To understand the patient's social, economic, and cultural influences to construct ways to ensure health capability, health, and chronic disease self-management. Front Endocrinol (Lausanne). The research found that the differences in these structures weakened the capability of health and management of special diet. The PICOT implies the population of interest (P), the intervention planned (I), the comparison (C), the outcome (O), and the time (T) (Polit & Beck, 2017). Also, it is essential to consider the physical environment as it assures the right attention is given to the improvement of diabetes education. O-Weight loss. Part II- PICOT Diabetes Self-Management Education . Most patients gain confide in understanding the way that their glucose data is compared to the knowing if, or target goals and when they are required to make any their choice of food. However, other participants from the study required more personalized information in meeting the daily struggles of living with the condition (Mardanian Dehkordi & Abdoli, 2017). From the study, it was found that most participants complained that Diabetes Self-Management Education classes were mostly held without consideration of individual needs. A good clinical question will address most, if not all, parts of the PICO framework. 2021. As was found by one study, technological issues have always come in when it comes to telehealth diabetes education, which in the end affects the whole management system (Watson et al., 2018). This indicates that the content of the Diabetes Self-Management Education also matters if it is to be regarded as sufficient. There are various risk factors that have been associated with the development of type 2 diabetes. REDUCED CARBOHYDRATE DIET EDUCATION 1 Review of Literature CHAPTER 1 INTRODUCTION Background To appreciate the need for this evidence-based practice project (EBP), it is critical to understand what diabetes mellitus (DM) is and the differentiation between type 1 diabetes (T1D) and type 2 diabetes (T2D). Within the last 2 years both my mother and father have been diagnosed with this disease. Background Questions refer to general knowledge and facts. There are several relevant models for the implementation of Diabetes self-management education and support. The majority of the information that can be used to inform answers to background questions are found in reference resources like Encyclopedias, … Also, there are racial and ethnic disparities that play around type 2 diabetes morbidity and mortality in the country, which is common among African Americans (Mardanian Dehkordi & Abdoli, 2017). (2012). Diabetes Care. In an adult ambulatory family practice office ages 18-64 with poorly controlled type II diabetes (HgbA1c > 8%) ... patient-provider relationship and electronic interventions on participation and adherence for diabetes education with diabetes education in ambulatory care is … Can you help me with a good picot question? With regard to ethnicity, it is important to note that people of Asian descent have a higher predisposition to type 2 diabetes, in comparison to persons of European ancestry. Introduction with a problem statement From the results, it was found that the current Diabetes Self-Management Educational approach practices do not meet the needs and expectations of the PWD attending different programs. The standards are essential as they apply to educations in private practice and those that are situated in different multi-centered programs, including every other individual within the program (Grady & Gough, 2014). Providing diabetes prevention and management education to millions of people at risk for type 2 diabetes in the United States is a challenge to health care clinicians. All Rights Reserved. diabetes or at risk for diabetes has never had formal diabetes education (Maryniuk et al., 2013). Wooley & Kinner, (2016) adds that Diabetes self-management Education will look at the different demands in the quality of life that include the emotional, physical, and social wellbeing of the individuals. It is essential to ensure a multi-disciplinary approach which can be used in the diabetes education and can, without doubt, ensure that there is proper delivery of diabetes management information by experts in different fields, in the end, this will maximize the learning process of each. "PICOT Statement For Type 2 Diabetes Management Of Asian-Americans" (2015, July 21) Retrieved February 13, 2021, from https://www.paperdue.com/essay/picot-statement-for-type-2-diabetes-management-2152144, "PICOT Statement For Type 2 Diabetes Management Of Asian-Americans" 21 July 2015. Ensure the use of appropriate physical space as a way of improving Diabetes Self-Management Education. The New England Journal of Medicine. In conclusion, diabetes self-management education is essential when it comes to the improvement of the patient quality of life and health. One of the issues that students often have a problem in developing PICOT questions is the prevention of ulcers. In this regard, the authors suggest three types of intervention measuring the quality of life; two of this also showed the improvements in the quality of life concerning Diabetes Self-management Education participants. One of the main goals for Diabetes self-management Education is to ensure that the patient can control their Haemoglobin A1c ( HbA1c) that is a significant determinant of the average blood glucose in a couple of months. Conduct needs assessment, multidisciplinary approach, interactive teaching methods, and application of technology in improving Diabetes self-management education. It was noted that only two questions, number 8 and 11 had a significant increase based on the post test results. 2021, https://www.paperdue.com/essay/picot-statement-for-type-2-diabetes-management-2152144, Introduction Current about 12.7% of African Americans have been diagnosed by Type 2 diabetes. Diabetes Prevention, A Study Profile. They generally have 4 parts or ideas and are utilized for clinical basic leadership. . According to Cunningham et al., (2018) quality Diabetes self-management education is needed to ensure quality and support to help the diabetes educators in ensuring the provision of evidence-based education and self-management support. If you have clearly identified the main elements of your question using the PICO format, it will be easy to write your question statement. These include, but they are not limited to, ethnicity and lifestyle. Quantitative using a descriptive phenomenological approach. This research paper/essay presents a summary of the study conducted by Whitteore and colleagues (2012). control among persons with type 2 diabetes. (2013). Type 2 Diabetes Prevalence in Asian-Americans. PICOT Question : ( P ) Do adult suffering from chronic Type II diabetes ( I ) benefit from extra self-management education ( C ) compared to patients receiving standard primary care education ( O ) when observing HA1C levels and blood pressure ( T ) over the next two years? People that are found with diabetes are supposed to receive diabetes self-management education from the time they are diagnosed with type 2 diabetes; they are also supposed to be provided with an ongoing self-management support as is required. There is a lot of demand to ensure the management of this complex condition, which has also affected the different decisions regarding the Quality of Life. Diabetes Management Role Of Health Education, Relation between Evidence Based Practice and the Quadruple Aim, Discussion- Cellular Processes and the Genetic Environment, Concepts of Neurological and Musculoskeletal Disorders â Part 2, Developing a Culture of Evidence-Based Practice, Sexually Transmitted Infection Case Study, Concepts of Neurological and Musculoskeletal Disorders, Tips for writing the best nursing assignment, How to Choose The Best Nursing Assignment Topic, Why You Need an Online Nursing Assignment Help. There are additional letters and frameworks to help you formulate a question fitting your research. All these PICOT questions range in various topics. The PICOT question is: How does the standard health education to implement patient-specific dietary and lifestyle modifications compare to patients who receive culturally tailored diabetes education and the reduction of mean blood sugar levels among Asian Americans diagnosed for type 2 diabetes 2-3 weeks after education is provided? Cummingham, A.T., Crittendon, D. R., White, N., Mills, G.D., LaNoue, M.D. To guide this project the following PICOT question has been formulated: How effectively does diabetes education (I) improve health outcomes (O) in Hispanics aged 30 to 60 with diabetes mellitus type 2 (P) in comparison with patients who do not have such knowledge and skills (C) during a 2-year time frame after being diagnosed (T)? After a review of the literature available on diabetes education, a clinical question was identified for the project using PICOT. Conclusion. Diabetes self-management education was also influenced by other factors apart from the regular healthcare proactive, and it includes the social, economic, and cultural practices. The PICOT question addressed was: “What is the effect of nutrition and physical activity education on knowledge and glycemic control among individuals with type 2 diabetes during a three month period?”. The examples, below, are based on cases drawn from the second edition of the Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice [Online] (1). In most cases, the patient would attend the classes as a mandatory requirement in receiving healthcare services from the diabetes center, and target endocrinology, however, did not consider their needs to have been counted for regarding the said classes (Mardanian Dehkordi & Abdoli, 2017). In most case, the practice given is related to all patients and does not like at the unique individual needs. Watson, N., Acuna, D. G., Wardian, J. L., Cobb, E. C., Beavers, D., & Sauerwein, T. J. Diabetes Self-management Education was broadcast to Radolf Airforce Base, and the patient reported a lot of satisfaction in telehealth. The global burden of type 2 diabetes is still seen to be significantly worrying the health Also, most of them have all the social and cultural resources required for the management of diabetes in addition to the use of new technologies such as telehealthcare which it comes to the management of lifestyles. Each question was given an option to choose I do not know. The above literature also provided a significant difference when it comes to Type 1 and types two prevalence of diabetes regarding race. The researcher continues to prove that to these individuals that have lived with diabetes for more than a decade; the content was repetitive and too general. Asian-Americans with newly diagnosed type 2 diabetes perceive barriers to implementing dietary and lifestyles changes to reduce A1C levels in the first 3 months after diagnosis"? This is especially true for people that are far from the available hospital facilities as it was discovered by while investigating the importance of telehealth education among Americans in the military zones. Don’t know how to write a PICO question nursing? Diabetes self-management education is an essential element of care for all people that live with diabetes and those that are found to be at risk of developing it (Fain, 2017). exercise. Most of these patients also report a lower quality of life than those without chronic illnesses. In most cases, the studies found that even with the program is well implemented; it was evident that social, cultural, economic and ethnic practices will affect the lifestyle of these patients making it difficult for the application of diabetes self-management education to succeed (Wooley & Kinner, 2016). C-Workout. A bad PICO is usually a background question disguised as a research question. Sector as it stands at exceeding 5% of the population across the globe. Not all parts of PICO are required! There are many elements to developing a good clinical question. . Diabetes self-management education is an essential element of care for all people that live with diabetes and those that are found to be at risk of developing it (Fain, 2017). Individuals living with diabetes stated that with the growing discoveries in technology, it is essential to ensure the use of audiovisuals and Management information systems technologies that help in the improvement of diabetes self-management education for different situation. P-women diagnosed with diabetes. QOL also did not show any improvement and was very important regarding Diabetes Self-Management Education and an outcome to measure future trials. Deng, F. Zhang, A. SIGNIFICANCE OF THE PROJECT As type 2 diabetes is associated with increased mortality and many There high satisfaction among facilitators as well with DSME via MIST and facilitators were ready to conduct more classes. In this regard, specific information was asked for all participants when it comes to addressing their challenges. A good PICO will investigate something new in terms of diagnosis, etiology, therapy, harm, etc. Articles in this section of the journal present real patient cases illustrating specific points in the care of individuals with diabetes. Acculturation, Dietary Acceptability, and Diabetes Management among Chinese in North America. The author argues that most case type 2 diabetes is associated with Microvascular complications that include neuropathy, retinopathy, and nephropathy. Faramarz, I. The PICO question for this Capstone Project was as follows: In direct-care staff nurses working at a small rural hospital in the southern United States, can an educational program on diabetes management as compared to Also, social influences profoundly influence the adherence to diet for many people in the medium group. Anne, D. Allison, V.A. In present times, type 2 diabetes is also regarded as the seventh leading cause of death in the United States. According to Weaver, Lemonde, Payman, & Goodman, (2014) Diabetes self-management Education will mean that people with the social, economic and cultural challenges will be able to conduct the required blood glucose monitoring, administering of medications, physical activity, management of diet and continued medical care.