Diabetes Educator最新文献_第7页

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IF 3.9

Diabetes Educator Pub Date : 2019-12-01 DOI: 10.1177/0145721719886573

引用次数: 0

Review: Post-Intensive Care Syndrome: Unique Challenges in the Neurointensive Care Unit. 回顾：重症监护后综合征：神经重症监护病房的独特挑战。

IF 3.5

Diabetes Educator Pub Date : 2019-12-01 DOI: 10.1007/s12028-019-00826-0

Jamie Nicole LaBuzetta, Jonathan Rosand, Ana-Maria Vranceanu

{"title":"Review: Post-Intensive Care Syndrome: Unique Challenges in the Neurointensive Care Unit.","authors":"Jamie Nicole LaBuzetta, Jonathan Rosand, Ana-Maria Vranceanu","doi":"10.1007/s12028-019-00826-0","DOIUrl":"10.1007/s12028-019-00826-0","url":null,"abstract":"<p><p>Within the last couple of decades, advances in critical care medicine have led to increased survival of critically ill patients, as well as the discovery of notable, long-term health challenges in survivors and their loved ones. The terms post-intensive care syndrome (PICS) and PICS-family (PICS-F) have been used in non-neurocritical care populations to characterize the cognitive, psychiatric, and physical sequelae associated with critical care hospitalization in survivors and their informal caregivers (e.g., family and friends who provide unpaid care). In this review, we first summarize the literature on the cognitive, psychiatric, and physical correlates of PICS and PICS-F in non-neurocritical patient populations and draw attention to their long-term negative health consequences. Next, keeping in mind the distinction between disease-related neurocognitive changes and those that are associated directly with the experience of a critical illness, we review the neuropsychological sequelae among patients with common neurocritical illnesses. We acknowledge the clinical factors contributing to the difficulty in studying PICS in the neurocritical care patient population, provide recommendations for future lines of research, and encourage collaboration among critical care physicians in all specialties to facilitate continuity of care and to help elucidate mechanism(s) of PICS and PICS-F in all critical illness survivors. Finally, we discuss the importance of early detection of PICS and PICS-F as an opportunity for multidisciplinary interventions to prevent and treat new neuropsychological deficits in the neurocritical care population.</p>","PeriodicalId":50584,"journal":{"name":"Diabetes Educator","volume":"28 1","pages":"534-545"},"PeriodicalIF":3.5,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7007600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87133214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluating the Validity of the Risk Perception Survey for Developing Diabetes Scale in a Safety-Net Clinic Population of English and Spanish Speakers 在英语和西班牙语人群的临床安全网人群中评估发展中糖尿病风险认知调查量表的有效性

IF 3.9

Diabetes Educator Pub Date : 2019-11-20 DOI: 10.1177/0145721719889068

C. Rochefort, Austin S. Baldwin, Jasmin A. Tiro, M. Bowen

{"title":"Evaluating the Validity of the Risk Perception Survey for Developing Diabetes Scale in a Safety-Net Clinic Population of English and Spanish Speakers","authors":"C. Rochefort, Austin S. Baldwin, Jasmin A. Tiro, M. Bowen","doi":"10.1177/0145721719889068","DOIUrl":"https://doi.org/10.1177/0145721719889068","url":null,"abstract":"Purpose The purpose of this study is to examine the factor structure of the Risk Perception Survey for Developing Diabetes (RPS-DD) and test for factorial invariance by language (English, Spanish) and gender (males, females) in a clinically engaged, racially diverse, low-education population. Methods Adult patients seen in a safety-net health system (N = 641) answered an interviewer-administered survey via telephone in their preferred language (English: 42%, Spanish: 58%). Three constructs in the RPS-DD were assessed—personal control (2 items for internal control and 2 for external control), optimistic bias (2 items), and worry (2 items). Single and multigroup confirmatory factor analyses (CFAs) were performed using maximum-likelihood estimation to determine the factor structure and test for invariance. Results Contrary to previous psychometric analyses in white, educated populations, CFAs supported a 4-factor measurement model with internal and external control items loading onto separate factors. The 4-factor structure was equivalent between males and females. However, the structure varied by language, with the worry subscale items loading more strongly for English than Spanish speakers. Conclusions The RPS-DD can be used to investigate group differences across gender and language and to help understand if interventions have differential effects for subgroups at high risk for diabetes. Given the increasing prevalence of diabetes among Spanish speakers, researchers should continue to examine the psychometric properties of the RPS-DD, particularly the worry subscale, to improve its validity and clinical utility.","PeriodicalId":50584,"journal":{"name":"Diabetes Educator","volume":"46 1","pages":"73 - 82"},"PeriodicalIF":3.9,"publicationDate":"2019-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0145721719889068","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46822944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Individuals With Type 2 Diabetes: An Exploratory Study of Their Experience of Family Relationships and Coping With the Illness 2型糖尿病患者家庭关系和疾病应对经验的探索性研究

IF 3.9

Diabetes Educator Pub Date : 2019-11-15 DOI: 10.1177/0145721719888625

O. Peleg, E. Hadar, Ami Cohen

{"title":"Individuals With Type 2 Diabetes: An Exploratory Study of Their Experience of Family Relationships and Coping With the Illness","authors":"O. Peleg, E. Hadar, Ami Cohen","doi":"10.1177/0145721719888625","DOIUrl":"https://doi.org/10.1177/0145721719888625","url":null,"abstract":"Purpose The purpose of this qualitative study is to explore familial patterns that may be related to type 2 diabetes (T2DM) and to patients’ ways of coping with the illness. Methods A purposive sample of 32 Israeli Jewish (n = 12) and Arab (n = 20) individuals with T2DM were recruited from a community population and interviewed about their familial experiences and their illness. Interview data were analyzed using Colaizzi’s phenomenological method. Results Many participants, particularly from the Arab society, reported familial patterns that suggest fused relationships and emotional cutoff. They described highly close and positive family relationships, on one hand, but demonstrated unwillingness to share their difficulties with their family members, on the other hand. Precipitating stressful or traumatic events and day-to-day stress appeared as leading perceived causes of the illness. Maintaining an appropriate lifestyle, stress reduction, and family support were the main coping strategies with the illness. Conclusions The findings suggest a possible avenue in which fusion with family members and inability to attenuate emotional distress by sharing difficulties with others may contribute to the development of T2DM. Assessment of such family dynamics and ways of coping with stress could lead to more appropriately nuanced treatment for individuals with T2DM and prediabetes.","PeriodicalId":50584,"journal":{"name":"Diabetes Educator","volume":"46 1","pages":"83 - 93"},"PeriodicalIF":3.9,"publicationDate":"2019-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0145721719888625","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47857958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Barriers to Weight Loss and Physical Activity, and Coach Approaches to Addressing Barriers, in a Real-World Adaptation of the DPP Lifestyle Intervention: A Process Analysis 减肥和体育活动的障碍，以及教练解决障碍的方法，在现实世界中适应DPP生活方式干预：过程分析

IF 3.9

Diabetes Educator Pub Date : 2019-11-04 DOI: 10.1177/0145721719883615

L. Delahanty, P. Trief, D. Cibula, R. Weinstock

{"title":"Barriers to Weight Loss and Physical Activity, and Coach Approaches to Addressing Barriers, in a Real-World Adaptation of the DPP Lifestyle Intervention: A Process Analysis","authors":"L. Delahanty, P. Trief, D. Cibula, R. Weinstock","doi":"10.1177/0145721719883615","DOIUrl":"https://doi.org/10.1177/0145721719883615","url":null,"abstract":"Purpose The purpose of this study is to identify barriers to weight loss and physical activity, as well as approaches used by coaches, in a real-world, community sample of adults with metabolic syndrome (at risk for type 2 diabetes) who participated in a Diabetes Prevention Program (DPP)–adapted weight loss intervention and compare findings to data from the screened and highly selected DPP sample. Methods SHINE (Support, Health Information, Nutrition, and Exercise) was a telephonic DPP adaptation. Primary care staff delivered the DPP curriculum, and lifestyle coaches provided monthly direction to achieve weight loss. For this substudy, barriers to weight loss and physical activity described by participants, as well as approaches coaches used to address them, were gathered. Groupings of barriers (DPP defined) were analyzed in relation to demographic characteristics and compared to data from the DPP sample. Results Top weight loss barriers were problems with self-monitoring, too little physical activity, internal thought/mood cues, vacation/holidays, and social cues. Percentages reporting a barrier were much higher in SHINE. Top physical activity barriers were problems with self-monitoring, access/weather, time management, aches/pains, and vacation/holidays. These did not correspond closely to DPP data. Coaches used problem solving, self-monitoring skills review, increased physical activity, and motivational strategies. SHINE coaches were more likely than DPP coaches to use alternative approaches. Conclusions Barriers to weight loss and physical activity in a community sample of persons at risk for diabetes occurred at much higher rates than in the highly screened DPP sample. Training coaches in a variety of patient-centered approaches may maximize their positive impact.","PeriodicalId":50584,"journal":{"name":"Diabetes Educator","volume":"45 1","pages":"596 - 606"},"PeriodicalIF":3.9,"publicationDate":"2019-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0145721719883615","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48746854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 13

A Couples-Based Approach for Increasing Physical Activity Among Adults With Type 2 Diabetes: A Pilot Feasibility Randomized Controlled Trial 增加成人2型糖尿病患者身体活动的一种基于夫妻的方法:一项试点可行性随机对照试验

IF 3.9

Diabetes Educator Pub Date : 2019-10-16 DOI: 10.1177/0145721719881722

Jennalee S. Wooldridge, K. Ranby, S. Roberts, A. Huebschmann

{"title":"A Couples-Based Approach for Increasing Physical Activity Among Adults With Type 2 Diabetes: A Pilot Feasibility Randomized Controlled Trial","authors":"Jennalee S. Wooldridge, K. Ranby, S. Roberts, A. Huebschmann","doi":"10.1177/0145721719881722","DOIUrl":"https://doi.org/10.1177/0145721719881722","url":null,"abstract":"Purpose The purpose of the study was to examine feasibility outcomes and obtain initial efficacy data on an intervention testing collaborative implementation intentions (IIs) for physical activity (PA) among participants with type 2 diabetes. Methods The study used a pilot randomized design and enrolled people with diabetes (PWD) and their partners (N = 40 couples, 80 individuals). PWD reported psychosocial measures, including self-efficacy for PA, diabetes partner investment in diabetes self-management, and PA-related social support. Accelerometers (objective) and the International Physical Activity Questionnaire (self-report) were used to assess PA. Results Participants in both experimental conditions reported being satisfied with the intervention and highly committed to their PA plans. Participants were able to follow instructions and completed the intervention in less than 30 minutes. Participants in the collaborative IIs condition reported a greater increase in PA-related social support (partial 2 = .185, P < .05) and self-reported recreational PA (partial 2 = .210, P < .05) at 6 weeks compared to the other 2 conditions. In this pilot study, there were no significant group differences on other psychosocial outcomes or for objective PA; however, time in light PA trended higher for the collaborative IIs condition compared to the other 2 conditions (partial 2 = .237, P = .056). Conclusions This study provides initial support for collaborative IIs for PA with PWD and their partners. This brief intervention was feasible and highly acceptable, and it may improve relationship dynamics around PA as well as ultimately increase PA.","PeriodicalId":50584,"journal":{"name":"Diabetes Educator","volume":"45 1","pages":"629 - 641"},"PeriodicalIF":3.9,"publicationDate":"2019-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0145721719881722","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42827363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 13

The Role and Value of Ongoing and Peer Support in Diabetes Care and Education 持续和同伴支持在糖尿病护理和教育中的作用和价值

IF 3.9

Diabetes Educator Pub Date : 2019-10-16 DOI: 10.1177/0145721719882007

H. Warshaw, L. Hodgson, Mark Heyman, Tamara K. Oser, Heather R. Walker, Phyllisa Deroze, Joanne Rinker, Michelle L. Litchman

{"title":"The Role and Value of Ongoing and Peer Support in Diabetes Care and Education","authors":"H. Warshaw, L. Hodgson, Mark Heyman, Tamara K. Oser, Heather R. Walker, Phyllisa Deroze, Joanne Rinker, Michelle L. Litchman","doi":"10.1177/0145721719882007","DOIUrl":"https://doi.org/10.1177/0145721719882007","url":null,"abstract":"Purpose Increasing attention is being given to the challenges and emotional toll of managing diabetes. This Perspectives in Practice details the specialty’s guiding documents for initial and ongoing support. It also defines various types of social support, including peer support, for optimal diabetes care. Focusing on peer support, this paper provides a review of the body of evidence demonstrating the value of peer support to improve clinical and behavioral outcomes. To achieve positive outcomes, it is optimal for people with diabetes to have access to ongoing support from their health care provider, including diabetes care and education specialists. They should also be made aware of, and given referral to options and opportunities for peer support. This Perspectives in Practice concludes with a call to action for diabetes care and education specialists to deliver to integrate and promote the value of peer support in the care they provide. Conclusion Managing diabetes during the stages and ages of life is chronically challenging and complex. Various types of support offered by health care providers, including diabetes care and education specialists and others in the person’s social support milieu, can positively affect emotional well-being. Health care providers should routinely assess their client’s social supports and refer the person with diabetes and/or their caregivers to evidence-based types of peer support mutually determined to be of most value. Diabetes care and education specialists should increase their awareness of opportunities to integrate the value of and referral to peer support in their counseling and to gain greater insight into the diabetes-lived experience.","PeriodicalId":50584,"journal":{"name":"Diabetes Educator","volume":"45 1","pages":"569 - 579"},"PeriodicalIF":3.9,"publicationDate":"2019-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0145721719882007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43893012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 15

Empowering Diabetes Self-Management Through Technology and Nurse Health Coaching 通过技术和护士健康指导增强糖尿病自我管理能力

IF 3.9

Diabetes Educator Pub Date : 2019-10-14 DOI: 10.1177/0145721719879421

S. Miyamoto, Stuart Henderson, Sarina Fazio, B. Saconi, Elizabeth Thiede, Deborah A. Greenwood, H. Young

引用次数: 13

Insights Into Veterans’ Perspectives on a Peer Support Program for Glycemic Management 退伍军人对同伴支持血糖管理项目的看法

IF 3.9

Diabetes Educator Pub Date : 2019-10-09 DOI: 10.1177/0145721719879417

Briana Lott, T. Dicks, S. Keddem, Valerie S. Ganetsky, J. Shea, Judith A. Long

{"title":"Insights Into Veterans’ Perspectives on a Peer Support Program for Glycemic Management","authors":"Briana Lott, T. Dicks, S. Keddem, Valerie S. Ganetsky, J. Shea, Judith A. Long","doi":"10.1177/0145721719879417","DOIUrl":"https://doi.org/10.1177/0145721719879417","url":null,"abstract":"Purpose The purpose of this study was to explore the mentor-mentee relationship in veterans with type 2 diabetes and gain insight into successful pairings. Methods Qualitative semistructured interviews were conducted as part of a peer mentoring randomized controlled trial to understand participants’ experiences, their relationship with their partner, and how the intervention affected self-care behaviors. Purposive sampling was done to ensure adequate representation of mentees who made large strides in reaching their glycemic targets, those who made marginal improvements toward their glycemic goals, and those who got worse. All interviews were audio-recorded, transcribed, and analyzed for salient themes. Results The intervention was well received, with most participants describing it as valuable. Participants perceived the intervention to have a number of benefits, including accessible support, enhanced self-confidence, increased accountability, better self-efficacy, improved glycemic management, and a fulfilled sense of altruism. Participants did encounter barriers, including logistical, interpersonal, and individual obstacles. The more successful mentees tended to be more effusive in their description of their mentors, endorsed a stronger sense of connection to their mentor, described a more structured interaction with their mentor, and tended to be more complimentary of the intervention. Conclusions Large peer support programs are appealing and well received. These programs can be optimized by selecting naturally inclined mentors, providing additional training to introduce more structure into mentorship interactions, and targeting mentees who are not struggling with overwhelming comorbidities.","PeriodicalId":50584,"journal":{"name":"Diabetes Educator","volume":"45 1","pages":"607 - 615"},"PeriodicalIF":3.9,"publicationDate":"2019-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0145721719879417","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43702685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

A Coordinated Population Health Approach to Diabetes Education in Primary Care 在初级保健中协调糖尿病教育的人口健康方法

IF 3.9

Diabetes Educator Pub Date : 2019-10-03 DOI: 10.1177/0145721719879427

Margaret F. Zupa, V. Arena, Patricia A. Johnson, Margaret Thearle, L. Siminerio

{"title":"A Coordinated Population Health Approach to Diabetes Education in Primary Care","authors":"Margaret F. Zupa, V. Arena, Patricia A. Johnson, Margaret Thearle, L. Siminerio","doi":"10.1177/0145721719879427","DOIUrl":"https://doi.org/10.1177/0145721719879427","url":null,"abstract":"Purpose The purpose of this feasibility study was to determine the effectiveness of an insurer-based diabetes educator (DE)–driven intervention that relies on systematic restructuring of primary care (PC) linking DE services through population health, practice redesign, and coordinated care for patients with diabetes mellitus (DM) identified as high risk. Methods Two DEs were introduced as members of PC teams and worked with practice-based care managers (PBCMs) to identify and refer DM patients considered at high risk, A1C >9%, DM-related emergency room visit or hospitalization, or reported barriers to care. Elements shown to ensure quality, including population management, diabetes self-management education and support (DSMES), and coordinated patient-centered team-based PC, were central to intervention. A1C, low-density lipoprotein (LDL), and body mass index (BMI) were collected at baseline and outcomes were followed at 3, 6, 9, and 12 months after intervention. Results For patients who received intervention, A1C decreased on average 1.2% (95% confidence interval [CI], 0.8-1.5) from 9.6% (81 mmol/mol) to 8.4% (68 mmol/mol) over 6 months and by 1.1% (95% CI, 0.7-1.5) from 9.2% (77 mmol/mol) to 8.1% (65 mmol/mol) over 12 months, indicating durable improvement in glycemic control. There was no significant change in BMI, and LDL improvement observed at 9 months was lost by 12-month follow-up. Conclusion Findings support the feasibility of a DE-driven intervention for patients with DM at high risk through a coordinated PC approach that improves glycemic control. The feasibility and clinical outcome of this model warrant consideration of a fresh role for DEs in the complex environment of value-based care.","PeriodicalId":50584,"journal":{"name":"Diabetes Educator","volume":"45 1","pages":"580 - 585"},"PeriodicalIF":3.9,"publicationDate":"2019-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0145721719879427","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43460866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1