Diabetes Self-Management and Health Literacy

Abstract

Diabetes Self-Management and Health Literacy

Heather Menees

Abstract

Objective:

The purpose of this project is to examine and develop interventions for diabetes literacy to medically underserved via a single case study at the Appalachian Nurse Practitioner Clinic in Dahlonega, GA.

Methods:

The research design of this project is action research. An exploratory understanding of the issue of diabetes literacy and self-management will be initiated via a single case study. Through patient assessment of diabetes understanding, individualized interventions will be developed. A variety of educational materials and strategies will be utilized to increase patient understanding of diabetes self-management. Patient ‘teach-back’ methods will be used to assess for gaps in understanding. Lastly, a consistency in approach to follow-up appointments and patient support will be implemented.

Research Procedures:

• Assess the patient’s for motivation to learn and knowledge regarding diabetes nutrition management, physical activity, blood glucose monitoring, and medication utilization. Look for knowledge gaps in the above information and address accordingly.
• Develop and implement an individualized plan based on patient’s current understanding of diabetes self-management through the utilization of simple language, pictograms and other methods of communication. Set simple, achievable, short-term behavioral goals for the patient.
• Utilize the ‘teach back’ strategy to assess for understanding whereby the patient repeats back what they have learned in their own words.
• Have patient consistently schedule follow-up appointments whereby HbA₁C lab values are checked as well as patient knowledge of diabetes and goal achievement.

Keywords:

Diabetes

Health Literacy

Patient Education

Teach-Back Method

Patient Self Care Behavior

Patient Decision Making