Gina Pariser1, Kathy Hager2, Patricia Gillette1, Karen Golemboski3, Kimberly Jackson4. 1. Doctor of Physical Therapy Program, Bellarmine University, Louisville, Kentucky (Dr Pariser, Dr Gillette) 2. Family Nursing Program, Bellarmine University, Louisville, Kentucky (Dr Hager) 3. Medical Laboratory Science Program, Bellarmine University, Louisville, Kentucky (Dr Golemboski) 4. Diabetes Prevention and Control Program, Metro Department of Public Health and Wellness, Louisville, Kentucky (Ms Jackson)
Abstract
PURPOSE: The purpose of this study was to examine the effects of Active Steps for Diabetes (ASD), a self-management education (DSME) program for aging adults with diabetes and frailty, on blood glucose control (A1C) and level of frailty of participants. METHODS: Fifty females (62.2 ± 10.1 years old) with type 2 diabetes and frailty completed the program; 16 used a walking aid. Outcome measures included A1C and the modified Physical Performance Test (mPPT). Repeated measures analysis of variance was used to compare outcomes before and after the program and between participants who did and did not use a walking aid. RESULTS: ASD was effective in reducing A1C and frailty in participants who did and did not use a walking aid. The reduction in A1C was similar for the 2 groups. The reduction in frailty was greater for the group that used a walking aid. CONCLUSION: Physical activity, a keystone for blood glucose control, is difficult for older adults who are frail. ASD provides a model for DSME that may reduce frailty of participants and increase their capacity for physical activity.
PURPOSE: The purpose of this study was to examine the effects of Active Steps for Diabetes (ASD), a self-management education (DSME) program for aging adults with diabetes and frailty, on blood glucose control (A1C) and level of frailty of participants. METHODS: Fifty females (62.2 ± 10.1 years old) with type 2 diabetes and frailty completed the program; 16 used a walking aid. Outcome measures included A1C and the modified Physical Performance Test (mPPT). Repeated measures analysis of variance was used to compare outcomes before and after the program and between participants who did and did not use a walking aid. RESULTS:ASD was effective in reducing A1C and frailty in participants who did and did not use a walking aid. The reduction in A1C was similar for the 2 groups. The reduction in frailty was greater for the group that used a walking aid. CONCLUSION: Physical activity, a keystone for blood glucose control, is difficult for older adults who are frail. ASD provides a model for DSME that may reduce frailty of participants and increase their capacity for physical activity.
Authors: Maureen Markle-Reid; Jenny Ploeg; Kimberly D Fraser; Kathryn Ann Fisher; Noori Akhtar-Danesh; Amy Bartholomew; Amiram Gafni; Andrea Gruneir; Sandra P Hirst; Sharon Kaasalainen; Caralyn Kelly Stradiotto; John Miklavcic; Carlos Rojas-Fernandez; Cheryl A Sadowski; Lehana Thabane; Jean A C Triscott; Ross Upshur Journal: Trials Date: 2017-02-06 Impact factor: 2.279