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Community prediabetes/diabetes self-care education: nutrition, exercise & lifestyle change skills
( Hannah Mitter )
UCI I410-ECN-0102-2021-500-000701558
This article is 4 pages or less.
* This article cannot be purchased.

Over the past two decades, the prevalence of diabetes in the U.S. has doubled. Half of U.S. adults aged 20 years or older have diabetes (12%) or prediabetes (37%). One third of Koreans have diabetes (8%) or prediabetes (25%). Randomized clinical trials have consistently demonstrated that type 2 diabetes (T2D) can be prevented or delayed among people at high-risk for diabetes by lifestyle interventions, including healthy diet, regular exercise, and weight reduction. Three times more people have prediabetes than diabetes but effective prediabetes self-care education programs are limited. In 2012, the U.S. National Diabetes Prevention Program (NDPP) was launched and more than 500 organizations registered. A pilot project was developed by this author to train faith community nurses (FCNs) to teach diabetes prevention to high-risk individuals. The aim was to increase FCNs’ abilities to facilitate their congregation lifestyle changes that prevent diabetes. Three interventions were delivered to eight FCNs: (a) 5 hours of training on nutrition, physical activity and lifestyle change skills; (b) reviewing diabetes knowledge test; and (c) congregational workshop practicum. FCN participants demonstrated a significant increase in diabetes knowledge and self-efficacy in nutrition education. Participants’ interest in diabetes prevention and integrating a congregational lifestyle program also increased. Results suggest a diabetes prevention training program can be a cost-effective way to reach populations at high-risk for diabetes in a faith community. Considering the diabetes pandemic, utilizing other community health nurses or community health educators for long-term lifestyle intervention programs is prudent. This evidence-based Doctor of Nursing Practice (DNP) scholarly project was revised to create a broader program. In this session, we will explore how community health educators (physicians, nurses, pharmacists, dietitians, nutritionists, and trained non-medical personnel) can integrate community lifestyle intervention programs in practice. The discussion will consider: (a) the U.S. National Diabetes Prevention Program; (b) the results of the Author’s DNP scholarly project; and (c) the implementation of Community Diabetes/Prediabetes Nutrition & Lifestyle Workshop.

[자료제공 : 네이버학술정보]
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