Implementing Key Drivers for Diabetes Self-Management Education and Support Programs: Early Outcomes, Activities, Facilitators, and Barriers

Morgan, Jennifer; Mensa-Wilmot, Yvonne; Bowen, Shelly‐Ann; Murphy, Monica; Bonner, Timethia; Rutledge, Stephanie; Rutledge, Gia E.

doi:10.5888/pcd15.170399

Cited by 14 publications

(10 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…45,54 Similarly, program content and teaching approaches also need to be culturally tailored and linguistically appropriate to adequately meet the needs of diverse groups. 53 Finally, the practical challenges such as transportation and scheduling required for program participation have to be addressed, particularly for those with limited financial means. Ignoring any of these considerations potentially widens existing disparities between majority groups and groups traditionally under-resourced with respect to access and quality of health care.…”

Section: Evidence For Adoption and Implementation In Health Care– And...mentioning

confidence: 99%

“…Working beyond individual clinics, the Centers for Disease Control and Prevention has sought to make general diabetes self-management education and support programs more accessible to all individuals diagnosed with diabetes. 53 Because individual clinics may not be able to provide sufficient self-management education, the Centers for Disease Control and Prevention coordinated with all 50 state health departments and the District of Columbia to expand access to education programs to community-based, nonclinical locations such as worksites or faith-based organizations. 53 The accessibility of these education programs outside of traditional clinical settings in more familiar community-based locations has been a key asset to referring and engaging more patients.…”

Section: Clinical Statements and Guidelinesmentioning

confidence: 99%

See 1 more Smart Citation

Health Behavior Change Programs in Primary Care and Community Practices for Cardiovascular Disease Prevention and Risk Factor Management Among Midlife and Older Adults: A Scientific Statement From the American Heart Association

Laddu¹,

Ma²,

Kaar³

et al. 2021

Circulation

View full text Add to dashboard Cite

Cardiovascular disease predominates as the leading health burden among middle-aged and older American adults, but progress in improving cardiovascular health remains slow. Comprehensive, evidenced-based behavioral counseling interventions in primary care are a recommended first-line approach for promoting healthy behaviors and preventing poor cardiovascular disease outcomes in adults with cardiovascular risk factors. Assisting patients to adopt and achieve their health promotion goals and arranging follow-up support are critical tenets of the 5A Model for behavior counseling in primary care. These 2 steps in behavior counseling are considered essential to effectively promote meaningful and lasting behavior change for primary cardiovascular disease prevention. However, adoption and implementation of behavioral counseling interventions in clinical settings can be challenging. The purpose of this scientific statement from the American Heart Association is to guide primary health care professional efforts to offer or refer patients for behavioral counseling, beyond what can be done during brief and infrequent office visits. This scientific statement presents evidence of effective behavioral intervention programs that are feasible for adoption in primary care settings for cardiovascular disease prevention and risk management in middle-aged and older adults. Furthermore, examples are provided of resources available to facilitate the widespread adoption and implementation of behavioral intervention programs in primary care or community-based settings and practical approaches to appropriately engage and refer patients to these programs. In addition, current national models that influence translation of evidence-based behavioral counseling in primary care and community settings are described. Finally, this scientific statement highlights opportunities to enhance the delivery of equitable and preventive care that prioritizes effective behavioral counseling of patients with varying levels of cardiovascular disease risk.

show abstract

Section: Evidence For Adoption and Implementation In Health Care– And...mentioning

confidence: 99%

Section: Clinical Statements and Guidelinesmentioning

confidence: 99%

Health Behavior Change Programs in Primary Care and Community Practices for Cardiovascular Disease Prevention and Risk Factor Management Among Midlife and Older Adults: A Scientific Statement From the American Heart Association

Laddu¹,

Ma²,

Kaar³

et al. 2021

Circulation

View full text Add to dashboard Cite

show abstract

“…This individualized process aims to consider the goals and life experiences of patients while helping them make behavioral changes to support diabetes self-care (Powers et al, 2016). DSMES programs are accredited by either American Diabetes Association (Uhlig et al, 2012) or the American Association of Diabetes Educators (AADE) (Morgan et al, 2018). The NDPP is a structured lifestyle change program that has been shown to prevent or delay type 2 diabetes among people at high risk (Knowler et al, 2002; Ritchie et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

“…Several evidence-based strategies have been developed to improve diabetes and heart disease outcomes, including Diabetes Self-Management Education and Support (DSMES) programs, the National Diabetes Prevention Program (NDPP), medication therapy management (MTM), and self-measured blood pressure monitoring (SMBP). DSMES programs help connect patients with diabetes to community-based clinical services (Morgan et al, 2018). This individualized process aims to consider the goals and life experiences of patients while helping them make behavioral changes to support diabetes self-care (Powers et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Assessment of Chronic Disease Management Strategies Among Health Care Practices in Medically Underserved South Carolina Counties

et al. 2021

View full text Add to dashboard Cite

Diabetes and heart disease are among the leading causes of death and disability in the United States, and these conditions are especially prevalent in the South. South Carolina’s persistent racial and socioeconomic disparities in chronic disease outcomes are well-documented, yet little is known about how health care practices in medically underserved areas are addressing these challenges. Data were collected through a cross-sectional survey as part of two complementary 5-year cooperative agreements between the Centers for Disease Control and Prevention and the Division of Diabetes and Heart Disease Management (the Division) at the South Carolina Department of Health and Environmental Control. The Division fielded a survey to (a) assist in determining which Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) were best poised to implement specific strategies as part of these cooperative agreements and (b) provide data to establish the baseline for performance measures. FQHCs and RHCs in the top 25% of counties with the highest diabetes and heart disease burden were surveyed about eight domains: staffing/services, electronic health records, team-based care policies, lifestyle change programs, medication therapy management, telehealth, quality improvement collaboratives, and patient demographics. Data representing 71 practices revealed contrasts between RHCs and FQHCs and opportunities for improvement. For example, while most practices reported they were not implementing evidence-based lifestyle change programs (e.g., the National Diabetes Prevention Program), most RHCs and FQHCs expressed interest in starting such programs. Findings are being used to guide efforts to improve diabetes and heart disease prevention and management in South Carolina.

show abstract

“…Morgan et al describe activities state health departments implemented to increase referrals to, coverage for, and availability of diabetes self-management education and support (DSMES) programs ( 20 ). By year 3 of SPHA-1305, more than 3,000 DSME programs had been established in 41 states.…”

mentioning

confidence: 99%

Coordinated Approaches to Strengthen State and Local Public Health Actions to Prevent Obesity, Diabetes, and Heart Disease and Stroke

et al. 2018

View full text Add to dashboard Cite

Implementing Key Drivers for Diabetes Self-Management Education and Support Programs: Early Outcomes, Activities, Facilitators, and Barriers

Cited by 14 publications

References 10 publications

Health Behavior Change Programs in Primary Care and Community Practices for Cardiovascular Disease Prevention and Risk Factor Management Among Midlife and Older Adults: A Scientific Statement From the American Heart Association

Health Behavior Change Programs in Primary Care and Community Practices for Cardiovascular Disease Prevention and Risk Factor Management Among Midlife and Older Adults: A Scientific Statement From the American Heart Association

Assessment of Chronic Disease Management Strategies Among Health Care Practices in Medically Underserved South Carolina Counties

Coordinated Approaches to Strengthen State and Local Public Health Actions to Prevent Obesity, Diabetes, and Heart Disease and Stroke

Contact Info

Product

Resources

About