title: Partnering With Community-Dwelling Individuals With Diabetes for Health Behavior Change Using Action Plans: An Innovation in Health Professionals Education and Practice.
abstract: Health care practitioners support or hinder an individual's attempts to self-manage health behavior. Practitioners must understand an individual's health needs and goals to effectively partner for behavior change. Self-management support (SMS) promote efforts toward positive health behavior change. Practitioners need training to provide effective SMS, beginning with their formal education. The purpose of this educational practice project was to integrate an evidence-based intervention (SMS using action plans) into a nursing curriculum. Three sequential steps included (1) providing foundational SMS education, (2) SMS application with students' personal action plans, and (3) implementing SMS with community-dwelling individuals with diabetes. Students (n = 130) partnered with participants (n = 85), developing short- (n = 240) and long-term (n = 99) action plans during home visits. The average baseline Diabetes Empowerment Scale score measuring participant's perceived psychosocial diabetes management self-efficacy was 4.3 (1-5 scale, SD = 0.51, n = 83). Most common short-term actions related to physical activity (n = 100, 42%) and healthy eating (n = 61, 25%). Average participant confidence level was 7.7 (SD = 1.9, 0-10 scale). Short-term goal evaluation (n = 209) revealed 66% (n = 137) were met more than 50% of the time. Both participants (99%) and students (99%) expressed satisfaction with home visit and action plan experiences. This teaching-learning experience is replicable and applicable to any professional health care student.
authors.affiliation: Nebraska Medical Center, College of Nursing, Omaha Division, Omaha, NE, USA tbarry@unmc.edu.
authors.forename: Teresa
authors.initials: T
authors.lastname: Barry Hultquist
authors.affiliation: Nebraska Medical Center, College of Nursing, Omaha Division, Omaha, NE, USA.
authors.forename: Sara Goomis
authors.initials: SG
authors.lastname: Brown
authors.affiliation: University of Nebraska Medical Center, College of Medicine, Department of Family Medicine, Omaha, NE, USA.
authors.forename: Jenenne
authors.initials: J
authors.lastname: Geske
authors.affiliation: Nebraska Medical Center, College of Nursing, Omaha Division, Omaha, NE, USA.
authors.forename: Katherine Laux
authors.initials: KL
authors.lastname: Kaiser
authors.affiliation: University of Nebraska, College of Nursing, Kearney Division, Kearney, NE, USA.
authors.forename: Denise
authors.initials: D
authors.lastname: Waibel-Rycek
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001786:Blood Glucose; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D004032:Diet; D004506:Education, Nursing / Q000458:organization & administration*; D055317:Evidence-Based Practice; D015444:Exercise; D005260:Female; D015438:Health Behavior; D006801:Humans; D008297:Male; D055118:Medication Adherence; D008875:Middle Aged; D012648:Self Care / Q000379:methods*; D020377:Self Efficacy; D012959:Socioeconomic Factors
chemical_list: D001786:Blood Glucose
keywords: behavior change; diabetes; patient education; training