Implementing a Diabetes Self-Management Toolkit in a Primary Care Setting
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Authors
Youngbean Kwon
Issue Date
2025
Type
Thesis
Language
Keywords
Nursing
Alternative Title
Abstract
Purpose: To implement the Association of Diabetes Care & Education Specialists ADCES7 selfcare behaviors™ to improve self-management and hemoglobin A1c (HbA1c) levels in adults with diabetes and prediabetes. Significance: Type 2 diabetes mellitus (T2DM) is a chronic condition with serious but preventable complications if poorly managed. With rising diabetes rates in Hawaii, more effective management approaches are needed (Pirkle et al., 2019). Current in-office care, centered on HbA1c monitoring, often lacks comprehensive strategies such as education and quality improvement programs that can significantly reduce HbA1c levels (Jiang et al., 2019; Xu et al., 2022). Intervention and Implementation Plan: The Self-Care of Diabetes Inventory (SCODI) in English or Korean was administered and HbA1c levels were drawn, pre-and post- implementation of the ADCES7 self-care behaviors™ program. The ADCES-7 self-care behaviors framework promotes patient engagement and self-management, supporting improved T2DM outcomes. Data collected from each were documented and evaluated the use of the program in improving self-management among the participants Results and Implications: The intervention, based on the ADCES7 self-care behaviors™ framework, led to statistically significant improvements in both HbA1c levels and SCODI scores demonstrating its effectiveness in enhancing diabetes self-management. These findings reflect meaningful gains in clinical outcomes and self-care behaviors, supporting the framework’s potential to reduce healthcare costs and improve access to effective diabetes care.
Description
Citation
Publisher
Hawaii Pacific University