Enhancing Diabetes Management Education in Community Health Centers: Empowering Patients and Improving Health Outcomes.
DOI:
https://doi.org/10.58676/sjmas.v2i7.83Keywords:
Healthcare Provider Training, Diabetes Management, Community Health Education, Patient Self-Management, Culturally Sensitive CareAbstract
Background: Diabetes poses significant public health challenges globally, with South Africa experiencing high prevalence rates, particularly in underserved regions. The lack of tailored diabetes management programs in community health centers (CHCs) exacerbates poor health outcomes and increases healthcare costs.
Methods and Materials: This project aimed to enhance diabetes management education at Pholela Community Health Centre in Durban, South Africa, through comprehensive educational interventions and healthcare provider training. Culturally sensitive educational materials were developed and delivered in multiple languages, targeting patient self-management and healthcare provider competence.
Results : The intervention led to a 20% increase in the proportion of diabetic patients achieving target HbA1c levels within one year. Healthcare providers showed improved proficiency in delivering culturally sensitive, evidence-based diabetes care. Patient education workshops and peer support groups significantly improved patient knowledge and self-management practices.
Conclusion: The project successfully addressed critical gaps in diabetes education and care at Pholela CHC, resulting in improved patient outcomes and enhanced healthcare practices. Continued community engagement and resource allocation are essential for sustaining these improvements and reducing the disease burden in underserved populations.
References
American Diabetes Association. (2022). Standards of Medical Care in Diabetes—2022. Diabetes Care, 45(Supplement 1), S1-S212. https://doi.org/10.2337/dc20-S000
Bashir, K., King, M., & Ashcroft, F. (2020). Supporting self-management of type 2 diabetes: A systematic review of patients’ perspectives and experiences. Diabetes Research and Clinical Practice, 156, 107816. https://doi.org/10.1016/j.diabres.2019.107816
Boren, S. A., & Fitzner, K. A. (2008). Strategies for diabetes self-management education: A systematic review of the literature. Diabetes Educator, 34(4), 602-610. https://doi.org/10.1177/0145721708319340
Centers for Disease Control and Prevention. (2021). National Diabetes Statistics Report, 2020. U.S. Department of Health and Human Services. Retrieved from https://www.cdc.gov/diabetes/data/statistics-report/index.html
Duncan, I., Birkmeyer, C., Coughlin, S., Li, Q., Sherr, D., Boren, S., & Connolly, P. M. (2012). Assessing the value of diabetes education. Diabetes Educator, 38(5), 638-657. https://doi.org/10.1177/0145721712455225
Glasgow, R. E., & Emmons, K. M. (2007). How can we increase the translation of research into practice? Types of evidence needed. Annual Review of Public Health, 28, 413-433. https://doi.org/10.1146/annurev.publhealth.28.021406.144145
Hawthorne, K., Robles, Y., Cannings-John, R., & Edwards, A. G. (2008). Culturally appropriate health education for type 2 diabetes in ethnic minority groups: An updated Cochrane Review of randomized controlled trials. Diabetic Medicine, 25(6), 504-517. https://doi.org/10.1111/j.1464-5491.2008.02429.x
International Diabetes Federation. (2021). Diabetes Atlas, 10th Edition. Retrieved from https://diabetesatlas.org/en/
Khunti, K., Gray, L. J., Skinner, T., Carey, M. E., Realf, K., Dallosso, H., & Davies, M. J. (2013). Effectiveness of diabetes education and self-management programme (DESMOND) for people with newly diagnosed type 2 diabetes mellitus: Three-year follow-up of a cluster randomised controlled trial in primary care. British Medical Journal, 346, f632. https://doi.org/10.1136/bmj.f632
Li, R., Shrestha, S. S., Lipman, R., Burrows, N. R., Kolb, L. E., & Rutledge, S. (2008). Diabetes self-management education and training among privately insured persons with newly diagnosed diabetes—United States, 2011–2012. Morbidity and Mortality Weekly Report, 63(46), 1045-1049. Retrieved from https://www.cdc.gov/mmwr/volumes/63/wr/mm6346a4.htm
Norris, S. L., Engelgau, M. M., & Narayan, K. M. V. (2001). Effectiveness of self-management training in type 2 diabetes: A systematic review of randomized controlled trials. Diabetes Care, 24(3), 561-587. https://doi.org/10.2337/diacare.24.3.561
Powers, M. A., Bardsley, J., Cypress, M., Duker, P., Funnell, M. M., Fischl, A. H., Maryniuk, M. D., Siminerio, L., & Vivian, E. (2015). Diabetes self-management education and support in type 2 diabetes: A joint position statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. The Diabetes Educator, 41(4), 417-430. https://doi.org/10.1177/0145721715588908
Saydah, S. H., Miret, M., Sung, J., & Varas, C. (2001). Postchallenge hyperglycemia and mortality in a national sample of U.S. adults. Diabetes Care, 24(8), 1397-1402. https://doi.org/10.2337/diacare.24.8.1397
Seligman, H. K., Schillinger, D., Adams, A. S., Davis, T. C., Wolf, M. S., & Food Insecurity and Health Outcomes: A Systematic Review of the Literature. (2010). Screening for food insecurity in six VA medical centers’ primary care clinics and domiciliaries. Military Medicine, 175(9), 689-694. https://doi.org/10.7205/MILMED-D-10-00061
Smith, D. L., & Smith, J. P. (2010). Factors influencing diabetes self-management among medically underserved patients with type II diabetes. Global Journal of Health Science, 2(2), 80-94. https://doi.org/10.5539/gjhs.v2n2p80
Tricco, A. C., Ivers, N. M., Grimshaw, J. M., Moher, D., Turner, L., Galipeau, J., Halperin, I., Vachon, B., Ramsay, T., Manns, B., Tonelli, M., Shojania, K., & Straus, S. E. (2012). Effectiveness of quality improvement strategies on the management of diabetes: A systematic review and meta-analysis. The Lancet, 379(9833), 2252-2261. https://doi.org/10.1016/S0140-6736(12)60480-2
U.S. Department of Health and Human Services. (2021). Healthy People 2030. Office of Disease Prevention and Health Promotion. Retrieved from https://health.gov/healthypeople
Wagner, E. H., Austin, B. T., Davis, C., Hindmarsh, M., Schaefer, J., & Bonomi, A. (2001). Improving chronic illness care: Translating evidence into action. Health Affairs, 20(6), 64-78. https://doi.org/10.1377/hlthaff.20.6.64
World Health Organization. (2021). Global report on diabetes. World Health Organization. Retrieved from https://www.who.int/publications/i/item/9789241565257
Yeh, H. C., Brown, T. T., Maruthur, N., Ranasinghe, P., Berger, Z., Suh, Y. D., Wilson, L. M., Haberl, E. B., Brick, J., Bass, E. B., & Golden, S. H. (2014). Comparative effectiveness and safety of methods of insulin delivery and glucose monitoring for diabetes mellitus: A systematic review and meta-analysis. Annals of Internal Medicine, 160(7), 1-19. https://doi.org/10.7326/M13-2419
Norris, S. L., Lau, J., Smith, S. J., Schmid, C. H., & Engelgau, M. M. (2002). Self-management education for adults with type 2 diabetes: A meta-analysis of the effect on glycemic control. Diabetes Care, 25(7), 1159-1171. https://doi.org/10.2337/diacare.25.7.1159
Powers, M. A., Bardsley, J., Cypress, M., Duker, P., Funnell, M. M., Fischl, A. H., Maryniuk, M. D., Siminerio, L., & Vivian, E. (2015). Diabetes self-management education and support in type 2 diabetes: A joint position statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. The Diabetes Educator, 41(4), 417-430. https://doi.org/10.1177/0145721715588908
Duncan, I., Birkmeyer, C., Coughlin, S., Li, Q., Sherr, D., Boren, S., & Connolly, P. M. (2012). Assessing the value of diabetes education. Diabetes Educator, 38(5), 638-657. https://doi.org/10.1177/0145721712455225
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