Abstract
Currently, diabetes self-management education (DSME) is usually provided in hospitals, often in the form of a lecture. Evidence has indicated better strategies for DSME, such as behavioral outcome-focused, patient empowering, theory-based, and community-based long-term education. This manuscript presents guiding principles of DSME developed by a joint taskforce team of AADE (American Association of Diabetes Educators) and ADA (American Diabetes Association) members to address the need for community-based DSME and strategies to develop such programs. In conclusion, well-developed community DSME should have these characteristics; 1) consensus of needs and strategies for DSME among community, recipients, and provider, 2) standardized form based on current evidence, 3) education provided by a qualified DSME educator, and 4) include a system for continuous evaluation and revision of the program.
References
1. World Health Organization. Adherence to longterm therapies. Evidence for action. Geneva: World Health Organization;2003.
2. Song M, Lee M, Shim B. Barriers to and facilitators of self-management adherence in Korean older adults with type 2 diabetes. Int J Older People Nurs. 2010; 5:211–8.
3. Wagner EH, Grothaus LC, Sandhu N, Galvin MS, McGregor M, Artz K, Coleman EA. Chronic care clinics for diabetes in primary care: a system-wide randomized trial. Diabetes Care. 2001; 24:695–700.
4. McCulloch DK, Price MJ, Hindmarsh M, Wagner EH. A population-based approach to diabetes management in a primary care setting: early results and lessons learned. Eff Clin Pract. 1998; 1:12–22.
5. Wagner EH, Glasgow RE, Davis C, Bonomi AE, Provost L, McCulloch D, Carver P, Sixta C. Quality improvement in chronic illness care: a collaborative approach. Jt Comm J Qual Improv. 2001; 27:63–80.
6. Barr VJ, Robinson S, Marin-Link B, Underhill L, Dotts A, Ravensdale D, Salivaras S. The expanded Chronic Care Model: an integration of concepts and strategies from population health promotion and the Chronic Care Model. Hosp Q. 2003; 7:73–82.
7. Norris SL, Nichols PJ, Caspersen CJ, Glasgow RE, Engelgau MM, Jack L, Snyder SR, Carande-Kulis VG, Isham G, Garfield S, Briss P, McCulloch D. Increasing diabetes self-management education in community settings. A systematic review. Am J Prev Med. 2002; 22(4 Suppl):39–66.
8. Funnell MM, Brown TL, Childs BP, Haas LB, Hosey GM, Jensen B, Maryniuk M, Peyrot M, Piette JD, Reader D, Siminerio LM, Weinger K, Weiss MA. National Standards for diabetes self-management education. Diabetes Care. 2011; 34(Suppl 1):S89–96.
9. Knowler WC, Barrett-Connor E, Fowler SE, Hamman RF, Lachin JM, Walker EA, Nathan DM. Diabetes Prevention Program Research Group. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002; 346:393–403.
10. Bernard M. Promoting health in old age. Buckingham: Open University;2000.
11. Korean Diabetes Association Education Committee. The Guide for diabetes education. 3rd ed.Seoul: Gold Planning and development;2013.
12. Korean Diabetes Association. Treatment guideline for diabetes. 4th ed.Seoul: Gold planning and development;2013. p26, 48.
13. American Association of Diabetes Educators. AADE7 self-care behaviors. Diabetes Educ. 2008; 34:445–9.
14. American Association of Diabetes Educators. Technical review: diabetes self-management education and training outcomes measures. Chicago: American Association of Diabetes Educators;2011.
15. Korean Ministry of Health and Welfare. Statistics on 2014 Korea senior welfare institutions 2014 [Internet]. Daejeon: Statistics Korea;c2008. [cited 2014 June 09]. Available from:. http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=2766.
16. Kim SH, Song MS. The health services of Korean senior centers. J Korean Gerontol Nurs. 2006; 8:15–23.
17. Korean Diabetes Association. Diabetes fact sheet in Korea 2013. Seoul: Korean Diabetes Association;2013.
18. Kirkman MS, Briscoe VJ, Clark N, Florez H, Haas LB, Halter JB, Huang ES, Korytkowski MT, Munshi MN, Odegard PS, Pratley RE, Swift CS. Diabetes in older adults. Diabetes Care. 2012; 35:2650–64.
19. Bartholomew LK, Parcel GS, Kok G, Gottlieb NH, Fernandez ME. Planning health promotion programs. An intervention mapping approach. 3rd ed.San Francisco: Jossey-Bass;2011.
20. Steed L, Mulligan K, Newman S. Development and evaluation of self-management interventions. Chronic physical illness: self-management and behavioral interventions. Berkshire: Open University Press;2009.
21. Brewer NT, Rimer BK. Perspectives on health behavior theories that focus on individuals. Glanz K, Rimer BK, Viswanath K, editors. Health behavior and health education theory, research, and practice. 4th ed.San Francisco: Jossey-Bass;2008.
22. Trento M, Passera P, Borgo E, Tomalino M, Bajardi M, Cavallo F, Porta M. A 5-year randomized controlled study of learning, problem solving ability, and quality of life modifications in people with type 2 diabetes managed by group care. Diabetes Care. 2004; 27:670–5.
23. Diabetes Prevention Support Center. Group lifestyle balanceTM. Pittsburgh: University of Pittsburgh;2011.