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1.
Sci Diabetes Self Manag Care ; 47(4): 290-301, 2021 08.
Article in English | MEDLINE | ID: covidwho-1329105

ABSTRACT

PURPOSE: The purpose of this substudy was to determine the most acceptable way to restart the Texas Strength Through Resilience in Diabetes Education (TX STRIDE) study safely using remote technologies. Following the emergence of COVID-19, all in-person TX STRIDE intervention and data collection sessions were paused. METHODS: Qualitative descriptive methods using telephone interviews were conducted during the research pause. A structured interview guide was developed to facilitate data collection and coding. Forty-seven of 59 Cohort 1 participants were interviewed (mean age = 60.7 years; 79% female; mean time diagnosed with type 2 diabetes = 11 years). RESULTS: Data categories and subcategories were generated from the interview responses and included: personal experiences with COVID-19, effects of COVID-19 on diabetes self-management, psychosocial and financial effects of COVID-19, and recommendations for program restart. Although some participants lacked technological knowledge, they expressed eagerness to learn how to use remote meeting platforms to resume intervention and at-home data-collection sessions. Six months after the in-person intervention was paused, TX STRIDE restarted remotely with data collection and class sessions held via Zoom. A majority of participants (72.9%) transitioned to the virtual platform restart. CONCLUSIONS: Qualitative findings guided the appropriate implementation of technology for the study, which facilitated a successful restart. High retention of participants through the study transition provides evidence that participants are invested in learning how to manage their diabetes despite the challenges and distractions imposed by COVID-19.


Subject(s)
African Americans , COVID-19 , Culturally Competent Care , Diabetes Mellitus, Type 2 , Self-Management , African Americans/psychology , African Americans/statistics & numerical data , Aged , COVID-19/ethnology , Diabetes Mellitus, Type 2/ethnology , Diabetes Mellitus, Type 2/therapy , Female , Humans , Male , Middle Aged , Qualitative Research , Self-Management/education , Self-Management/psychology , Texas/epidemiology
2.
Prev Chronic Dis ; 18: E70, 2021 07 15.
Article in English | MEDLINE | ID: covidwho-1315994

ABSTRACT

Structural racism has contributed to persistent racial disparities in hypertension control, with Black men suffering the highest prevalence of uncontrolled hypertension. Lincoln Community Health Center, our urban Federally Qualified Health Center (FQHC), aimed to use hypertension self-management classes to improve hypertension control among our clinic patients, particularly Black men. Patients attending classes learned about hypertension, were given blood pressure cuffs to use at home, and had the opportunity to speak to physicians in a group setting. We used a nonexperimental quality improvement intervention design to identify baseline differences between participants who attended multiple classes and those who attended only 1 class. Participants who attended multiple classes, most of whom were Black men, achieved an average blood pressure reduction of 19.1/14.8 mm Hg. Although the classes were effective, current policies around health insurance reimbursement and federal quality reporting standards hamper the ability of health care providers to implement such patient education initiatives.


Subject(s)
Health Promotion , Hypertension/therapy , Patient Education as Topic , Self-Management/education , African Americans , Aged , Community Health Centers , Female , Humans , Hypertension/epidemiology , Hypertension/prevention & control , Male , Medicare , Quality Improvement , United States
3.
Nursing ; 51(6): 41-46, 2021 Jun 01.
Article in English | MEDLINE | ID: covidwho-1236252

ABSTRACT

ABSTRACT: In 2017, the World Health Organization reported that chronic obstructive pulmonary disease (COPD) impacted 251 million individuals and was responsible for 3.17 million deaths globally. To educate hospitalized patients with COPD about self-management at home, nurses require an action plan to use as part of discharge instructions. This article discusses the benefits of COPD action plans revealed in the literature and describes the creation and use of such an action plan by the author.


Subject(s)
Nurse-Patient Relations , Patient Discharge , Patient Education as Topic , Pulmonary Disease, Chronic Obstructive/nursing , Self-Management/education , Humans , Treatment Outcome
6.
Diabetes Metab Syndr ; 14(4): 351-354, 2020.
Article in English | MEDLINE | ID: covidwho-47881

ABSTRACT

BACKGROUND AND AIMS: COVID-19 pandemic has challenged the physician-centered approach of diabetes care in India that is primarily based on routine clinic visits. We aim to review the various aspects of patient-centered care via diabetes self-management education based on available literature. METHODS: This is a narrative review using Pubmed, EMBASE and Google Scholar search till March 29, 2020. Search terms were "COVID-19", "diabetes self-care", "diabetes self-management education", "DSME", "diabetes self-management in India", "diabetes self-care in India" and "DSME in India". RESULTS: We have discussed an educational plan on diabetes self-management that can be adopted for people with diabetes mellitus in our country amid the ongoing pandemic. We have also identified the barriers to diabetes self-management in the current scenario and suggested possible solutions to overcome those. CONCLUSIONS: We have reemphasized the need for a simultaneous patient-centered approach in routine diabetes care that has to be coordinated by a multidisciplinary team amid the ongoing COVID-19 pandemic.


Subject(s)
Betacoronavirus , Coronavirus Infections/epidemiology , Diabetes Mellitus/therapy , Pandemics , Pneumonia, Viral/epidemiology , Self-Management , Blood Glucose Self-Monitoring , COVID-19 , Diabetes Mellitus/psychology , Diet , Exercise , Humans , Hypoglycemic Agents , India/epidemiology , Patient-Centered Care , PubMed , SARS-CoV-2 , Self-Management/education , Self-Management/methods , Telemedicine
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