Comprehensive Community-based Health Promotion Program for persons with Diabetes: A Pilot Study

2.50
Hdl Handle:
http://hdl.handle.net/10755/308537
Category:
Abstract
Type:
Presentation
Title:
Comprehensive Community-based Health Promotion Program for persons with Diabetes: A Pilot Study
Author(s):
Deal, Belinda; Waldrop, Debbie; Haas, Barbara K.; Ballard, Nancy; Soto-Azghani, Cynthia; Ballard, Elaine
Lead Author STTI Affiliation:
Non-member
Author Details:
Belinda Deal, PhD, RN, CEN, bdeal@uttyler.edu; Debbie Waldrop, MSN, RN, CCRC; Barbara K. Haas, PhD, RN; Nancy Ballard, MSN, MEd, RN; Cynthia Soto-Azghani, BSN, RN, CCRC; Elaine Ballard, BSN, MSN, DNP
Abstract:

Session presented on: Tuesday, November 19, 2013

Comprehensive Community-based Health Promotion Program for Persons with Diabetes: A Pilot Study

 Purpose/ Specific Aims:

The purpose of this randomized controlled study was to determine the effectiveness of a community-based health promotion program on disease management, self-efficacy, and quality of life in persons with Type II diabetes.

 Design and Methods:

Using a randomized, repeated-measures design; participants were assigned to one of four health promotion groups: nutrition class only, nutritional class plus exercise, nutritional class plus motivational interviewing, or nutritional class plus exercise and motivational interviewing. Recruited from a not-for-profit health clinic for the working uninsured located in east Texas, inclusion criteria included age > 18 and < 65; diagnosis of Type II diabetes, Hgb AIC > 7; physician approval to exercise; and able to read and understand English or Spanish. Health indicators of diabetes control and quality of life were assessed two times over a three-month period.

 Findings:

Twenty participants were enrolled (5 per group). Those completing the program (n=11) were primarily female (73%), African-American (36%) or Hispanic (27%), single (73%), employed (91%), and of lower socio-economic status (100%) with a mean age of 48. While ANOVA was nonsignificant for changes in health indicators or quality of life, measures trended toward improvement. Mean scores for weight, BMI, HgbA1C, and BP decreased for the participants overall. Quality of life score slightly improved at the 3-month visit. Diabetes self-efficacy scores were significantly (p<.05) improved across time.

 Implications:

This project suggests the feasibility of a comprehensive wellness program for the working uninsured. Larger sample and longer timeframe may have resulted in significant results. Refinements of procedures should be implemented in a larger scale research study.

Keywords:
Health Promotion; Type II Diabetes; Motivational Interviewing
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleComprehensive Community-based Health Promotion Program for persons with Diabetes: A Pilot Studyen_GB
dc.contributor.authorDeal, Belindaen_GB
dc.contributor.authorWaldrop, Debbieen_GB
dc.contributor.authorHaas, Barbara K.en_GB
dc.contributor.authorBallard, Nancyen_GB
dc.contributor.authorSoto-Azghani, Cynthiaen_GB
dc.contributor.authorBallard, Elaineen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsBelinda Deal, PhD, RN, CEN, bdeal@uttyler.edu; Debbie Waldrop, MSN, RN, CCRC; Barbara K. Haas, PhD, RN; Nancy Ballard, MSN, MEd, RN; Cynthia Soto-Azghani, BSN, RN, CCRC; Elaine Ballard, BSN, MSN, DNPen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308537-
dc.description.abstract<p>Session presented on: Tuesday, November 19, 2013</p>Comprehensive Community-based Health Promotion Program for Persons with Diabetes: A Pilot Study <p> <b>Purpose/ Specific Aims: </b><p>The purpose of this randomized controlled study was to determine the effectiveness of a community-based health promotion program on disease management, self-efficacy, and quality of life in persons with Type II diabetes. <p> <b>Design and Methods: </b><p>Using a randomized, repeated-measures design; participants were assigned to one of four health promotion groups: nutrition class only, nutritional class plus exercise, nutritional class plus motivational interviewing, or nutritional class plus exercise and motivational interviewing. Recruited from a not-for-profit health clinic for the working uninsured located in east Texas, inclusion criteria included age > 18 and < 65; diagnosis of Type II diabetes, Hgb AIC > 7; physician approval to exercise; and able to read and understand English or Spanish. Health indicators of diabetes control and quality of life were assessed two times over a three-month period. <p> <b>Findings: </b><p>Twenty participants were enrolled (5 per group). Those completing the program (n=11) were primarily female (73%), African-American (36%) or Hispanic (27%), single (73%), employed (91%), and of lower socio-economic status (100%) with a mean age of 48. While ANOVA was nonsignificant for changes in health indicators or quality of life, measures trended toward improvement. Mean scores for weight, BMI, HgbA1C, and BP decreased for the participants overall. Quality of life score slightly improved at the 3-month visit. Diabetes self-efficacy scores were significantly (<i>p</i><.05) improved across time. <p> <b>Implications: </b><p>This project suggests the feasibility of a comprehensive wellness program for the working uninsured. Larger sample and longer timeframe may have resulted in significant results. Refinements of procedures should be implemented in a larger scale research study.en_GB
dc.subjectHealth Promotionen_GB
dc.subjectType II Diabetesen_GB
dc.subjectMotivational Interviewingen_GB
dc.date.available2013-12-19T17:32:38Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:32:38Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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