Improving Glycemic Control among Incarcerated Men: A Health Promotion Model

2.50
Hdl Handle:
http://hdl.handle.net/10755/602977
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Improving Glycemic Control among Incarcerated Men: A Health Promotion Model
Other Titles:
Promoting Health for Patients with Diabetes [Session]
Author(s):
Ranson, Paula Kelly
Lead Author STTI Affiliation:
Xi Theta
Author Details:
Paula Kelly Ranson, RN, PHN, CCHP, paula.ranson@cdcr.ca.gov
Abstract:
Session presented on Saturday, November 7, 2015: Abstract Statement of Problem In California’s state prison system, diabetic inmates are fed the same diet as the rest of the prison population, and many have poor blood glucose control. A current program allows certain inmates to carry glucometers and testing supplies and to test their blood sugar but improvements in glycemic control have been modest. This innovation sought to learn if improved health literacy would result in a reduction in HbA1c in an environment in which no variables such as dietary changes or other rewards were offered.  Methodology Utilizing the Health Promotion Model as a framework that includes nursing and behavioral science perspectives, nursing-led education which was supported by other disciplines aimed to improve health literacy. Diabetic inmates who expressed a desire to participate were permitted to carry a glucometer and supplies and were given individualized diabetes education. During scheduled appointments, medical and mental health care providers reinforced information and a dietician was available to help the patient learn more about the meals that were provided to him. Participants were re-assessed for improvements in HbA1c at least every 6 months. Description of Innovation Evidence and theory-based strategies were incorporated into the intervention. Research indicates that individuals who are involved in their health care decisions are more likely to take action and make a behavior change; therefore the intervention was aimed at increasing autonomy and participatory behavior. Because research has also shown that self-monitoring strategies increase compliance with goals of glycemic control, inmates were encouraged to test their blood sugar as desired and to keep a record for review. Evidence indicates that social support is a strong predictor of success with changing behavior; therefore a collaborative team acknowledged and encouraged the patient’s effort. Implications for Research Further study is needed to develop interventions specifically designed for incarcerated diabetics. Poor health literacy, depression and lack of autonomy may be barriers to glycemic control for incarcerated diabetics. Peer and organizational support, a self-testing program and education may improve glycemic control.
Keywords:
Diabetic; Inmate
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15A02
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titleImproving Glycemic Control among Incarcerated Men: A Health Promotion Modelen
dc.title.alternativePromoting Health for Patients with Diabetes [Session]en
dc.contributor.authorRanson, Paula Kellyen
dc.contributor.departmentXi Thetaen
dc.author.detailsPaula Kelly Ranson, RN, PHN, CCHP, paula.ranson@cdcr.ca.goven
dc.identifier.urihttp://hdl.handle.net/10755/602977en
dc.description.abstractSession presented on Saturday, November 7, 2015: Abstract Statement of Problem In California’s state prison system, diabetic inmates are fed the same diet as the rest of the prison population, and many have poor blood glucose control. A current program allows certain inmates to carry glucometers and testing supplies and to test their blood sugar but improvements in glycemic control have been modest. This innovation sought to learn if improved health literacy would result in a reduction in HbA1c in an environment in which no variables such as dietary changes or other rewards were offered.  Methodology Utilizing the Health Promotion Model as a framework that includes nursing and behavioral science perspectives, nursing-led education which was supported by other disciplines aimed to improve health literacy. Diabetic inmates who expressed a desire to participate were permitted to carry a glucometer and supplies and were given individualized diabetes education. During scheduled appointments, medical and mental health care providers reinforced information and a dietician was available to help the patient learn more about the meals that were provided to him. Participants were re-assessed for improvements in HbA1c at least every 6 months. Description of Innovation Evidence and theory-based strategies were incorporated into the intervention. Research indicates that individuals who are involved in their health care decisions are more likely to take action and make a behavior change; therefore the intervention was aimed at increasing autonomy and participatory behavior. Because research has also shown that self-monitoring strategies increase compliance with goals of glycemic control, inmates were encouraged to test their blood sugar as desired and to keep a record for review. Evidence indicates that social support is a strong predictor of success with changing behavior; therefore a collaborative team acknowledged and encouraged the patient’s effort. Implications for Research Further study is needed to develop interventions specifically designed for incarcerated diabetics. Poor health literacy, depression and lack of autonomy may be barriers to glycemic control for incarcerated diabetics. Peer and organizational support, a self-testing program and education may improve glycemic control.en
dc.subjectDiabeticen
dc.subjectInmateen
dc.date.available2016-03-21T16:40:42Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:40:42Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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