A Diabetes Self-Management Education Program Based on the Information-Motivation-Behavioral Skills Model: Effects on Older Adults With Type 2 Diabetes in Korea

7.00
Hdl Handle:
http://hdl.handle.net/10755/335234
Category:
Full-text
Type:
Presentation
Title:
A Diabetes Self-Management Education Program Based on the Information-Motivation-Behavioral Skills Model: Effects on Older Adults With Type 2 Diabetes in Korea
Author(s):
Choi, Suyoung; Seo, Kyoungsan; Song, Mi Soon; Lee, Soo Jin; Kim, Se-an
Lead Author STTI Affiliation:
Lambda Alpha-at-Large
Author Details:
Suyoung Choi, PhD, GNP, RN, petsera@snu.ac.kr; Kyoungsan Seo, RN, MSN; Misoon Song, RN, PhD; Soo Jin Lee, RN, MSN; Se-an Kim, RN, MSN
Abstract:
Session presented on Sunday, July 27, 2014: Purpose: The purpose of this study was to evaluate the effect of the Diabetes Self-Management Education for Older Koreans (DSME-OK) program based on the Information-Motivation-Behavioral skills (IMB) model. The unique characteristics of the DSME-OK program are the application of the IMB model and utilization of the intervention mapping (IM) protocol. The IMB model includes three important behavioral change resources: information, motivation, and behavioral skills. The IM protocol includes needs assessment, defining goals and objectives, identifying theory and determinants, developing a matrix to form change objectives, selecting strategies and methods, structuring the program, and planning for evaluation. Methods: A two-group, quasi-experimental study design was used to test the DSME-OK program with community-dwelling older adults in Korea. The DSME-OK program has 14 weekly 90-minute sessions. It has adopted seven behavior objectives developed by the American Association of Diabetes Educators as behavioral outcomes. Thirty older adults between 66 and 90 years old (mean 76.8 - 5.4) completed the entire research protocol and assessments at four time points. Changes in scores (from baseline to 14 weeks and 3- and 6-month follow-up) of outcome variables were compared between the intervention group (n = 15) and the control group (n = 15). Results: At 14 weeks, diabetes self-management motivation (p = 0.042) was higher in the DSME-OK program participants than usual care control subjects. At 3- and 6-month follow ups, diabetes self-management motivation (p = 0.022), self-efficacy (p = 0.004), and self-management knowledge (p = 0.039) were higher in the DSME-OK program participants than the controls. However, the groups did not significantly differ in A1C, lipids (triglycerides, total cholesterol, high-density lipoprotein cholesterol, and low-density lipoprotein cholesterol), and self-management behavior change scores. These variables were relatively similar between groups at baseline. Conclusion: This theory-based self-management program that focused on behavioral outcomes was effective for improving diabetes self-management information, motivation, and behavioral skills for older adults with diabetes. These results provide further evidence of the effectiveness of theory-based interventions for changing self-management behaviors. Further studies should attempt to replicate the current findings by using larger samples and longer time frames.
Keywords:
older adults; diabetes; self-management
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014 ; 17-Nov-2014
Other Identifiers:
INRC14PST209
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleA Diabetes Self-Management Education Program Based on the Information-Motivation-Behavioral Skills Model: Effects on Older Adults With Type 2 Diabetes in Koreaen
dc.contributor.authorChoi, Suyoungen
dc.contributor.authorSeo, Kyoungsanen
dc.contributor.authorSong, Mi Soonen
dc.contributor.authorLee, Soo Jinen
dc.contributor.authorKim, Se-anen
dc.contributor.departmentLambda Alpha-at-Largeen
dc.author.detailsSuyoung Choi, PhD, GNP, RN, petsera@snu.ac.kr; Kyoungsan Seo, RN, MSN; Misoon Song, RN, PhD; Soo Jin Lee, RN, MSN; Se-an Kim, RN, MSNen
dc.identifier.urihttp://hdl.handle.net/10755/335234-
dc.description.abstractSession presented on Sunday, July 27, 2014: Purpose: The purpose of this study was to evaluate the effect of the Diabetes Self-Management Education for Older Koreans (DSME-OK) program based on the Information-Motivation-Behavioral skills (IMB) model. The unique characteristics of the DSME-OK program are the application of the IMB model and utilization of the intervention mapping (IM) protocol. The IMB model includes three important behavioral change resources: information, motivation, and behavioral skills. The IM protocol includes needs assessment, defining goals and objectives, identifying theory and determinants, developing a matrix to form change objectives, selecting strategies and methods, structuring the program, and planning for evaluation. Methods: A two-group, quasi-experimental study design was used to test the DSME-OK program with community-dwelling older adults in Korea. The DSME-OK program has 14 weekly 90-minute sessions. It has adopted seven behavior objectives developed by the American Association of Diabetes Educators as behavioral outcomes. Thirty older adults between 66 and 90 years old (mean 76.8 - 5.4) completed the entire research protocol and assessments at four time points. Changes in scores (from baseline to 14 weeks and 3- and 6-month follow-up) of outcome variables were compared between the intervention group (n = 15) and the control group (n = 15). Results: At 14 weeks, diabetes self-management motivation (p = 0.042) was higher in the DSME-OK program participants than usual care control subjects. At 3- and 6-month follow ups, diabetes self-management motivation (p = 0.022), self-efficacy (p = 0.004), and self-management knowledge (p = 0.039) were higher in the DSME-OK program participants than the controls. However, the groups did not significantly differ in A1C, lipids (triglycerides, total cholesterol, high-density lipoprotein cholesterol, and low-density lipoprotein cholesterol), and self-management behavior change scores. These variables were relatively similar between groups at baseline. Conclusion: This theory-based self-management program that focused on behavioral outcomes was effective for improving diabetes self-management information, motivation, and behavioral skills for older adults with diabetes. These results provide further evidence of the effectiveness of theory-based interventions for changing self-management behaviors. Further studies should attempt to replicate the current findings by using larger samples and longer time frames.en
dc.subjectolder adultsen
dc.subjectdiabetesen
dc.subjectself-managementen
dc.date.available2014-11-17T13:47:33Z-
dc.date.issued2014-11-17-
dc.date.issued2014-11-17en
dc.date.accessioned2014-11-17T13:47:33Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
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