title: Diabetes to Go: Knowledge- and Competency-Based Hospital Survival Skills Diabetes Education Program Improves Postdischarge Medication Adherence.
abstract: The primary purpose of this study was to demonstrate the feasibility of providing inpatient knowledge-based diabetes "survival skills" education. In addition, the preliminary impact of the survival skills education intervention on medication adherence and hospital plus emergency department admissions was assessed.
  
  
  
  This study was a prospective nonrandomized pilot study conducted in an urban teaching hospital. In sum 125 adults consented-the majority of whom were African American women-with uncontrolled diabetes: blood glucose > 200 mg/dL or < 40 mg/dL upon admission to general medicine units. Mean admitting blood glucose was 283 ± 128 mg/dL. Evaluation measures were diabetes knowledge, medication adherence, and hospital admissions plus emergency department visits at and/or 3 months before baseline and at 2 weeks and 3 months postdischarge.
  
  
  
  There was improvement in diabetes knowledge and medication adherence, which was sustained to 3 months. A trend was observed toward reduction in emergency department and/or hospital admissions from 3 months preintervention to 3 months postdischarge for uncontrolled diabetes.
  
  
  
  This knowledge-based program successfully provided survival skills education to hospital patients with uncontrolled diabetes and demonstrated preliminary evidence of a positive impact on medication adherence and a trend toward reduction in hospital and emergency department admissions.
authors.affiliation: MedStar Diabetes Institute and MedStar Health Research Institute, Washington, DC, USA (Dr Magee, Ms Khan, Ms Nassar)|Georgetown University (Dr Magee)
authors.forename: Michelle F
authors.initials: MF
authors.lastname: Magee
authors.affiliation: MedStar Diabetes Institute and MedStar Health Research Institute, Washington, DC, USA (Dr Magee, Ms Khan, Ms Nassar)
authors.forename: Nawreen H
authors.initials: NH
authors.lastname: Khan
authors.affiliation: MedStar Health Research Institute, Hyattsville, Maryland, USA (Mr Desale)
authors.forename: Sameer
authors.initials: S
authors.lastname: Desale
authors.affiliation: MedStar Diabetes Institute and MedStar Health Research Institute, Washington, DC, USA (Dr Magee, Ms Khan, Ms Nassar)
authors.forename: Carine M
authors.initials: CM
authors.lastname: Nassar
mesh_terms: D000328:Adult; D001741:Black or African American; D003162:Competency-Based Education / Q000379:methods*; D003920:Diabetes Mellitus / Q000188:drug therapy / Q000208:ethnology / Q000523:psychology*; D005240:Feasibility Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D008297:Male; D055118:Medication Adherence; D065228:Non-Randomized Controlled Trials as Topic; D010351:Patient Discharge; D010353:Patient Education as Topic / Q000379:methods*; D010865:Pilot Projects; D015397:Program Evaluation; D011446:Prospective Studies; D012648:Self Care / Q000523:psychology*
chemical_list: D007004:Hypoglycemic Agents