title: Improving glycemic control in older adults using a videophone motivational diabetes self-management intervention.
abstract: Older adults experience the greatest burden of diabetes. Resources must be available and accessible to empower older adults to perform diabetes self-care. The purpose of this study was to evaluate a videophone motivational interviewing (MI) diabetes self-management education (DSME) intervention to improve glycemic control of rural older adults. Sixty-six participants (mean age = 64.9 years, range 60-81) with uncontrolled diabetes were enrolled in a 6-month videophone intervention. Experimental group participants (n = 34) received weekly, then monthly, videophone MI DSME calls, whereas control participants (n = 32) received monthly videophone healthy-lifestyle education calls. Although both groups experienced a decreased HbA1c, there was a statistically significant difference in experimental group mean values (p = .015), but not the control group (p = .086). The experimental group demonstrated statistically significant increases in diabetes knowledge (p = .023) and diabetes self-efficacy (p = .002). Experimental group participants with high self-efficacy in contrast to low self-efficacy had a statistically significant decrease in HbA1c (p = .043).
authors.affiliation: Yale School of Nursing, New Haven, CT 06536-0740, USA. shelley.hawkins@yale.edu
authors.forename: Shelley Y
authors.initials: SY
authors.lastname: Hawkins
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001786:Blood Glucose / Q000378:metabolism*; D003920:Diabetes Mellitus / Q000534:rehabilitation*; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D007182:Income; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009722:Nurse Practitioners; D010353:Patient Education as Topic; D018579:Patient Selection; D012648:Self Care / Q000379:methods*; D014741:Video Recording / Q000379:methods*
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin