Abstract

Approximately 9.4% of the population of the United States, or 30.3 million Americans, has diabetes mellitus. Diabetes is the seventh leading cause of death and places a significant financial strain on the healthcare system with approximately $327 billion in estimated expenditures. In Ohio, 13.5% of the population has diabetes, which represents a 4.1% increase above the national average. Additionally, individuals with mental illness are at an increased risk for diabetes due to lower self-efficacy and limited performance of self-care activities compared to the general population. This results in poor glycemic control and leads to an increased risk for diabetes complications. Approximately 46.6 million adults, or 19% of the population of the United States, have mental illness diagnoses. Diabetes Self-Management Education Support (DSMES) is recommended by the American Diabetes Association as an important aspect of diabetes care. The purpose of this evidence-based practice project was to implement a DSMES course to a group of adults with diabetes and mental illness to evaluate the impact on self-efficacy, performance of self-care activities, and hemoglobin A1C. This project was guided by the Self-Efficacy Model and the Iowa Model.

Authors

Brooke Tullis

Author Details

Brooke Tullis, DNP, BSN, RN

Sigma Membership

Theta Tau

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Diabetes, Mental Illness, Self Management, Patient Education

Advisor

Eileen Walsh

Second Advisor

Robert Topp

Third Advisor

Tonya Schmitt

Degree

DNP

Degree Grantor

The University of Toledo

Degree Year

2020

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Faculty Approved: Degree-based Submission

Acquisition

Self-submission

Date of Issue

2021-05-13

Full Text of Presentation

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