Developmental Process of Disease Management Program of Type 2 Diabetes with a View to Acquiring Self-Management Skills: Effects of the Trial Implementation

Takami, Chiyoko; Moriyama, Michiko; Nakano, Masumi; Kuroe, Yuriko; Nin, Kazuko; Morikawa, Hiroko; Hasegawa, Tomonori; Hayashi, Shizuko

doi:10.5630/jans.28.3_59

Cited by 6 publications

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“…Before this motion, we put into practice a new model that provided chronic disease care based on the disease management methodology in Japan. These programs were effective at preventing disease progression in patients with chronic illnesses and may contribute to the containment of medical costs [5]- [11]. Disease management was an outcome management method that was proposed early by the Disease Management Association of America, in order to properly allocate limited medical resources and provide high-quality healthcare with containing medical expense [12].…”

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confidence: 99%

Efficacy and Usability of an E-Learning Program for Fostering Qualified Disease Management Nurses

Kazawa¹,

Moriyama²,

Oka³

et al. 2015

Health

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In order to train nurses to perform disease management and telenursing, we developed an elearning education program, and assessed the efficacy. A single-group pre-test and post-test design was used. Nurses who worked at a medical institution or a disease management company were included, and the duration of the program was set 2 months. We developed the program so that it could grow attitude and improve knowledge and skills in disease management and patient education. Of 55 subjects, 48 who completed the program were analyzed. After the program, subjects increased knowledge and interests in disease management and patient education. Almost of the subjects answered that e-learning was a good learning method. Our program was effective at enhancing subject's interests in disease management and patient education, and considered to improve their skills in the future.

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Section: Introductionmentioning

confidence: 99%

Efficacy and Usability of an E-Learning Program for Fostering Qualified Disease Management Nurses

Kazawa¹,

Moriyama²,

Oka³

et al. 2015

Health

Self Cite

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Effectiveness of an educational intervention (the Encourage Autonomous Self-Enrichment Program) in patients with chronic kidney disease: A randomized controlled trial

Joboshi

Oka

2017

International Journal of Nursing Studies

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Efficacy of a self‐management education program for people with type 2 diabetes: Results of a 12 month trial

Moriyama

Nakano

Kuroe

et al. 2009

Japan Journal Nursing Sci

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Aim: Patient education that enhances one's self-management ability is of utmost importance for improving patient outcomes in chronic diseases. We developed a 12 month self-management education program for type 2 diabetes, based on a previous 6 month program, and examined its efficacy. Methods: A randomized controlled trial was carried out on outpatients with type 2 diabetes from two hospitals who met the criteria and gave consent to participate. They were randomly divided into an intervention group that followed the program and a control group that followed usual clinical practise. The intervention group received <30 min of monthly interviews based on the program's textbook and biweekly telephone calls from a nurse educator throughout the 12 months. Results: Of the 50 participants in the intervention group and the 25 participants in the control group, 42 and 23, respectively, completed the program (a completion rate of 84.0%). The body weight, HbA1c, self-efficacy, dietary and exercise stages, quality of life, diastolic blood pressure, and total cholesterol level were significant by two-way repeated-measures anova. As for changes over time within the groups, only the intervention group showed significant differences by Friedman's test. The complication prevention behaviors showed a high implementation rate in the intervention group. The overall evaluation of this program by the participants was very high and, therefore, they highly recognized the need for this type of program. Conclusions: Self-management education works successfully in relation to patients' behavior modification skills, degree of goal attainment, and self-efficacy, consequently improving their health outcomes.

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Developmental Process of Disease Management Program of Type 2 Diabetes with a View to Acquiring Self-Management Skills: Effects of the Trial Implementation

Cited by 6 publications

References 0 publications

Efficacy and Usability of an E-Learning Program for Fostering Qualified Disease Management Nurses

Efficacy and Usability of an E-Learning Program for Fostering Qualified Disease Management Nurses

Effectiveness of an educational intervention (the Encourage Autonomous Self-Enrichment Program) in patients with chronic kidney disease: A randomized controlled trial

Efficacy of a self‐management education program for people with type 2 diabetes: Results of a 12 month trial

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