A nurse-coaching intervention for women with type 2 diabetes.
The purpose of this pilot study was to determine the efficacy of a 6-month nurse-coaching intervention that was provided after diabetes education for women with type 2 diabetes.



In this pilot study, 53 women were randomized to the nurse-coaching intervention or a standard care control condition. The nurse-coaching intervention consisted of 5 individualized sessions and 2 follow-up phone calls over 6 months. The nurse-coaching sessions included educational, behavioral, and affective strategies. Data were collected on physiologic adaptation (hemoglobin A1c [A1C] and body mass index [BMI]), self-management (dietary and exercise), psychosocial adaptation (diabetes-related distress and integration), and treatment satisfaction at baseline, 3 months, and 6 months.



Women in the treatment group demonstrated better diet self-management, less diabetes-related distress, better integration, and more satisfaction with care, and had trends of better exercise self-management and BMI. The A1C levels improved in both groups at 3 months, yet the difference between the groups was not significant. Attendance at nurse-coaching sessions was 96%.



This nurse-coaching intervention demonstrates promise as a means of improving self-management and psychosocial outcomes in women with type 2 diabetes.
Whittemore
Robin
R
Yale School of Nursing, New Haven, Connecticut
Melkus
Gall D'Eramo
GD
Yale School of Nursing, New Haven, Connecticut
Sullivan
Amy
A
Joslin Diabetes Center, New London, Connecticut
Grey
Margaret
M
Yale School of Nursing, New Haven, Connecticut
D003924:Diabetes Mellitus, Type 2 / Q000451:nursing* / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D010353:Patient Education as Topic; D010865:Pilot Projects; D012648:Self Care; D016387:Women's Health