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The Impact of Diabetes Self Management Education Classes On Empowerment and A1c in Ethnic Armenian Elderly
2009 AAN Poster Abstracts continued From the AAN Annual Meeting and Conference
to advance population health It is important to disseminate emerging conventions for Omaha System data analysis to promote consistent use of methods for research and program evaluation for diverse populations.
The Impact of Diabetes Self Management Education Classes On Empowerment and A1c in Ethnic Armenian Elderly Zarmine Naccashian PhD-C, MN, GNP, RN, CDE
Background: No research has been done on the impact of diabetes self-management education (DSME) classes delivered in native language on improving disease outcome in ethnic Armenians. Purpose: Nine hours of DSME classes was offered to clients who attended Daylight Adult Health Day Care Centers in Glendale and Hollywood over 6 weeks period. The attendees of these two centers are mostly first generation immigrants of Armenian descent who are 65 years and above. The classes were offered in Armenian language by a certified diabetes educator of Armenian descent. The impact of DSME on HbA1c levels and perception of empowerment in ethnic Armenians was studied. The impact of acculturation, age, gender and number of years of diabetes was explored The sample was homogenous with respect to ethnicity, age group, health insurance. Methodology: The subjects were obtained by quota sampling. Quasi experimental before and after one group design to assess the impact of education on HbA1c levels and 8-item Diabetes Empowerment Scale (DES) scores was done. A paired t-test was used to compare the difference in HbA1c and DES scores. Analysis of variance ANOVA was used to test the mediating effect of acculturation on both HbA1c and DES. Findings: 75 participants completed the study. The results of the paired sample t-test indicated that the mean of the post-A1c (M ¼ 686, SD ¼ 103) was significantly lower than the pre-A1c levels (M ¼ 719, SD ¼ 125), t(74) ¼ 2415, p < 05. The mean of the post-DES (M ¼ 436, SD ¼ 052) was significantly greater than the mean of pre-DES (M ¼ 405, SD ¼ 055), t(74) ¼ -4225, p < 05. Summary Concluding Statement: The findings demonstrated the efficacy of the educational program in improving diabetes self- care management skills.
Rural Partnerships for a Healthier West Virginia Georgia L. Narsavage, PhD, CRNP, FAAN, Susan Coyle, PhD, RN, and Susan Pinto, MSN, FNP-BC
Background: West Virginia (WV) has significantly higher rates of chronic illness, smoking and obesity
than the nation. WVU School of Nursing embraces community-engaged scholarship through service- learning and outreach efforts to improve the quality of life for our citizens. WVU Health Sciences Center (HSC) schools of medicine, pharmacy, dentistry, and nursing collaborate within the framework of the WV Rural Health Education Partnership (WV-RHEP). Purpose: HSC schools partner with community and rural providers, higher education, and state government Also, RHEP seeks to recruit and retain graduates to serve in rural WV. Methodology: HSC faculty, WVRHEP field faculty, and community partners provide direct service, conduct research and coordinate service learning activities focusing on specific health needs of West Virginians in all 55 counties. Faculty’s community-engaged scholarship result. Findings: In 2007, 71,487 contacts with rural West Virginians provided community service and education on topics such as prenatal care, dental health, drug and alcohol prevention, fitness and nutrition, cardiac screening, childhood obesity, and many others. HSC students and faculty participated in 263 outreach activities serving 8736 people. In one semester, 62 nursing students provided 225 hours (each) of service/care to all ages, a total of 13,950 hours. Nursing students work in collaboration with other HSC students on interdisciplinary teams to address key health issues. In 2008, nursing research on nutritional best practices that prevent heart disease in women (Wise-Woman study) translated into a CDC funded dissemination project To date, 1,072 graduates have been retained to practice in WV. These include 289 physicians, 106 nurse practitioners, 181 physician assistants, 111 dentists, 199 pharmacists, and 186 allied health personnel. Summary Concluding Statement: WV-RHEP exemplifies how nursing leadership, collaborating with dedicated partners, can address health disparities through education and research. As the program matures, increased emphasis is on translating research into practice and gathering metrics for health status.
Mentoring Nursing Leaders to Improve Health Mary A. Nies, PhD, RN, FAAN, FAAHB, Maren J. Coffman, and Meredith Troutman Flood
Background: Research indicates that mentoring has been highly successful in promoting faculty success Mentoring in the areas of scholarship is important for individuals based on the stage in their career. Strong mentors for junior faculty are extremely valuable, not only because of their research and academic expertise, but also for their role modeling behaviors. M
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to advance population health It is important to disseminate emerging conventions for Omaha System data analysis to promote consistent use of methods for research and program evaluation for diverse populations.
The Impact of Diabetes Self Management Education Classes On Empowerment and A1c in Ethnic Armenian Elderly Zarmine Naccashian PhD-C, MN, GNP, RN, CDE
Background: No research has been done on the impact of diabetes self-management education (DSME) classes delivered in native language on improving disease outcome in ethnic Armenians. Purpose: Nine hours of DSME classes was offered to clients who attended Daylight Adult Health Day Care Centers in Glendale and Hollywood over 6 weeks period. The attendees of these two centers are mostly first generation immigrants of Armenian descent who are 65 years and above. The classes were offered in Armenian language by a certified diabetes educator of Armenian descent. The impact of DSME on HbA1c levels and perception of empowerment in ethnic Armenians was studied. The impact of acculturation, age, gender and number of years of diabetes was explored The sample was homogenous with respect to ethnicity, age group, health insurance. Methodology: The subjects were obtained by quota sampling. Quasi experimental before and after one group design to assess the impact of education on HbA1c levels and 8-item Diabetes Empowerment Scale (DES) scores was done. A paired t-test was used to compare the difference in HbA1c and DES scores. Analysis of variance ANOVA was used to test the mediating effect of acculturation on both HbA1c and DES. Findings: 75 participants completed the study. The results of the paired sample t-test indicated that the mean of the post-A1c (M ¼ 686, SD ¼ 103) was significantly lower than the pre-A1c levels (M ¼ 719, SD ¼ 125), t(74) ¼ 2415, p < 05. The mean of the post-DES (M ¼ 436, SD ¼ 052) was significantly greater than the mean of pre-DES (M ¼ 405, SD ¼ 055), t(74) ¼ -4225, p < 05. Summary Concluding Statement: The findings demonstrated the efficacy of the educational program in improving diabetes self- care management skills.
Rural Partnerships for a Healthier West Virginia Georgia L. Narsavage, PhD, CRNP, FAAN, Susan Coyle, PhD, RN, and Susan Pinto, MSN, FNP-BC
Background: West Virginia (WV) has significantly higher rates of chronic illness, smoking and obesity
than the nation. WVU School of Nursing embraces community-engaged scholarship through service- learning and outreach efforts to improve the quality of life for our citizens. WVU Health Sciences Center (HSC) schools of medicine, pharmacy, dentistry, and nursing collaborate within the framework of the WV Rural Health Education Partnership (WV-RHEP). Purpose: HSC schools partner with community and rural providers, higher education, and state government Also, RHEP seeks to recruit and retain graduates to serve in rural WV. Methodology: HSC faculty, WVRHEP field faculty, and community partners provide direct service, conduct research and coordinate service learning activities focusing on specific health needs of West Virginians in all 55 counties. Faculty’s community-engaged scholarship result. Findings: In 2007, 71,487 contacts with rural West Virginians provided community service and education on topics such as prenatal care, dental health, drug and alcohol prevention, fitness and nutrition, cardiac screening, childhood obesity, and many others. HSC students and faculty participated in 263 outreach activities serving 8736 people. In one semester, 62 nursing students provided 225 hours (each) of service/care to all ages, a total of 13,950 hours. Nursing students work in collaboration with other HSC students on interdisciplinary teams to address key health issues. In 2008, nursing research on nutritional best practices that prevent heart disease in women (Wise-Woman study) translated into a CDC funded dissemination project To date, 1,072 graduates have been retained to practice in WV. These include 289 physicians, 106 nurse practitioners, 181 physician assistants, 111 dentists, 199 pharmacists, and 186 allied health personnel. Summary Concluding Statement: WV-RHEP exemplifies how nursing leadership, collaborating with dedicated partners, can address health disparities through education and research. As the program matures, increased emphasis is on translating research into practice and gathering metrics for health status.
Mentoring Nursing Leaders to Improve Health Mary A. Nies, PhD, RN, FAAN, FAAHB, Maren J. Coffman, and Meredith Troutman Flood
Background: Research indicates that mentoring has been highly successful in promoting faculty success Mentoring in the areas of scholarship is important for individuals based on the stage in their career. Strong mentors for junior faculty are extremely valuable, not only because of their research and academic expertise, but also for their role modeling behaviors. M
A R C H
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P R I L
N
U R S I N G
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U T L O O K
e23