PURPOSE: The purpose of this study was to explore the issues and challenges faced by certified diabetes educator (CDE) trainees in providing diabetes self-management education to patients in safety-net practices. METHODS: Semi-structured interviews were conducted with CDE trainees and a CDE mentor in 2 primary care practices. Transcripts were analyzed using a content-driven immersion-crystallization approach to identify major themes. RESULTS: Four major themes emerged from the qualitative interview data: (1) patient recruitment approaches, (2) patient barriers to attending diabetes education classes, (3) teaching challenges, and (4) CDE integration into the practices. CONCLUSIONS: This study underscores the need for diabetes educators and other health education professionals to be creative and flexible in delivering self-management education to patients in underserved settings. The complexity of diabetes care and the self-care responsibilities placed on the patient reinforce the need for a team approach such as that proposed in the medical home model and should include certified diabetes educators.
PURPOSE: The purpose of this study was to explore the issues and challenges faced by certified diabetes educator (CDE) trainees in providing diabetes self-management education to patients in safety-net practices. METHODS: Semi-structured interviews were conducted with CDE trainees and a CDE mentor in 2 primary care practices. Transcripts were analyzed using a content-driven immersion-crystallization approach to identify major themes. RESULTS: Four major themes emerged from the qualitative interview data: (1) patient recruitment approaches, (2) patient barriers to attending diabetes education classes, (3) teaching challenges, and (4) CDE integration into the practices. CONCLUSIONS: This study underscores the need for diabetes educators and other health education professionals to be creative and flexible in delivering self-management education to patients in underserved settings. The complexity of diabetes care and the self-care responsibilities placed on the patient reinforce the need for a team approach such as that proposed in the medical home model and should include certified diabetes educators.
Authors: Michael S Wolf; Hilary Seligman; Terry C Davis; David A Fleming; Laura M Curtis; Anjali U Pandit; Ruth M Parker; Dean Schillinger; Darren A Dewalt Journal: J Gen Intern Med Date: 2013-09-04 Impact factor: 5.128
Authors: Linda S Kahn; Bonnie M Vest; Renée Karl; Laurene Tumiel-Berhalter; Robert Taylor; Roseanne C Schuster; Kathryn Glaser; Alexandra Danakas; Chester H Fox Journal: Chronic Illn Date: 2012-06-07
Authors: Mary Ellen Lawless; Stephanie W Kanuch; Siobhan Martin; Denise Kaiser; Carol Blixen; Edna Fuentes-Casiano; Martha Sajatovic; Neal V Dawson Journal: Diabetes Spectr Date: 2016-02
Authors: Julie Ober Allen; Jeannie B Concha; María José Mejía Ruiz; Ashley Rapp; Joshua Montgomery; Jana Smith; Julia A Wolfson; William Thornton; Briana Mezuk Journal: Diabetes Educ Date: 2020-03-04 Impact factor: 2.140
Authors: Evelyn Y Ho; Sunny Pak; Genevieve Leung; Shuwen Xu; Choi Kwun Yu; Frederick M Hecht; Jane Jih; Maria T Chao Journal: Health Equity Date: 2020-10-02