The results of this research informed the development of a social market- ing plan to increase ...... Functional Components of Mobile Health Interventions for Diabetes. Self-Management on ... Washington, DC. mHealth apps for type 2 diabetes (DM2) patients (pts) cannot only moni- ...... BJORNSTAD, Aurora, CO, Denver, CO.
DIABETES EDUCATION
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DIABETES EDUCATION Moderated Poster Discussion: Diabetes Education—Thinking Beyond the Curriculum (Posters: 652-P to 659-P), see page 14.
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NICOLE JOHNSON, STEPHANIE T. MELTON, Tampa, FL
Diabetes Self-Mangement Education (DSME) programs provide evidenced based education and self-management support to people with diabetes, and have proven to be effective at improving self-management adherence, and lower health care costs of people with diabetes. Unfortunately, only one third to one half of people with diabetes in the United States have attended a DMSE class and DSME remains an underutilized insurance benefit. Physician referrals are a major factor influencing attendance levels. This study investigates the perceptions of primary care physicians that affect their referral practices and the beliefs of patients concerning the barriers and benefits of DSME. The perspectives of providers and patients are compared using a social marketing framework to understand how to increase usage of DSME. A survey was administered to 251 physicians and 571 patients with a sub-sample of 97 participants also interviewed. The HCPs reported that DSME provided reinforcement of information and increased time for learning, but a third of participants reported that patients are disinterested in attending classes. Patients reported the largest barriers to attendance were logistical including knowing how to access classes or being able to attend. Patients also reported being unaware of the benefit of repeated education. Misconceptions of both patients and providers contributes to the underutilization of DSME. The results of this research informed the development of a social marketing plan to increase knowledge of DSME and make the referral process less cumbersome. The recommendations provide practical tools for health care providers to use to increase diabetes education access and improve health outcomes
652-P
Optimizing Communications to Improve Care in Gestational Diabetes (GDM): An Experience in a Large Integrated Health System ROBIN MORRISEY, DEIRDRE MILLS, ELIZABETH KACZMAR, LAUREN MCDONNELL, CACINA YOUNG, TAYLOR CLARK, AMY CHANG, ADDIE L. FORTMANN, San Diego, CA
In GDM, education, lifestyle modification and medication management can result in optimal blood glucose (BG) control, normal birth weight, and reduced complications. Frequent communication to individualize care is needed but can be difficult due to time constraints and privacy regulations. Scripps Health, a large provider of women’s care, created a care management program to facilitate optimal GDM care utilizing various communication methods, live and digital. An interdisciplinary team including a certified diabetes educator (CDE) and endocrinologist provided education, care and support with the patient’s obstetrician from gestational week 25 to delivery. Following standardized guidelines, women were contacted to review BG logs and food diaries to evaluate the efficacy of diet and/or medication plans. This study examined communication preferences, and program efficacy and acceptability among a random sample of N=23 women who delivered in 2014. The cohort ranged from 26 to 45 years of age (M=34.1; SD=5.1); majority were white (44%) or Asian (35%). Women had 2 to 25 (M=11.22, SD=5.69 - i.e., approximately weekly) telephone contacts with the CDE while pregnant; 96% emailed or faxed in ɗ 1 BG/dietary log. 17% were prescribed oral medications (only), 35% insulin (only), and 13% insulin/oral combination; 35% were managed with lifestyle intervention alone. 83% delivered 5-9 lb babies (all
