfer's self-regulation model, which offers self-management training through repeated self-monitoring, self-evaluation and self-reinforcement. Specifically, the patients input into their mobile phones or PCs the data required for diabetes self-management for 3 months. Input items included monthly goals, weekly goals, 4-stage assessment for the goals, body weight, body fat percentage, abdominal girth, number of steps, calories burned by exercise, urine sugar level and photos of their meals. The patients received once weekly feedback aimed at 'enhancing their awareness', 'offering specific solutions' and 'actively enforcing good practices' as self-care providers. Also provided were daily e-mail newsletters with information considered necessary for diabetes care as well as tips on how to change behavior.  Results:  All 5 subjects showed behavioral changes, such as becoming aware of their calorie intake and becoming accustomed to 30 minutes of walking 5 days a week. Following the 3-month trial of the support system, all 5 subjects showed decreased glycosylated hemoglobin levels, indicating improved glycemic control, compared to pre-intervention values. Body mass index had decreased in 4 of the 5 subjects.
Conclusion:  The results suggest that this support system was effective for diabetes self- management. These findings concur with those of previous studies in that, compared with the conventional relationship between patients and medical care providers, the once weekly feedback by telenursing care systems can provide much closer and effective support of individuals trying to self-manage chronic illness.
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.titleDevelopment of a Diabetes Self-Management Support System Based on a Cognitive Behavioral Approachen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153244-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Development of a Diabetes Self-Management Support System Based on a Cognitive Behavioral Approach</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">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Azuma, Masumi, RN, MClEd</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Japan Academy of Nursing Science</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">azuma@ai.u-hyogo.ac.jp</td></tr><tr><td colspan="2" class="item-abstract">[2nd International Nursing Research Conference for the World Academy of Nursing Science - Presentation] Purpose:&nbsp; This study aimed to develop a self-management support system through telenursing based on a cognitive behavioral approach and then to verify system efficacy for type 2 patients with diabetes. Methods:&nbsp;&nbsp;The developed self-management support system was implemented for 3 months with 5 male patients diagnosed with type 2 diabetes. The concept of this program was based on Kanfer's self-regulation model, which offers self-management training through repeated self-monitoring, self-evaluation and self-reinforcement. Specifically, the patients input into their mobile phones or PCs the data required for diabetes self-management for 3 months. Input items included monthly goals, weekly goals, 4-stage assessment for the goals, body weight, body fat percentage, abdominal girth, number of steps, calories burned by exercise, urine sugar level and photos of their meals. The patients received once weekly feedback aimed at 'enhancing their awareness', 'offering specific solutions' and 'actively enforcing good practices' as self-care providers. Also provided were daily e-mail newsletters with information considered necessary for diabetes care as well as tips on how to change behavior.&nbsp; Results:&nbsp; All 5 subjects showed behavioral changes, such as becoming aware of their calorie intake and becoming accustomed to 30 minutes of walking 5 days a week. Following the 3-month trial of the support system, all 5 subjects showed decreased glycosylated hemoglobin levels, indicating improved glycemic control, compared to pre-intervention values. Body mass index had decreased in 4 of the 5 subjects. <br/>Conclusion:&nbsp; The results suggest that this support system was effective for diabetes self- management. These findings concur with those of previous studies in that, compared with the conventional relationship between patients and medical care providers, the once weekly feedback by telenursing care systems can provide much closer and effective support of individuals trying to self-manage chronic illness.</td></tr></table>en_GB
dc.date.available2011-10-26T12:08:33Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:08:33Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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