Empowering Diabetes Self-Management Through Technology and Nurse Health Coaching

Abstract

Purpose This research explores the impact of mobile health (mHealth) technology and nurse health coaching on views of diabetes self-management (DSM) for persons living with diabetes. Methods Three focus groups (N = 24) were conducted with individuals living with type 2 diabetes who participated in a nurse health coaching and mHealth technology intervention study. Qualitative thematic analysis was used to identify overarching themes in each group. Results Major themes identified following intervention participation included enhanced perspectives about living with diabetes, increased awareness of how health behaviors influence DSM, improved support, and increased ownership of DSM. Conclusions The themes identified suggest that the mHealth technology and health coaching intervention together may have had an empowering effect on participants’ DSM. These results suggest that providing nurse health coaching with mHealth technology may help individuals ameliorate some of the challenges of living with and managing diabetes.

Under COVID-19 Pandemic: A Quasi-Experimental Trial of Observation on Diabetes Patients' Health Behavior Affected by the Pandemic From a Coaching Intervention Program

“…Health coaching may effectively strengthen communication between doctors and patients, and at the same time strengthen sociopsychological support (32,33). Of course, it may also help patients reduce unnecessary or excessive risk perception, strengthen their sense of responsibility of self-management, and encourage patients to regular visit the hospital for normal followups to track diabetes and maintain appropriate healthy living habits according to the recommendations of the doctor (34,35). Because of the lockdown and preventive measures, people's lifestyle and daily habits have changed.…”

Use of Virtual Care for Glycemic Management in People With Types 1 and 2 Diabetes and Diabetes in Pregnancy: A Rapid Review

“…As identified by others (75), patients found virtual care acceptable and accessible, reducing time for travel and lost work (54). People with diabetes particularly liked the safety net provided by virtual monitoring of their health data and some studies reported increased motivation, knowledge of diabetes and uptake of self-care activities (12,48,53,58). However, in one study, patients indicated that face-to-face visits engendered greater motivation (52).…”

“…Patient experience: General assessments indicated a high level of satisfaction (32,34,36,38,40,47,54). Emergent themes included increased patient awareness (12,38,53), motivation (12,53) and accountability (39,53); positive behavioural changes (48); and a sense of security that the HCP was regularly monitoring their data (12,18,38,48,54,58) and providing feedback (22). Depending on the devices studied, participants had varying experiences regarding ease of use and reliability (18,46,52,58) and contacting the HCP (22,58), and some found interpreting their own data challenging (18), especially initially (27).…”

Utilização de Coaching por Enfermeiros na prática profissional: revisão integrativa

“…Quanto ao cargo ou função do enfermeiro que utilizou Coaching, identifica-se em 48% dos artigos (n=16) enfermeiros assistenciais (Sullivan, et al, 2019;Rahn, et al, 2018;Petursdottir, et al, 2019;Hazard, et al, 2018;Berger-Höger, Liethmann, Mühlhauser & Steckelberg, 2017;Early, et al, 2017;Sherry, et al, 2017;Gray-Miceli, et al, 2017;Cooper & Zimmerman, 2016;Janice, Karen, Justine, Sonya & Genevieve, 2015;Bakitas, et al, 2015), 27% (n=8) o enfermeiro pesquisador (Rocha, et al, 2019;Tweedie, et al, 2019;Miyamoto, et al, 2019;Petursdottir, et al, 2019;Berry, et al, 2015), 6% (n=2) de enfermeiros gerentes (Hazard, et al, 2018;, 6% (n=2) de enfermeiros externos (Ouden, et al, 2019;Nyamathi, et al, 2015) e 6% (n=2) enfermeiros de prática avançada Dionne-Odom, et al, 2015), e enfermeiro docente (Ubolrat, et al, 2015) e enfermeiro intervencionista em 3% (n=1) dos artigos.…”

“…Quanto ao tipo de treinamento dos enfermeiros no papel de coach, 36% (n=12) dos artigos não descrevem (Piamjariyakul, et al, 2019;Petty & Lingham, 2019;Noh & Kim, 2019;Petursdottir, et al, 2019;Sherry, et al, 2017;Westland, et al, 2017;Ubolrat, et al, 2015;Berry, et al, 2015;Nyamathi, et al, 2015), 30% (n=10) sinalizam oficinas, workshops, cursos ou treinamentos com textos e vídeos (Tweedie, et al, 2019;Rahn, et al, 2018;Zhang, et al, 2017;Gray-Miceli, et al, 2017;Cooper & Zimmerman, 2016;Janice, et al, 2015;Thoonsen, et al, 2015;Bakitas, et al, 2015;Dionne-Odom, et al, 2015) e 27% (n=9) artigos informa treinamento na ferramenta, técnica ou protocolo aplicado (Sullivan, et al, 2019;Ouden, et al, 2019;Hazard, et al, 2018;Berger-Höger, et al, 2017;Early, et al, 2017; e 6% (n=2) sinalizam formação certificada em Coaching (Rocha, et al, 2019;Miyamoto, et al, 2019).…”