Diabetes To Go: An Inpatient Diabetes Survival Skills Education Program

Medstar Health Research Institute125 enrolled

Overview

A learner-centered diabetes survival skills self-management education program was provided to adults with uncontrolled diabetes in the hospital and generated preliminary evidence of impact on medication adherence and a trend toward reduction in hospital and emergency department admissions.

This study was a prospective, nonrandomized pilot study conducted among adults with uncontrolled diabetes admitted to the Medicine Service of an urban tertiary teaching hospital were consented to participate in a pilot study which provided diabetes survival skills education. Based on knowledge deficits identified on a diabetes knowledge pre-test the patient was directed to view video content corresponding to those deficiencies and content on sick days and diabetes complications. Evaluation measures were diabetes knowledge, medication adherence, and hospital admissions plus emergency department visits at and/or 3months before baseline and at 2 weeks and 3 months post-discharge. 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 pre-intervention to 3 months post-discharge 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.

Study Type

INTERVENTIONAL

Allocation

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

125

Conditions

Diabetes Mellitus Hyperglycemia

Interventions

diabetes self-management educationBEHAVIORAL

1-group, pre-test/post-test design feasibility and preliminary efficacy evaluation of diabetes survival skills self-management education delivered at the hospital bedside.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * English speaking with a diabetes mellitus diagnosis (ICD 9 codes 250.xx) * an admitting blood glucose level of \> 200 mg/dL or ≤ 40 mg/dL, and * an anticipated hospital stay of ≥ 2 days, as estimated by the medical staff, to allow sufficient time for delivery of program content Exclusion Criteria: * pregnancy * admission to an intensive care unit, and * any medical condition or cognitive dysfunction that, in the opinion of the investigator, would preclude active participation

Outcomes

Primary Outcomes

Assessment of change in Diabetes knowledge as measured by an 11-item diabetes knowledge survey

11-item diabetes knowledge survey administered pre- and post- education intervention during the same hospital stay. Baseline score and post intervention score obtained within a 24 hour period

Time frame: Baseline score obtained before receiving the education intervention. Post test score obtained immediately after the education intervention was completed during the hospital stay, usually within 24 hours or less from the baseline score

Secondary Outcomes

Readmissions to the hospital and the emergency department

Self-reported historic and post-intervention visits to ED and or admissions to the hospital

Time frame: 3 months pre- and 3 months post-intervention

Medication adherence (Modified Morisky Medication Adherence Scale 4-item)

Modified Morisky Medication Adherence Scale 4-item

Time frame: Baseline pre intervention then at 2 weeks after intervention and at 3 months post-intervention

Data from ClinicalTrials.gov

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