Diabetes Self-Management Education Patterns in a US Population-based Cohort of Youth with Type 1 Diabetes

Details

• Alternative Title:
  Diabetes Educ
• Personal Author:
  Jaacks, Lindsay M. ; Bell, Ronny A. ; Dabelea, Dana ; D'Agostino, Ralph B. ; Dolan, Lawrence M. ; Imperatore, Giuseppina ; Klingensmith, Georgeanna ; Lawrence, Jean M. ; Saydah, Sharon ; Yi-Frazier, Joyce ; Mayer-Davis, Elizabeth J.
• Corporate Authors:
  for the SEARCH for Diabetes in Youth Study Group
• Description:
  Purpose
  
  The purpose of this study is to describe: 1) the receipt of diabetes self-management education (DSME) in a large, diverse cohort of US youth with type 1 diabetes (T1DM); 2) the segregation of self-reported DSME variables into domains; and 3) the demographic and clinical characteristics of youth who receive DSME.
  
  Methods
  
  Data are from the US population-based cohort, SEARCH for Diabetes in Youth. A cross-sectional analysis was employed using data from 1273 youth < 20 years of age at time of diagnosis of T1DM. Clusters of 19 self-reported DSME variables were derived using factor analysis and their associations with demographic and clinical characteristics were evaluated using polytomous logistic regression.
  
  Results
  
  Nearly all participants reported receiving DSME content consistent with ‘survival skills’ (e.g., target blood glucose and what to do for low or high blood glucose), yet gaps in continuing education were identified [e.g., fewer than half of participants reported receiving specific medical nutrition therapy (MNT) recommendations]. Five DSME clusters were explored: Receipt of Specific MNT Recommendations, Receipt of Diabetes Information Resources, Receipt of Clinic Visit Information, Receipt of Specific Diabetes Information, and Met with Educator or Nutritionist. Factor scores were significantly associated with demographic and clinical characteristics, including race/ethnicity, socioeconomic status, and diabetes self-management practices.
  
  Conclusions
  
  Health care providers should work together to address reported gaps in DSME in order to improve patient care.
  
  
• Subjects:
  Adolescent Adult Behavioral Risk Factor Surveillance System Biomarkers Blood Glucose Body Mass Index Child Child, Preschool Cluster Analysis Cross-Sectional Studies Delivery Of Health Care Diabetes Mellitus, Type 1 Female Follow-Up Studies Health Personnel Health Services Accessibility Hemoglobin A, Glycosylated Humans Male Patient Acceptance Of Health Care Patient Education As Topic Preventive Health Services Self Care Surveys And Questionnaires

  More +
• Source:
  Diabetes Educ. 40(1):29-39.
• Pubmed ID:
  24248833
• Pubmed Central ID:
  PMC4076934
• Document Type:
  Journal Article
• Funding:
  P30 DK057516/DK/NIDDK NIH HHS/United States ; 1U18DP002709/DP/NCCDPHP CDC HHS/United States ; U48/CCU819241-3/PHS HHS/United States ; M01RR00037/RR/NCRR NIH HHS/United States ; U01 DP000247/DP/NCCDPHP CDC HHS/United States ; U18 DP002710/DP/NCCDPHP CDC HHS/United States ; U18DP002714/DP/NCCDPHP CDC HHS/United States ; DP-05-069/DP/NCCDPHP CDC HHS/United States ; U48/CCU419249/PHS HHS/United States ; M01 RR000069/RR/NCRR NIH HHS/United States ; U18DP002708-01/DP/NCCDPHP CDC HHS/United States ; 200-2010-35171/PHS HHS/United States ; U18 DP002714/DP/NCCDPHP CDC HHS/United States ; U01 DP000248/DP/NCCDPHP CDC HHS/United States ; U48/CCU919219/PHS HHS/United States ; M01 RR000037/RR/NCRR NIH HHS/United States ; DP-10-001/DP/NCCDPHP CDC HHS/United States ; U01 DP000244/DP/NCCDPHP CDC HHS/United States ; 00097/PHS HHS/United States ; U18DP000247-06A1/DP/NCCDPHP CDC HHS/United States ; U48/CCU519239/PHS HHS/United States ; U18DP002710-01/DP/NCCDPHP CDC HHS/United States ; M01RR00069/RR/NCRR NIH HHS/United States ; UL1 RR025014/RR/NCRR NIH HHS/United States ; UL1 RR029882/RR/NCRR NIH HHS/United States ; U58/CCU019235-4/PHS HHS/United States ; U18 DP002709/DP/NCCDPHP CDC HHS/United States ; UL1RR026314-01/RR/NCRR NIH HHS/United States ; UL1 TR001082/TR/NCATS NIH HHS/United States ; P30DK57516/DK/NIDDK NIH HHS/United States ; U01 DP000250/DP/NCCDPHP CDC HHS/United States ; U01 DP000246/DP/NCCDPHP CDC HHS/United States ; U01 DP000254/DP/NCCDPHP CDC HHS/United States ; UL1 RR026314/RR/NCRR NIH HHS/United States ; U18 DP002708/DP/NCCDPHP CDC HHS/United States ; UL1RR029882/RR/NCRR NIH HHS/United States ; HIR 10-001/HX/HSRD VA/United States
• Place as Subject:
  United States
• Volume:
  40
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:d95f1c38dd9a6b5cd1b3797512e63198a47046d9a8861982fe88dc49db2bf82a
• Download URL:
  https://stacks.cdc.gov/view/cdc/30017/cdc_30017_DS1.pdf
• File Type:
  [PDF - 1.09 MB ]