Lindsay M Jaacks1, Ronny A Bell2, Dana Dabelea3, Ralph B D'Agostino4, Lawrence M Dolan5, Giuseppina Imperatore6, Georgeanna Klingensmith3, Jean M Lawrence7, Sharon Saydah6, Joyce Yi-Frazier8, Elizabeth J Mayer-Davis1,9. 1. the Department of Nutrition, University of North Carolina, Chapel Hill, NC (Ms Jaacks, Dr Mayer-Davis) 2. Department of Epidemiology and Prevention, Wake Forest School of Medicine, Winston-Salem, NC (Dr Bell) 3. Department of Pediatrics and Barbara Davis Center, University of Colorado, Denver, CO (Dr Dabelea, Dr Klingensmith) 4. Department of Biostatistics, Wake Forest School of Medicine, Winston-Salem, NC (Dr D’Agostino) 5. Cincinnati Children’s Hospital Medical Center, Cincinnati, OH (Dr Dolan) 6. Centers for Disease Control and Prevention, Atlanta, GA (Dr Imperatore, Dr Saydah) 7. Department of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA (Dr Lawrence) 8. Seattle Children’s Hospital, Seattle, WA (Dr Yi-Frazier) 9. Department of Medicine, University of North Carolina, Chapel Hill, NC (Dr Mayer-Davis)
Abstract
PURPOSE: The purpose of this study is to describe (1) the receipt of diabetes self-management education (DSME) in a large, diverse cohort of US youth with type 1 diabetes (T1DM), (2) the segregation of self-reported DSME variables into domains, and (3) the demographic and clinical characteristics of youth who receive DSME. METHODS: Data are from the US population-based cohort SEARCH for Diabetes in Youth. A cross-sectional analysis was employed using data from 1273 youth <20 years of age at the time of diagnosis of T1DM. Clusters of 19 self-reported DSME variables were derived using factor analysis, and their associations with demographic and clinical characteristics were evaluated using polytomous logistic regression. RESULTS: Nearly all participants reported receiving DSME content consistent with "survival skills" (eg, target blood glucose and what to do for low or high blood glucose), yet gaps in continuing education were identified (eg, fewer than half of the participants reported receiving specific medical nutrition therapy recommendations). Five DSME clusters were explored: receipt of specific MNT recommendations, receipt of diabetes information resources, receipt of clinic visit information, receipt of specific diabetes information, and met with educator or nutritionist. Factor scores were significantly associated with demographic and clinical characteristics, including race/ethnicity, socioeconomic status, and diabetes self-management practices. CONCLUSIONS: Health care providers should work together to address reported gaps in DSME to improve patient care.
PURPOSE: The purpose of this study is to describe (1) the receipt of diabetes self-management education (DSME) in a large, diverse cohort of US youth with type 1 diabetes (T1DM), (2) the segregation of self-reported DSME variables into domains, and (3) the demographic and clinical characteristics of youth who receive DSME. METHODS: Data are from the US population-based cohort SEARCH for Diabetes in Youth. A cross-sectional analysis was employed using data from 1273 youth <20 years of age at the time of diagnosis of T1DM. Clusters of 19 self-reported DSME variables were derived using factor analysis, and their associations with demographic and clinical characteristics were evaluated using polytomous logistic regression. RESULTS: Nearly all participants reported receiving DSME content consistent with "survival skills" (eg, target blood glucose and what to do for low or high blood glucose), yet gaps in continuing education were identified (eg, fewer than half of the participants reported receiving specific medical nutrition therapy recommendations). Five DSME clusters were explored: receipt of specific MNT recommendations, receipt of diabetes information resources, receipt of clinic visit information, receipt of specific diabetes information, and met with educator or nutritionist. Factor scores were significantly associated with demographic and clinical characteristics, including race/ethnicity, socioeconomic status, and diabetes self-management practices. CONCLUSIONS: Health care providers should work together to address reported gaps in DSME to improve patient care.
Authors: Janet Silverstein; Georgeanna Klingensmith; Kenneth Copeland; Leslie Plotnick; Francine Kaufman; Lori Laffel; Larry Deeb; Margaret Grey; Barbara Anderson; Lea Ann Holzmeister; Nathaniel Clark Journal: Diabetes Care Date: 2005-01 Impact factor: 19.112
Authors: Carol J Howe; Abbas F Jawad; Alan K Tuttle; Joanne T Moser; Christina Preis; Marianne Buzby; Kathryn M Murphy Journal: J Pediatr Nurs Date: 2005-04 Impact factor: 2.145