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Diabetes Self-Management Education in the Home.

Dianne Lavelle¹, Joanah Zeitoun¹, Marianne Stern¹

¹School of Nursing, Rutgers University.

|September 3, 2016

Summary

In-home diabetes self-management education improved health indicators for patients. This pilot study demonstrated the effectiveness of home visits for diabetes care and patient confidence.

Keywords:

chronic disease management diabetes diabetes self-management education dsme home visit home-based

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Area of Science:

Diabetes Care and Management
Public Health Interventions
Patient Education

Background:

Diabetes self-management education and home visits are proven to enhance clinical outcomes for individuals with diabetes.
Home-based interventions offer a personalized approach to managing chronic conditions.

Purpose of the Study:

To assess the feasibility and effectiveness of delivering diabetes self-management education within patients' homes.
To evaluate the impact of in-home education on patient health indicators and self-management confidence.

Main Methods:

A pilot study involving 19 adult patients with diabetes who received home visits from doctoral nursing students.
Interventions included knowledge assessment, dietary review, diabetes self-management education, and training on monitoring devices (glucometer, blood pressure monitor).
Biometric data (A1C, glucose, BMI, blood pressure) were collected at baseline and post-intervention for comparison.

Main Results:

Significant improvements were observed in key biomarkers over four months post-intervention.
Mean A1C decreased by 12% (p=0.0107), and mean glucose by 12% (p=0.0994).
Mean BMI reduced by 2% (p=0.1490), with stable diastolic and a 1% reduction in systolic blood pressure.

Conclusions:

In-home diabetes education programs effectively improve diabetes self-management and health indicators, supporting previous research.
Benefits include personalized attention, enhanced confidence in using home monitoring devices, and identification of barriers not apparent in clinical settings.