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/10755/155807
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
Conference Date:July 10-12, 2003
Author:Hernandez, Cheri, PhD
P.I. Institution Name:University of Windsor
Title:Associate Professor
Co-Authors:Margaret Hume, N. Wilson Rodger
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. <P> Design: The conceptual framework for this study was Hernandez’ theory of integration. This intervention study had a pre- (baseline) and post- (X3) measurement design.<P> Population, Sample, Setting, Years: 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. <P> Concept or Variables Studied Together or Intervention &amp; Outcome Variables: Outcomes measured were both physiological (hemoglobin A1c, hypoglycemia unawareness related events, number of glucose cues) and psychological (integration, diabetes quality of life).<P> 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. <P> 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 < .05). <P> Conclusions: This innovative, theory-based educational intervention does have the potential to improve physiological parameters and psychosocial well-being in adults with Type 1 diabetes and HU.<P> Implications: The results have major implications for the focus, content, development and delivery of diabetes education programs for adults with Type 1 diabetes.<!--Abstract 13486 modified by 172.195.7.46 on 11-4-2002--></P></P></P></P></P></P></P>
Repository Posting Date:
26-Oct-2011
Date of Publication:
10-Jul-2003
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/10755/155807-
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-conference-date"><td class="label">Conference Date:</td><td class="value">July 10-12, 2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Hernandez, Cheri, PhD</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, N. Wilson Rodger</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. &lt;P&gt; 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.&lt;P&gt; Population, Sample, Setting, Years: 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. &lt;P&gt; Concept or Variables Studied Together or Intervention &amp;amp; Outcome Variables: Outcomes measured were both physiological (hemoglobin A1c, hypoglycemia unawareness related events, number of glucose cues) and psychological (integration, diabetes quality of life).&lt;P&gt; 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. &lt;P&gt; 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 &lt; .05). &lt;P&gt; Conclusions: This innovative, theory-based educational intervention does have the potential to improve physiological parameters and psychosocial well-being in adults with Type 1 diabetes and HU.&lt;P&gt; Implications: The results have major implications for the focus, content, development and delivery of diabetes education programs for adults with Type 1 diabetes.&lt;!--Abstract 13486 modified by 172.195.7.46 on 11-4-2002--&gt;&lt;/P&gt;&lt;/P&gt;&lt;/P&gt;&lt;/P&gt;&lt;/P&gt;&lt;/P&gt;&lt;/P&gt;</td></tr></table>en_GB
dc.date.available2011-10-26T14:11:34Z-
dc.date.issued2003-07-10en_GB
dc.date.accessioned2011-10-26T14:11:34Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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