Skip to main content
Erschienen in: International Journal of Diabetes in Developing Countries 2/2015

01.09.2015 | Original Article

Impact of education based on type 1 diabetes management model

verfasst von: Çağrı Çövener Özçelik, Ayşe Ferda Ocakçı

Erschienen in: International Journal of Diabetes in Developing Countries | Sonderheft 2/2015

Einloggen, um Zugang zu erhalten

Abstract

The diabetes management is considered to be adversely affected when adolescent-specific education methods are not used. In this study, Type 1 Diabetes Management Model which ensures standardisation of the diabetes education and is based on the health promotion model and formed by applying health promotion model (HPM) according to the mastery-learning theory was used. The study was performed to determine effectiveness of diabetes education based on “Type 1 Diabetes Management Model” on adolescents. In total, 36 adolescents at ages 13–17 with type 1 diabetes participated. A quasi-experimental study was conducted as a pretest-posttest design on a single group study, which included nine interactive type 1 diabetes education sessions over 8 days, with assessments at baseline and after 3 months. Diabetes management skills and self-management levels were measured with Diabetes Behaviour Rating Scale, General Self Efficacy Scale and diabetes knowledge measured with type 1 diabetes rating form and unit follow-up tests. After 3 months, diabetes management skills (p = 0.000) and self-management levels (p = 0.002) were improved, haemoglobin A1C levels were decreased (p = 0.035) and diabetes knowledge was increased (p = 0.000). No improvement was observed in levels of taking the responsibility of skills (p = 0.958). Education programs based on Type 1 Diabetes Management Model may be suggested as an efficient model for adolescents with type 1 diabetes to improve their diabetes management skills, and also, diabetes nurses will be able to form education programs they arrange within the framework of a specific standard.
Literatur
1.
Zurück zum Zitat American Diabetes Association (ADA). Diagnosis and classification of diabetes mellitus. Diabetes Care. 2012;35(1):S64–71.CrossRef American Diabetes Association (ADA). Diagnosis and classification of diabetes mellitus. Diabetes Care. 2012;35(1):S64–71.CrossRef
2.
Zurück zum Zitat Türkiye’de Diyabet Profili Çalıştay Raporu 2009. Çocukluk Çağında Diyabet Bakım ve Tedavisinin Geliştirilmesi. [Profile of diabetes in Turkey Workshop Report 2009. Improving of care and treatment of childhood diabetes]. Available at: www.diyabet2020.org. Accessed January 29, 2012. Türkiye’de Diyabet Profili Çalıştay Raporu 2009. Çocukluk Çağında Diyabet Bakım ve Tedavisinin Geliştirilmesi. [Profile of diabetes in Turkey Workshop Report 2009. Improving of care and treatment of childhood diabetes]. Available at: www.​diyabet2020.​org. Accessed January 29, 2012.
3.
Zurück zum Zitat Hatun S. Türk Diabet Yıllığı 2000-2001[Turkish Diabetes Annual 2000-2001]. İstanbul: Türk Diabet Cemiyeti Yayını, 2001: 65- 76. Hatun S. Türk Diabet Yıllığı 2000-2001[Turkish Diabetes Annual 2000-2001]. İstanbul: Türk Diabet Cemiyeti Yayını, 2001: 65- 76.
4.
Zurück zum Zitat Saka N. Diabetes mellitus. In: Günöz H, Öcal G, Yordam N, Kurtoğlu S, editors. Pediatrik Endokrinoloji [Pediatric endocrinology]. İstanbul: Pediatrik Endokrinoloji ve Oksoloji Derneği Yayınları; 2003. p. 415–23. Saka N. Diabetes mellitus. In: Günöz H, Öcal G, Yordam N, Kurtoğlu S, editors. Pediatrik Endokrinoloji [Pediatric endocrinology]. İstanbul: Pediatrik Endokrinoloji ve Oksoloji Derneği Yayınları; 2003. p. 415–23.
5.
Zurück zum Zitat Amsberg S, Anderbro T, Wredling R, Lisspers J, Lins PE, Adamson U, et al. A cognitive behavior therapy-based intervention among poorly controlled adult type 1 diabetes patients—a randomized controlled trial. Patient Educ Couns. 2009;77:72–80.CrossRefPubMed Amsberg S, Anderbro T, Wredling R, Lisspers J, Lins PE, Adamson U, et al. A cognitive behavior therapy-based intervention among poorly controlled adult type 1 diabetes patients—a randomized controlled trial. Patient Educ Couns. 2009;77:72–80.CrossRefPubMed
6.
Zurück zum Zitat Greening L, Stoppelbein L, Konishi C, Jordan SS, Moll G. Child routines and youths’ adherence to treatment for type 1 diabetes. J Pediatr Psychol. 2007;32:437–47.CrossRefPubMed Greening L, Stoppelbein L, Konishi C, Jordan SS, Moll G. Child routines and youths’ adherence to treatment for type 1 diabetes. J Pediatr Psychol. 2007;32:437–47.CrossRefPubMed
7.
Zurück zum Zitat Çuhadaroğlu F. Ergenlik Döneminde Psikolojik Gelişim Özellikleri [Characteristics of psychological development in adolescence]. Katkı Pediatri. 2000;21:863–8. Çuhadaroğlu F. Ergenlik Döneminde Psikolojik Gelişim Özellikleri [Characteristics of psychological development in adolescence]. Katkı Pediatri. 2000;21:863–8.
8.
Zurück zum Zitat Yavuzer H. Gençleri Anlamak. 2. baskı. İstanbul: Remzi Kitabevi; 2005. Yavuzer H. Gençleri Anlamak. 2. baskı. İstanbul: Remzi Kitabevi; 2005.
9.
Zurück zum Zitat Erdoğan A, Karaman MG. Kronik ve Ölümcül Hastalığı Olan Çocuk ve Ergenlerde Ruhsal Sorunların Tanınması ve Yönetilmesi. Anadolu Psikiyatri Dergisi. 2008;9:244–52. Erdoğan A, Karaman MG. Kronik ve Ölümcül Hastalığı Olan Çocuk ve Ergenlerde Ruhsal Sorunların Tanınması ve Yönetilmesi. Anadolu Psikiyatri Dergisi. 2008;9:244–52.
10.
Zurück zum Zitat Leite SAO, Zanim LM, Granzotto PCD, Heupa S, Lamounier RN. Educational program to type 1 diabetes mellitus patients: basic topics. Arq Bras Endrocrinol Metab. 2008;52:233–42.CrossRef Leite SAO, Zanim LM, Granzotto PCD, Heupa S, Lamounier RN. Educational program to type 1 diabetes mellitus patients: basic topics. Arq Bras Endrocrinol Metab. 2008;52:233–42.CrossRef
11.
Zurück zum Zitat Nansel TR, Iannotti RJ, Simons-Morton BG, Cox C, Plotnick LP, Clark LM, et al. Short-term and 1-year outcomes of a diabetes personal trainer intervention among youth with type 1 diabetes. Diabetes Care. 2007;30:2471–7.PubMedCentralCrossRefPubMed Nansel TR, Iannotti RJ, Simons-Morton BG, Cox C, Plotnick LP, Clark LM, et al. Short-term and 1-year outcomes of a diabetes personal trainer intervention among youth with type 1 diabetes. Diabetes Care. 2007;30:2471–7.PubMedCentralCrossRefPubMed
12.
Zurück zum Zitat Golay A, Lagger G, Chambouleyron M, Carrard I, Lasserre-Moutet A. Therapeutic education of diabetic patients. Diabetes Metab Res Rev. 2008;24:192–6.CrossRefPubMed Golay A, Lagger G, Chambouleyron M, Carrard I, Lasserre-Moutet A. Therapeutic education of diabetic patients. Diabetes Metab Res Rev. 2008;24:192–6.CrossRefPubMed
13.
Zurück zum Zitat Erdoğan S. Diyabet Eğitimi ve Danışmanlık. In: Erdoğan S, editor. Diyabet Hemşireliği Temel Bilgiler. İstanbul: Yüce Reklam/ Yayım/ Dağıtım AŞ; 2002. p. 163–82. Erdoğan S. Diyabet Eğitimi ve Danışmanlık. In: Erdoğan S, editor. Diyabet Hemşireliği Temel Bilgiler. İstanbul: Yüce Reklam/ Yayım/ Dağıtım AŞ; 2002. p. 163–82.
14.
Zurück zum Zitat Fadıllıoğlu Ç. Diyabet Hemşiresi El Kitabı. Yılmaz C (ed). İzmir: Asya Tıp Yayıncılık; 2002. pp. 74- 120. Fadıllıoğlu Ç. Diyabet Hemşiresi El Kitabı. Yılmaz C (ed). İzmir: Asya Tıp Yayıncılık; 2002. pp. 74- 120.
15.
16.
Zurück zum Zitat Oktay S. Diyabet Bakımı:Sınırlar Ötesi Stratejiler. In: Erdoğan S, editor. Diyabet Hemşireliği Temel Bilgiler. İstanbul: Yüce Reklam/ Yayım/ Dağıtım AŞ; 2002. p. 1–10. Oktay S. Diyabet Bakımı:Sınırlar Ötesi Stratejiler. In: Erdoğan S, editor. Diyabet Hemşireliği Temel Bilgiler. İstanbul: Yüce Reklam/ Yayım/ Dağıtım AŞ; 2002. p. 1–10.
17.
Zurück zum Zitat Bonnet C, Gagnayre R, D’Ivernois JF. Learning difficulties of diabetic patients: a survey of educators. Patient Educ Couns. 1998;35:139–47.CrossRefPubMed Bonnet C, Gagnayre R, D’Ivernois JF. Learning difficulties of diabetic patients: a survey of educators. Patient Educ Couns. 1998;35:139–47.CrossRefPubMed
18.
Zurück zum Zitat Rankin SH, Stallings KD. Patient Education. 4th ed. Philadelphia: Lippincott; 2001. pp. 99-107, 134-8. Rankin SH, Stallings KD. Patient Education. 4th ed. Philadelphia: Lippincott; 2001. pp. 99-107, 134-8.
19.
Zurück zum Zitat Cook S, Aikens JE, Berry CA, McNabb WL. Development of the diabetes problem-solving measure for adolescents. Diabetes Educ. 2001;27:865–73.CrossRefPubMed Cook S, Aikens JE, Berry CA, McNabb WL. Development of the diabetes problem-solving measure for adolescents. Diabetes Educ. 2001;27:865–73.CrossRefPubMed
20.
Zurück zum Zitat Silverstein J, Klingensmith G, Copeland K, Plotnıck L, Kaufman F, Laffel L, et al. Care of children and adolescents with type 1 diabetes. Diabetes Care. 2005;28:186–212.CrossRefPubMed Silverstein J, Klingensmith G, Copeland K, Plotnıck L, Kaufman F, Laffel L, et al. Care of children and adolescents with type 1 diabetes. Diabetes Care. 2005;28:186–212.CrossRefPubMed
21.
Zurück zum Zitat Tokat Aluş M, Okumuş H. Başarılı Emzirme İçin Kuram ve Modele Dayalı Hemşirelik Uygulamaları Nasıl Geliştirilir? [How develop nursing care based on theory and model for a successful breast feeding?]. Hemşirelikte Araştırma Geliştirme Dergisi (HEMAR-G). 2008;3:51–8. Tokat Aluş M, Okumuş H. Başarılı Emzirme İçin Kuram ve Modele Dayalı Hemşirelik Uygulamaları Nasıl Geliştirilir? [How develop nursing care based on theory and model for a successful breast feeding?]. Hemşirelikte Araştırma Geliştirme Dergisi (HEMAR-G). 2008;3:51–8.
22.
Zurück zum Zitat Velioğlu P. Hemşirelikte Kavram ve Kuramlar. İstanbul: Alaş Ofset Matbaası; 1999. Velioğlu P. Hemşirelikte Kavram ve Kuramlar. İstanbul: Alaş Ofset Matbaası; 1999.
23.
Zurück zum Zitat American Diabetes Association (ADA). Standards of medical care in diabetes—2012. Diabetes Care. 2012;35(1):S11–63. American Diabetes Association (ADA). Standards of medical care in diabetes—2012. Diabetes Care. 2012;35(1):S11–63.
24.
Zurück zum Zitat Çövener Ç. Tip 1 Diyabetli Adolesanlarda Sorun Çözme Becerisi. Marmara University Health Sciences Institute. Master Thesis. İstanbul, 2005 (Advisor: Prof. Dr. H Pek). Çövener Ç. Tip 1 Diyabetli Adolesanlarda Sorun Çözme Becerisi. Marmara University Health Sciences Institute. Master Thesis. İstanbul, 2005 (Advisor: Prof. Dr. H Pek).
26.
Zurück zum Zitat Terzi Ş. Üniversite öğrencilerinde kendini toparlama gücünün içsel koruyucu faktörlerle ilişkisi. Hacettepe Üniversitesi Eğitim Fakültesi Dergisi (HU J Educ). 2008;35:297–306. Terzi Ş. Üniversite öğrencilerinde kendini toparlama gücünün içsel koruyucu faktörlerle ilişkisi. Hacettepe Üniversitesi Eğitim Fakültesi Dergisi (HU J Educ). 2008;35:297–306.
27.
Zurück zum Zitat Akça AF. Mesleki Temel Kavramlar. In: Akça Ay F, editor. Temel Hemşirelik Kavramları, İlkeler, Uygulamalar. İstanbul: Medikal Yayıncılık; 2007. p. 39–47. Akça AF. Mesleki Temel Kavramlar. In: Akça Ay F, editor. Temel Hemşirelik Kavramları, İlkeler, Uygulamalar. İstanbul: Medikal Yayıncılık; 2007. p. 39–47.
28.
Zurück zum Zitat Sakraida TJ. Nola Pender: health promotion model. In: Alligood MR, Tomey AM, editors. Nursing theorists and their work. 7th ed. Maryland: Mosby; 2010. p. 434–54. Sakraida TJ. Nola Pender: health promotion model. In: Alligood MR, Tomey AM, editors. Nursing theorists and their work. 7th ed. Maryland: Mosby; 2010. p. 434–54.
29.
Zurück zum Zitat Bloom BS, Carroll JB. Mastery learning. In: Block JH, editor. Mastery learning theory and practice. New York: Rinehart and Winston Inc; 1971. p. 47–63. Bloom BS, Carroll JB. Mastery learning. In: Block JH, editor. Mastery learning theory and practice. New York: Rinehart and Winston Inc; 1971. p. 47–63.
30.
Zurück zum Zitat Bloom BS. İnsan Nitelikleri ve Okulda Öğrenme (Human characteristics and school learning). Translation: Özçelik DA. Istanbul Milli Eğitim Basımevi: Istanbul; 1998. Bloom BS. İnsan Nitelikleri ve Okulda Öğrenme (Human characteristics and school learning). Translation: Özçelik DA. Istanbul Milli Eğitim Basımevi: Istanbul; 1998.
31.
Zurück zum Zitat Erden M, Akman Y. Gelişim ve Öğrenme. Genişletilmiş 9. baskı. Ankara: Arkadaş Yayınevi; 2001. p. 242–7. Erden M, Akman Y. Gelişim ve Öğrenme. Genişletilmiş 9. baskı. Ankara: Arkadaş Yayınevi; 2001. p. 242–7.
32.
Zurück zum Zitat Demirel O. Ögretme Sanatı. Geliştirilmiş 14. baskı. Ankara: Pegem Akademi; 2009. p. 132–6. Demirel O. Ögretme Sanatı. Geliştirilmiş 14. baskı. Ankara: Pegem Akademi; 2009. p. 132–6.
33.
Zurück zum Zitat Rubin RR, Peyrot M, Saudek CD. Effect of diabetes education on self-care, metabolic control, and emotional well-being. Diabetes Care. 1989;12:673–9.CrossRefPubMed Rubin RR, Peyrot M, Saudek CD. Effect of diabetes education on self-care, metabolic control, and emotional well-being. Diabetes Care. 1989;12:673–9.CrossRefPubMed
34.
Zurück zum Zitat Delamater AM, Bubb J, Davis SG, Smith JA, Schmidt L, White NH, et al. Randomized prospective study of self-management training with newly diagnosed diabetic children. Diabetes Care. 1990;13:492–8.CrossRefPubMed Delamater AM, Bubb J, Davis SG, Smith JA, Schmidt L, White NH, et al. Randomized prospective study of self-management training with newly diagnosed diabetic children. Diabetes Care. 1990;13:492–8.CrossRefPubMed
35.
Zurück zum Zitat Couper JJ, Taylor J, Fotherıngham MJ, Sawyer M. Failure to maintain the benefits of home-based intervention in adolescents with poorly controlled type 1 diabetes. Diabetes Care. 1999;22:1933–7.CrossRefPubMed Couper JJ, Taylor J, Fotherıngham MJ, Sawyer M. Failure to maintain the benefits of home-based intervention in adolescents with poorly controlled type 1 diabetes. Diabetes Care. 1999;22:1933–7.CrossRefPubMed
36.
Zurück zum Zitat Sidorov J, Gabbay R, Harris R, Shull RD, Girolami S, Tomcavage J, et al. Disease management for diabetes mellitus: impact on hemoglobin A1C. Am J Manage Care. 2000;6:1217–26. Sidorov J, Gabbay R, Harris R, Shull RD, Girolami S, Tomcavage J, et al. Disease management for diabetes mellitus: impact on hemoglobin A1C. Am J Manage Care. 2000;6:1217–26.
37.
Zurück zum Zitat Cook S, Herold K, Edidin DV, Briars R. Increasing problem solving in adolescents with type 1 diabetes : the choices diabetes program. Diabetes Educ. 2002;28:115–24.CrossRefPubMed Cook S, Herold K, Edidin DV, Briars R. Increasing problem solving in adolescents with type 1 diabetes : the choices diabetes program. Diabetes Educ. 2002;28:115–24.CrossRefPubMed
38.
Zurück zum Zitat Gage H, Hampson S, Skinner TC, Hart J, Storey L, Foxcroft D, et al. Educational and psychosocial programmes for adolescents with diabetes: approaches, outcomes and cost-effectiveness. Patient Educ Couns. 2004;53:333–46.CrossRefPubMed Gage H, Hampson S, Skinner TC, Hart J, Storey L, Foxcroft D, et al. Educational and psychosocial programmes for adolescents with diabetes: approaches, outcomes and cost-effectiveness. Patient Educ Couns. 2004;53:333–46.CrossRefPubMed
39.
Zurück zum Zitat Warsi A, Wang PS, LaValley MP, Avorn J, Solomon DH. Self-management education programs in chronic disease: a systematic review and methodological critique of the literature. Arch Intern Med. 2004;164:1641–9.CrossRefPubMed Warsi A, Wang PS, LaValley MP, Avorn J, Solomon DH. Self-management education programs in chronic disease: a systematic review and methodological critique of the literature. Arch Intern Med. 2004;164:1641–9.CrossRefPubMed
40.
Zurück zum Zitat Liebman J, Heffernan D, Sarvela P. Establishing diabetes self-management in a community health center serving low-income Latinos. Diabetes Educ. 2007;33(6):132S–8S.CrossRefPubMed Liebman J, Heffernan D, Sarvela P. Establishing diabetes self-management in a community health center serving low-income Latinos. Diabetes Educ. 2007;33(6):132S–8S.CrossRefPubMed
41.
42.
Zurück zum Zitat Ingersoll GM, Orr DP, Herrold AJ, Golden MP. Cognitive maturity and self-management among adolescents with insulin-dependent diabetes mellitus. J Pediatr. 1986;108:620–3.CrossRefPubMed Ingersoll GM, Orr DP, Herrold AJ, Golden MP. Cognitive maturity and self-management among adolescents with insulin-dependent diabetes mellitus. J Pediatr. 1986;108:620–3.CrossRefPubMed
43.
Zurück zum Zitat Harris MA, Wysocki T, Sadler M, Wilkinson K, Harvey LM, Buckloh LM, et al. Validation of a structured interview for the assessment of diabetes self-management. Diabetes Care. 2000;23:1301–4.CrossRefPubMed Harris MA, Wysocki T, Sadler M, Wilkinson K, Harvey LM, Buckloh LM, et al. Validation of a structured interview for the assessment of diabetes self-management. Diabetes Care. 2000;23:1301–4.CrossRefPubMed
44.
Zurück zum Zitat Wu SFV, Lee MC, Liang SY, Lu YY, Wang TJ, Tung HH. Effectiveness of a self-efficacy program for persons with diabetes: a randomized controlled trial. Nurs Health Sci. 2011;13:335–43.PubMed Wu SFV, Lee MC, Liang SY, Lu YY, Wang TJ, Tung HH. Effectiveness of a self-efficacy program for persons with diabetes: a randomized controlled trial. Nurs Health Sci. 2011;13:335–43.PubMed
45.
Zurück zum Zitat Iannotti RJ, Schneider S, Nansel TR, Haynie DL, Plotnick LP, Clark LM, et al. Self-efficacy, outcome expectations, and diabetes self management in adolescents with type 1 diabetes. J Dev Behav Pediatr. 2006;27:98–105.CrossRefPubMed Iannotti RJ, Schneider S, Nansel TR, Haynie DL, Plotnick LP, Clark LM, et al. Self-efficacy, outcome expectations, and diabetes self management in adolescents with type 1 diabetes. J Dev Behav Pediatr. 2006;27:98–105.CrossRefPubMed
46.
Zurück zum Zitat Başar H. Sınıf Yönetimi. Milli Eğitim Basımevi: İstanbul; 1999. Başar H. Sınıf Yönetimi. Milli Eğitim Basımevi: İstanbul; 1999.
47.
Zurück zum Zitat Dashiff CJ, McCaleb A, Cull V. Self-care of young adolescents with type 1 diabetes. J Pediatr Nurs. 2006;21:222–32.CrossRefPubMed Dashiff CJ, McCaleb A, Cull V. Self-care of young adolescents with type 1 diabetes. J Pediatr Nurs. 2006;21:222–32.CrossRefPubMed
Metadaten
Titel
Impact of education based on type 1 diabetes management model
verfasst von
Çağrı Çövener Özçelik
Ayşe Ferda Ocakçı
Publikationsdatum
01.09.2015
Verlag
Springer India
Erschienen in
International Journal of Diabetes in Developing Countries / Ausgabe Sonderheft 2/2015
Print ISSN: 0973-3930
Elektronische ISSN: 1998-3832
DOI
https://doi.org/10.1007/s13410-014-0284-x

Weitere Artikel der Sonderheft 2/2015

International Journal of Diabetes in Developing Countries 2/2015 Zur Ausgabe