More than A1C: Types of success among adults with type-2 diabetes participating in a technology-enabled nurse coaching intervention.
Patient Educ Couns
; 102(1): 106-112, 2019 01.
Article
en En
| MEDLINE
| ID: mdl-30172572
ABSTRACT
OBJECTIVE:
Success in diabetes research and self-management is often defined as a significant decrease in glycated hemoglobin (A1C). The aim of this article is to explore different types of successes experienced by adults with type-2 diabetes participating in a health technology and nurse coaching clinical trial.METHODS:
A qualitative analysis was conducted using surveys and documentation from motivational interview-based coaching sessions between study nurses and intervention participants.RESULTS:
Of the 132 cases reviewed, types of success predominantly fell into five categories 1) change in health behaviors; 2) change in mindset or awareness; 3) change in engagement with healthcare resources; 4) change in physical or emotional health; and 5) change in health indicators.CONCLUSION:
Experiences of success in diabetes are more varied than traditional A1C-based outcome models. Our findings suggest coaching and technology can assist patients to achieve a range of successes in diabetes management through goal setting, health tracking, resolving barriers, and aligning goals with factors that impact change. PRACTICE IMPLICATIONS While A1C reduction is a critical factor in decreasing risk of diabetes-related complications, when healthcare professionals focus on A1C as the main indicator of diabetes management success, important changes in individuals' health and well-being may be overlooked or undervalued.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Educación del Paciente como Asunto
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Diabetes Mellitus Tipo 2
Tipo de estudio:
Clinical_trials
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Prognostic_studies
/
Qualitative_research
Límite:
Adult
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Female
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Humans
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Male
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Middle aged
País como asunto:
America do norte
Idioma:
En
Año:
2019
Tipo del documento:
Article