Type 2 Diabetes Capstone project
Assessment Description
In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. The ability to articulate research data and summarize relevant content supports the student\’s ability to further develop and synthesize the assignments that constitute the components of the capstone project.
The assignment will be used to develop a written implementation plan.
For this assignment, provide a synopsis of the review of the research literature. Using the \”Literature Evaluation Table,\” determine the level and strength of the evidence for each of the eight research articles you have selected. The articles should be current (within the last 5 years) and closely relate to the PICOT question developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project.
While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. FOR THIS ASSIGNMENT, PLEASE REFER BACK TO THE PICOT PAPER YOU WROTE LAST WEEK.
Literature Evaluation Table
Student Name:
Change Topic: The change topic is Type 2 diabetes. This capstone project aims to employ community-based education to prevent type 2 diabetes in healthy people, as well as, to improve health status of prediabetic individuals and those who are already suffering from the disease.
| Criteria | Article 1 | Article 2 | Article 3 | Article 4 |
| Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article |
Gutierrez, C. Rural and Remote Health. https://www.proquest.com/docview/2675655601?pq-origsite=gscholar&fromopenview=true | Harris, C. Doctor Of Nursing Practice Final Manuscripts: University of San Diego. https://digital.sandiego.edu/cgi/viewcontent.cgi?article=1221&context=dnp | Rafie et al. (2021). Rural and Remote Health. https://www.proquest.com/docview/2675665966?pq-origsite=gscholar&fromopenview=true | T-Malek & Ahmad, (2022). Research Square. https://assets.researchsquare.com/files/rs-1381251/v1_covered.pdf?c=1645479903 |
| Article Title and Year Published
|
Improving the care of students with diabetes in rural schools utilizing an online diabetes education program for school personnel. (2020). | Effects of diabetes self-management education in the primary care setting on self-efficacy and glycosylated hemoglobin levels among adults with type 2 diabetes mellitus. (2022). | Implementation and outcomes of the Balanced Living with Diabetes program conducted by Cooperative Extension in rural communities in Virginia. (2021). | The Effect of Web-Based Education Programs on Self-Efficacy and Self-Care Behavior in Quality of Life Among Diabetic Type 2 Patients in Public Hospital. (2022). |
| Research Questions (Qualitative)/Hypothesis (Quantitative)
|
No hypothesis was mentioned. However, possible hypothesis is that online diabetes education programs in schools can enhance diabetes management of students with the disease. | No hypothesis. Possible hypothesis is that diabetes self-management education to patients with type 2 diabetes can improve patient’s self-efficacy and glycemic control. | The possible hypothesis is that BLD will improve blood glucose control, self-management, and lifestyle behaviors. | Web-based educational programs will improve diabetic self-efficacy management (DSEM) and diabetic self-care behavior management (DSCM). |
| Purposes/Aim of Study | To assess the effect of the online diabetes education program on diabetes care at school. | To provide diabetes self-management education within a family practice clinic to improve patient’s self-efficacy and glycemic control. | This study evaluated the implementation and outcomes of a lifestyle management program, Balanced Living with Diabetes (BLD) conducted by community-based educators. | To identify the effects of web-based educational programs on diabetic self-efficacy management (DSEM) and diabetic self-care behavior management (DSCM) in quality of life (QoL) among type 2 diabetes patients in public hospitals. |
| Design (Type of Quantitative, or Type of Qualitative)
|
This was a qualitative-quasi experimental study study using a pre-and-posttest design. | This was a quantitative study using quasi-experimental design. | This was a quantitative longitudinal study done between 2015 and 2017. | This was a quantitative quasi-experimental design of pre-test and post-test. |
| Setting/Sample
|
This study was done in Thirty-six school districts within South Central Texas. Participants include non-medical staff and medical staff. | This study was conducted in a primary care setting with high number of type 2 diabetes diagnosis. Convenience sampling was used. | This study was conducted in 16 rural counties in the State of Virginia. Purposive sampling method was used. | This study was conducted at an orthopedic treatment clinic at Hospital Sultanah Nur Zahirah (HSNZ) Kuala Terengganu. |
| Methods: Intervention/Instruments
|
A 12-module online diabetes education program for school personnel. 30-question knowledge pretest and post-test was used to measure knowledge and self-efficacy. | Education was guided using the AADE7 self-care behaviors. Handouts for these topics and website information were provided. One week telephone follow up was provided. | The BLD program is a group-based lifestyle intervention program for adults with type 2 diabetes. The BLD program consists of four consecutive weekly classes involving interaction with nutritionist or certified diabetes educator. Questionnaires were also used. | Web-based education involved management of diabetic diet, medication management, exercise, physical assessment, mental management, and adherence to the treatment plan of a specialist. Instruments included questionnaires, |
| Analysis
|
Quantitative data was analyzed using the Statistical Package for the Social Sciences v17.0. T-test and g Pearson’s correlation coefficient were used. | Descriptive statistics was used. Graphs were used to present the results. | Descriptive statistics were used. e Statistical Package for the Social Sciences v25 was used. T-test was also used. | Data was analyzed using SPSS-version 25 software, descriptive statistics, ANOVA, and t-test. |
| Key Findings
|
There was a significant increase in knowledge and confidence scores of the participants from pre- to post-test. | 50% of the participants had an improvement in self-efficacy and 60% of participants had a reduction in hemoglobin A1c values. | Study showed a significant increase in diabetes and food knowledge and diabetes management self-efficacy. In addition, A1C decreased significantly. | Web-based health education improved management of diabetic diet, medication management, exercise, physical assessment, mental management, and adherence to the treatment plan of a specialist. |
| Recommendations
|
Online programs with up-to-date information on diabetes care can enhance the ability of school personnel to care for students with diabetes. | Diabetes Self-Management Education should be implemented in care settings to improve patients Self Efficacy and Glycosylated Hemoglobin Levels. | The Cooperative Extension System (CES) is effective network for implementation of community based diabetes lifestyle-management programs. | Web-based health education should be implemented to improve management of diabetic diet, medication management, exercise, physical assessment, mental management, and adherence to the treatment plan of a specialist. |
| Explanation of How the Article Supports EBP/Capstone Project
|
This study relates to the capstone project because it supports community-based diabetes education to prevent and manage the disease symptoms. | This article supports diabetes and healthy lifestyle education to improve health of patients with type 2 diabetes. | This article proves that community-based educational interventions can improve diabetes and food knowledge and diabetes management self-efficacy. They are also effective for blood sugar control. | This article supports the implementation of diabetic and healthy lifestyle education for prevention and management of diabetes. |
| Criteria | Article 5 | Article 6 | Article 7 | Article 8 |
| Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article
|
Romero-Castillo et al. International Journal of Environmental Research and Public Health. https://www.ncbi.nlm.nih.
gov/pmc/articles/PMC9 100266/pdf/ijerph-19-05079.pdf |
Moreno et al. Primary Care Diabetes.
https://www.researchgate. net/publication/328767723_ Efficacy_of_a_self-management _education_programme _on_patients_with_type_2_ diabetes_in_primary_care_ A_randomised_controlled_trial |
Metonnou et al. (2022). Food and Nutrition Sciences. https://www.scirp.org/pdf/fns_
2022101911181915.pdf |
Alkaabi et al. Oman Medical Journal. https://omjournal.org/PDF/OS-OMJ-D-20-00051%20(06C).pdf |
| Article Title and Year Published
|
Effects of Nursing Diabetes Self-Management Education on Glycemic Control and Self-Care in Type 1 Diabetes: Study Protocol. (2022). | Efficacy of a self-management education programme on patients with type 2 diabetes in primary care: A randomized controlled trial. (2019). | Effects of a Community-Based Intervention on the Lifestyle and Health of People at Risk of Type 2 Diabetes in Benin. (2022). | Effects of diabetes prevention education program for overweight and obese subjects with a family history of type 2 diabetes mellitus: A pilot study from the United Arab Emirates. (2021). |
| Research Questions (Qualitative)/Hypothesis (Quantitative) | Spanish Diabetes Self-Management Program (SDSMP) is more effective for type 2 diabetes care. | The community-based diabetes self-management support (DSMS) will improve Patient Activation Measure (PAM) scores. | Community based education on lifestyle changes will improve metabolic indicators and intensity of leisure activity and dietary score in type 2 diabetes patients. | Community based (family oriented) diabetes education is effective in the prevention of type 2 diabetes mellitus. |
| Purposes/Aim of Study | To assess the efficacy of the Spanish Diabetes Self-Management Program (SDSMP) versus usual care in adults with type 2 diabetes mellitus (T2DM) residing in a Spanish region. | To determine whether completion of a community-based diabetes self-management support (DSMS) program delivered through a university Cooperative Extension network increased Patient Activation Measure (PAM) scores and to examine predictors of improvement in PAM score in individuals participating in the DSMS. | To measure the effects on lifestyle intervention in subjects at risk of T2D in a West African country. | To test the feasibility and effects of a diabetes mellitus prevention education program designed for overweight and obese Emirati people with at least one parent with T2DM. |
| Design (Type of Quantitative, or Type of Qualitative)
|
This was a quantitative study involving a two-arm randomized controlled trial design. | This was a quantitative study involving a longitudinal, mixed-methods design. | This was a quasi-experimental pre-and-post study design, with a control and a treatment group. | This was a quantitative pilot study using a pre-post design without a control arm. |
| Setting/Sample
|
This study was conducted in the Basque Country, Spain. Random sampling was used. | The study conducted in upstate South Carolina. Recruitment of participants occurred at community-based locations, including libraries, churches and activity centers. Purposive sampling was used. | The study took place in the municipality of Tchaourou located in the northeast of Benin, a West African country. Participants were residents between ages 15 to 60 at risk of type 2 diabetes. The probability sampling method was used in this study. | This study was conducted at the Diabetes Center at Tawam Hospital in Al Ain, UAE. 44 participants were recruited. Convenience sampling method was used. |
| Methods: Intervention/Instruments
|
The intervention consisted of a 2.5-h workshop, once a week for 6 consecutive weeks. HbA1c values were measured by turbidimetric inhibition immunoassay or high-performance liquid chromatography. Questionnaires were also used. | Health Extension for Diabetes (HED) is an established diabetes self-management education and support program. instruments used include PAM instrument, and the Self-Efficacy for Diabetes (SED) scale. | Peer educators or nutritionists led 30-min sessions of moderate physical activity each day. Questionnaires were used to collect information. | Interventions included three individualized or family-engaged counseling sessions based on the DiAlert protocol. They also used a questionnaire to assess beliefs and risk perceptions, commitment, and nutritional choices of the participants. |
| Analysis
|
Descriptive statistics, chi-square test, Student’s t-test, and non-parametric Wilcoxon test were all used. | Analysis was conducted using descriptive statistic, a Wilcoxon sign-rank test, and a x 2 test. | Descriptive statistical analysis and t-test were used in this study. The software IBM SPSS Statistics 20 was also used. | Analysis was done using the g SPSS Statistics 21.0. Descriptive statistics was used. |
| Key Findings
|
Significant improvements were seen in self-efficacy, and disease control. | Community-based DSMS interventions were effective in generating positive change in individuals’ activation. HED provides a feasible and accessible DSMS option. | Blood glucose has significantly decreased. Participants had improved their ability to practice healthy lifestyle. | Result showed significant improvements in the glycated hemoglobin levels. Participants also demonstrated improvement in physical activity and dietary choices. |
| Recommendations
|
Educational strategies are effective in improving self-efficacy, and disease control in type 2 diabetes patients. | It is recommended that people living with diabetes attend a DSMS program such as HED to increase their ability to effectively self-manage various components of their chronic condition. | Community based education on lifestyle changes are encouraged to improve metabolic indicators and intensity of leisure activity and dietary score in type 2 diabetes patients. | Community based (family oriented) diabetes education should be embraced to prevent or delay the onset of type 2 diabetes. |
| Explanation of How the Article Supports EBP/Capstone
|
This study shows that educational interventions are effective in improving self-efficacy, and disease control in type 2 diabetes patients. | Community based educational interventions are effective in managing type 2 diabetes. | This article supports community based education and lifestyle changes to prevent type 2 diabetes. | This study supports family oriented community-based education to prevent type 2 diabetes. |
References
Alkaabi, J. M., Al-Maskari, F., Afandi, B., Yousef, S., Shah, S. M., Heideman, W. H., & Snoek, F. J. (2021). Effects of diabetes prevention education program for overweight and obese subjects with a family history of type 2 diabetes mellitus: A pilot study from the United Arab Emirates. Oman Medical Journal, 36(3), e268. https://doi.org/10.5001/omj.2021.67
Dietz, C. J., Sherrill, W. W., Stancil, M., Rennert, L., Parisi, M., & McFall, D. (2022). Health Extension for Diabetes: Impact of a Community-Based Diabetes Self-Management Support Program on Older Adults’ Activation. Diabetes Spectrum. https://doi.org/10.2337/ds21-005
Gutierrez, C. (2020). Improving the care of students with diabetes in rural schools utilizing an online diabetes education program for school personnel. Rural and Remote Health, 20(1). . https://doi.org/10.22605/RRH5596
Harris, C. (2022). Effects of diabetes self-management education in the primary care setting on self-efficacy and glycosylated hemoglobin levels among adults with type 2 diabetes mellitus (Doctor Of Nursing Practice Final Manuscripts: University of San Diego). https://digital.sandiego.edu/cgi/viewcontent.cgi?article=1221&context=dnp
Metonnou, C. G., Azandjeme, C. S., Sossa, C. J., Issiako, B. N., Paraïso, M. N., & Agueh, V. (2022). Effects of a Community-Based Intervention on the Lifestyle and Health of People at Risk of Type 2 Diabetes in Benin. Food and Nutrition Sciences, 13(10), 842-860. https://doi.org/10.4236/fns.2022.1310061
Moreno, E. G., Mateo-Abad, M., de Retana García, L. O., Vrotsou, K., del Campo Pena, E., Perez, Á. S., & Osakidetza Active Patient Research Group. (2019). Efficacy of a self-management education programme on patients with type 2 diabetes in primary care: a randomised controlled trial. Primary Care Diabetes, 13(2), 122-133. https://doi.org/10.1016/j.pcd.2018.10.001
Rafie, C., Hosig, K., Wenzel, S. G., Borowski, S., Jiles, K. A., & Schlenker, E. (2021). Implementation and outcomes of the Balanced Living with Diabetes program conducted by Cooperative Extension in rural communities in Virginia. Rural and Remote Health, 21(3). https://doi.org /10.22605/RRH6620
T-Malek, T. M. M. B., & Ahmad, A. B. (2022). The Effect of Web-Based Education Programs on Self-Efficacy and Self-Care Behavior in Quality of Life Among Diabetic Type 2 Patients in Public Hospital. Research Square, 2022. https://doi.org/10.21203/rs.3.rs-1381251/v1TENGKU