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Re-visioning self-care management for seniors living with diabetes

Pilar Camargo-Plazas, RN, PhD, Assistant Professor, School of Nursing, Queen’s University, Kingston, ON
Deborah Tregunno, RN, PhD, Associate Professor School of Nursing, Queen’s University, Kingston, ON
Idevania Costa, RN, PhD, Assistant Professor, School of Nursing Lakehead University Thunder bay, ON
Lenora Duhn, RN, PhD, Assistant Professor, School of Nursing, Queen’s University, Kingston, ON
Beatriz Alvarado Llano, PhD, Assistant Professor, Department of Public Health Sciences, Queen’s University
Knowledge Users
Maggie Black, Executive Director, Sharbot Lake Family Health Team
Partners
Sharbot Lake Family Health Team
Joyce Bigelow, (Community Representative) Executive Director at Northern Connections Adult Learning Centre www.ncalc.ca
Laura Baldwin, Program Manager of Sharbot Lake Family Health Team
Cathy Fox RN BScN CDE Certified Diabetes Educator, Sharbot Lake Family Health Team
Saman Shaikh, RD M.Sc CDE Certified Diabetes Educator, Registered Dietitian
Laurel Hoard Director, Sub-Region Planning and Integration South East Local Health Integration Network
Sarah Moore, Supervisor - Nurse Practitioner Medicine Program, Specialization: Diabetes, KGH.
Project Manager
Geneviève Paré
Caitriona Buckle (Student NURS 405 Project)
Nathan Cockhill (Student NURS 405 Project)
Chloe Coulson (Summer 2020)
Deanne McArthur (Fall 2019- Winter 2020)
Stephanie Saunders (Summer 2019)
Samantha Lefebvre (Winter 2019- Summer 2019)

What?  With the number of seniors living with diabetes rapidly growing in Canada, there is an urgent need to develop and implement effective diabetes self-management education (DSME) programs targeted to this population. The DSME programs are designed to educate and engage patients with diabetes in their own care and self-management. Given their educational background, socioeconomic status and overall health, older individuals may require specific educational approaches that take into account their unique limitations, priorities, concerns, goals, health literacy, traditions, culture, and values. More research is thus needed to identify these factors, in order to map those areas where care enhancement initiatives are most needed and to align self-care management educational programs to this population’s specific needs.

 

Why? The overall purpose of this research project is to design, implement and evaluate an effective DSME program that will best engage seniors in the self-management of their care. Tailoring the DSME program to this particular population can greatly empower them to make evidence informed decisions, ultimately improving their quality of life and clinical outcomes.

 

How? This goal will be achieved in three phases. In phase 1, we will identify seniors’ needs of DSME by conducting a one-day community consultation with seniors with diabetes living in South East Ontario (see Brochure). In Phase 2, we will conduct a scoping review to map previously reported self-care management educational strategies for seniors living with diabetes. In phase 3, we will use the findings from Phase 1 and Phase 2 to design, implement, and evaluate the DSME program targeted to seniors in that region. Our methodological approach to design and plan the educational program will follow a knowledge-to-action cycle, and will incorporate feedback from practitioners and decision-makers as well as the seniors' information from Phase 1.

 

Impact of findings:  This foundational, original research will benefit participants directly, as the process will be designed to allow for thoughtful consideration and planning of practical strategies that will best serve seniors with diabetes in their local context. Findings will also help practitioners to garner new ways to serve this vulnerable population and may inform the work of other academics and policy-makers for making improvements in seniors’ care.

 

Funded By
CIHR Planning and Dissemination grant
Partners
Sharbot Lake Family Health Team