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Effects of Guided Reflection on Diabetes Self-Care: A Randomized Controlled Trial
Jennifer A Fearon-Lynch1, Kristen A Sethares2, Marilyn E Asselin2
1School of Nursing, Rhode Island College, Providence, Rhode Island.
The Diabetes Educator
|December 4, 2018
Summary
Guided reflection improved diabetes knowledge in adults. While self-care behaviors didn't significantly differ, both groups showed improvement, suggesting reflection's potential for diabetes management education.
Area of Science:
- Endocrinology
- Behavioral Science
- Health Education
Background:
- Adults with diabetes require effective strategies for self-care and knowledge enhancement.
- Guided reflection is a potential tool to improve patient engagement and outcomes.
Purpose of the Study:
- To evaluate guided reflection's impact on self-care behaviors, confidence, and diabetes knowledge in adults.
- To assess the acceptability of guided reflection as an educational intervention.
Main Methods:
- Randomized controlled trial with pre/posttest design.
- Intervention group (IG) engaged in guided reflection on diabetes-related events for 8 weeks.
- Control group (CG) received usual care.
Main Results:
- IG showed statistically significant improvement in diabetes knowledge.
- Both IG and CG demonstrated statistically significant improvements in self-care scores.
- Self-care measures trended positively in the IG, though not statistically significant compared to CG.
- Guided reflection intervention was found to be highly acceptable.
Conclusions:
- Combined educational and guided reflection interventions can enhance self-care outcomes and diabetes knowledge.
- Further research with larger samples is warranted to explore purposeful patient reflection in diabetes management.
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