1 / 23

Impact of the Home and Community Environment on Diabetes Management

Impact of the Home and Community Environment on Diabetes Management. Presenter-Hayley Kermond Supervisor-Dr Kieran Broome. (http://www.adelaidebariatriccentre.com.au/diabetes-in-australia). Literature Review. Strong evidence for; Physical activity Healthy diet Stress reduction

adin
Télécharger la présentation

Impact of the Home and Community Environment on Diabetes Management

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Impact of the Home and Community Environment on Diabetes Management Presenter-Hayley Kermond Supervisor-Dr Kieran Broome

  2. (http://www.adelaidebariatriccentre.com.au/diabetes-in-australia)(http://www.adelaidebariatriccentre.com.au/diabetes-in-australia)

  3. Literature Review Strong evidence for; • Physical activity • Healthy diet • Stress reduction • Medications Difficult to make necessary lifestyle changes (Booth et al., 2013;Snowling & Hopkins, 2006; Surwit et al., 2002)

  4. Role of Occupational Therapists

  5. Aim of Study • Determine how the home and community environment can act as a facilitator or barrier to diabetes self-management. • Develop preliminary diabetes-friendly guidelines from the collected and analysed data.

  6. Research Design • Mixed methods design • 2 part study • First part Nominal Group Technique (NGT) • Second part Experienced Sampling Methods (ESM)

  7. Nominal Group Technique • Input from all participants • Diverse opinions • Several ideas for set topic • Identifies priorities (Allen, Dyas & Jones, 2004)

  8. Data Sample- NGT

  9. Experience Sampling Methods • Gains immediate lived experience • Gains perspective over time • Reduces need for recall • Convenient (Barrett & Barrett, 2001)

  10. Data Sample-ESM

  11. Sample

  12. Recruitment • Diabetes support groups • Community health centres • Diabetes Queensland • Medical centres • Retirement villages • University of the third age • Libraries • Social media

  13. Results- NGT

  14. Preliminary Results-ESM

  15. “The routine of the work day makes managing programs, whether they be diets, exercise or medication programs, easier.” “I was busy doing tasks so I forgot to do my exercises and walk.” “I manage exercise well now that routine is being re-established.” “Routine always makes managing lifestyle easier.”

  16. Preliminary Guidelines • Establish routine • Strategies for routine changes • Education for social networks • Education on time management

  17. Discussion • Guidelines to improve diabetes self-management. • Evidence base to implement necessary environmental changes. • Evidence base for future research.

  18. Limitations • Small sample size • Exclusion of people who don’t have/use mobile phones • Voluntary sample

  19. Aims Achieved Were the aims of the study achieved? • Barriers and facilitators to diabetes self-management in the home and community environment were identified. • Preliminary diabetes-friendly guidelines were developed.

  20. Conclusion Shift from reactive to proactive role

  21. References Allen, J., Dyas, J., & Jones, M. (2004). Building consensus in health care: a guide to using the nominal group technique. British Journal of Community Nursing, 9(3), 110-114. Retrieved from CINAHL Booth, A.O., Lowis, C., Dean, M., Hunter, S.J., & McKinley, M.C. (2013). Diet and physical activity in the self-management of type 2 diabetes: barriers and facilitators identified by patients and health professionals. Primary Health Care Research & Development, 14, 293-306. Dunstan, D. W., Zimmet, P. Z., Welborn, T. A., Courten, P. D., Cameron, A. J., Sicree, R. A., Dwyer, T., Colagiuri, S., Jolley, D., Atkins, R., & Shaw, J. E. (2002). The rising prevalence of diabetes and impaired glucose control: The Australian diabetes, obesity and lifestyle study. Diabetes Care, 25(5), 829-834. Retrieved from ProQuest Herman, W.H. (2013). The economic costs of diabetes: is it time for a new treatment paradigm? Diabetes Care, 36(4), 775-6. Jones, L., Crabb, S., Turnbull, D., & Oxlad, M. (2013). Barriers and facilitators to effective type two diabetes management in a rural context: a qualitative study with diabetes patients and health professionals. Journal of Health Psychology, in press. Kuntsche, E., & Labhart, F. (2013). Using personal cell phones for ecological momentary assessment. European Psychologist, 18(1), 3-11.

  22. References Lee, C.M.Y., Colagiuri, R., Magliano, D.J., Cameron, A.J., Shar, J., Zimmet, P., & Colagiuri, S. (2013). The cost of diabetes in adults in Australia. Diabetes Research & Clinical Practice, 99(3), 385-90. Novo Nordisk. (2012). Diabetes: the silent pandemic and its impact on Australia. Retrieved from https://www.diabetesaustralia.com.au Rendle, K.A.S., May, S.G., Uy, V., Tietbohl, C.K., Mangione, C.M., & Frosch, D.L. (2013). Persistent barriers and strategic practices: why (asking about) the everyday matters in diabetes care. The Diabetes Educator, 39(4), 560-7. Snowling, N. J., & Hopkins, W. G. (2006). Effects of different modes of exercise training on glucose control and risk factors for complications in type 2 diabetic patients. Diabetes Care, 29(11), 2518-2527. doi: 10.2337/dc06-1317 Surwit, R. S., Tilburg, M. A. L. V., Zucker, N., Parekh, P., Feinglos, M. N., Edwards, C. L., Lane, J. D. (2002). Stress management improves long-term glycemic control in type 2 diabetes. Diabetes Care, 25(1), 30-34. doi: 10.2337/diacare.25.1.30 World Health Organization (2007). Global Age-friendly Cities: A Guide. World Health Organization: Geneva. Worrall, L., Rose, T., Howe, T., McKenna, K., & Hickson, L. (2007). Developing an evidence-base for accessibility for people with aphasia. Aphasiology, 21(1), 124-36.

More Related