A Nurse-coaching Intervention for Women with Type 2 Diabetes

Overview

Journal Diabetes Educ

Publisher Sage Publications

Specialties Endocrinology
Nursing

Date 2004 Oct 30

PMID 15510531

Citations 41

Authors

Robin Whittemore

Gall DEramo Melkus

Amy Sullivan

Margaret Grey

Affiliations

Soon will be listed here.

Abstract

Purpose: 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.

Methods: 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.

Results: 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%.

Conclusions: This nurse-coaching intervention demonstrates promise as a means of improving self-management and psychosocial outcomes in women with type 2 diabetes.

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