Patient Experience and Predictors of Improvement in a Group Behavioral and Educational Intervention for Individuals With Diabetes and Serious Mental Illness: Mixed Methods Case Study.
behavior and behavior mechanisms
delivery of health care, integrated
diabetes mellitus
mental disorders, severe
patient education as topic
Journal
Journal of participatory medicine
ISSN: 2152-7202
Titre abrégé: J Particip Med
Pays: Canada
ID NLM: 101539422
Informations de publication
Date de publication:
12 Feb 2021
12 Feb 2021
Historique:
received:
29
06
2020
accepted:
24
12
2020
revised:
12
10
2020
entrez:
12
2
2021
pubmed:
13
2
2021
medline:
13
2
2021
Statut:
epublish
Résumé
In a previous study, participation in a 16-week reverse integrated care and group behavioral and educational intervention for individuals with diabetes and serious mental illness was associated with improved glycemic control (hemoglobin A The goal of this study is to identify the aspects of the intervention participants reported to be helpful and to evaluate the predictors of outcomes. This study involved qualitative evaluation and post hoc quantitative analysis of a previous intervention. Qualitative data were collected using semistructured interviews with 69% (24/35) of the individuals who attended 1 or more group sessions and 35% (9/26) of the individuals who consented but attended no sessions. Quantitative mixed effects modeling was performed to test whether improved diabetes knowledge, diet, and exercise or higher group attendance predicted improved hemoglobin A In qualitative interviews, participants identified the application of health-related knowledge gained to real-world situations, accountability for goals, positive reinforcement and group support, and increased confidence in prioritizing health goals as factors contributing to the success of the behavioral intervention. Improved knowledge of diabetes was associated with reduced BMI (β=-1.27, SD 0.40; P=.003). No quantitative variables examined were significantly associated with improved hemoglobin A In this mixed methods analysis of predictors of success in a behavioral diabetes management program, group participants highlighted the value of positive reinforcement and group support, accountability for goals set, and real-world application of health-related knowledge gained. Improved diabetes knowledge was associated with weight loss.
Sections du résumé
BACKGROUND
BACKGROUND
In a previous study, participation in a 16-week reverse integrated care and group behavioral and educational intervention for individuals with diabetes and serious mental illness was associated with improved glycemic control (hemoglobin A
OBJECTIVE
OBJECTIVE
The goal of this study is to identify the aspects of the intervention participants reported to be helpful and to evaluate the predictors of outcomes.
METHODS
METHODS
This study involved qualitative evaluation and post hoc quantitative analysis of a previous intervention. Qualitative data were collected using semistructured interviews with 69% (24/35) of the individuals who attended 1 or more group sessions and 35% (9/26) of the individuals who consented but attended no sessions. Quantitative mixed effects modeling was performed to test whether improved diabetes knowledge, diet, and exercise or higher group attendance predicted improved hemoglobin A
RESULTS
RESULTS
In qualitative interviews, participants identified the application of health-related knowledge gained to real-world situations, accountability for goals, positive reinforcement and group support, and increased confidence in prioritizing health goals as factors contributing to the success of the behavioral intervention. Improved knowledge of diabetes was associated with reduced BMI (β=-1.27, SD 0.40; P=.003). No quantitative variables examined were significantly associated with improved hemoglobin A
CONCLUSIONS
CONCLUSIONS
In this mixed methods analysis of predictors of success in a behavioral diabetes management program, group participants highlighted the value of positive reinforcement and group support, accountability for goals set, and real-world application of health-related knowledge gained. Improved diabetes knowledge was associated with weight loss.
Identifiants
pubmed: 33576747
pii: v13i1e21934
doi: 10.2196/21934
pmc: PMC7910121
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e21934Subventions
Organisme : NIDA NIH HHS
ID : K12 DA043490
Pays : United States
Informations de copyright
©Kristina Schnitzer, Corrine Cather, Vanya Zvonar, Alyson Dechert, Rachel Plummer, Kelsey Lowman, Gladys Pachas, Kevin Potter, Anne Eden Evins. Originally published in Journal of Participatory Medicine (http://jopm.jmir.org), 12.02.2021.
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