title: Monitoring behavioral changes in diabetes care with the diabetes self-management record.
abstract: An evaluation instrument called the diabetes self-management record has been developed to better document the positive behavioral changes associated with diabetes education programming. This record is a simple behavior monitoring system that awards points for positive behaviors associated with exercise, glucose monitoring, and nutrition management. A group of 39 adults with diabetes monitored their behaviors with the record prior to, immediately after, and 4 to 6 weeks following a diabetes education programming course. Overall diabetes management scores were higher (mean +/- SEM = 56.2 +/- 3.5 vs 66.3 +/- 2.9) following the educational intervention, as well as specific behavioral scores for exercise, glucose monitoring, fat consumption, refined sugar/carbohydrate consumption, and eating behavior. These behaviors were maintained for at least 4 to 6 weeks postprogramming. The diabetes self-management record can be used as an adjunct to diabetes education programming, as an evaluator of the educational intervention, and/or as a behavior monitoring tool for diabetes self-management.
authors.forename: M K
authors.initials: MK
authors.lastname: Bielamowicz
authors.forename: W C
authors.initials: WC
authors.lastname: Miller
authors.forename: E
authors.initials: E
authors.lastname: Elkins
authors.forename: H W
authors.initials: HW
authors.lastname: Ladewig
mesh_terms: D000328:Adult; D000368:Aged; D003920:Diabetes Mellitus / Q000517:prevention & control*; D005260:Female; D015438:Health Behavior; D006801:Humans; D008297:Male; D008499:Medical Records; D008875:Middle Aged; D010353:Patient Education as Topic; D015397:Program Evaluation; D012648:Self Care