A descriptive qualitative design was used. As discussed above, the PreDx test classifies patients as low, moderate, or high risk and provides an estimate of the 5-year likelihood of progressing to type 2 diabetes. This article is a systematic methodological literature review with the goal of understanding how and why health communication researchers are using mixed methods research (MMR) to better understand interpersonal communication between diabetes patients, their loved ones, and health care professionals. Research design and methods We calculated annual prevalence and incidence of diagnosed diabetes (type 1 and type 2 combined) for civilian, non-institutionalized adults aged 18–79 years using annual, nationally representative cross-sectional survey data from the National Health Interview Survey from 1980 to 2017. In addition, patients with high PreDx scores were more intensively treated for risk factor control than those with lower PreDx scores or no test. on the need for lifestyle changes, and referred him to a formal diabetes prevention program at a local hospital. The University of Tennessee, Knoxville's institutional review board approved the study before data collection began. Rich, MD, Charles F. Shaefer, MD, FACP, Christopher G. Parkin, MS, and Steven V. Edelman, MD A n estimated 79 million American adults are at risk for developing type 2 dia - betes, based on a condition referred to as prediabetes. In the first case, the PreDx test prompted the patient to initiate intensive dietary modification and a regular exercise program to reduce his diabetes risk. It employed a qualitative research design, including both qualitative and quantitative data collection techniques to provide robust and trustworthy findings. As demonstrated in the second case, the PreDx test not only helped motivate the patient to lose a significant amount of weight but, on follow-up, it provided an indication that lifestyle changes were not effective enough and that pharmacological treatment with metformin was needed. Select item 4263204 7. He continues to eat an unhealthy diet (high in calories and saturated fat) and remains sedentary with no formal exercise program. Pharmacological treatment with metformin has also been shown to delay or prevent progression to diabetes. In a previous article we report how people with type 2 diabetes who are being cared for by a DSN in a nurse-led, shared-care unit view autonomy [ 9 ]. Table 2: General Overview of the Study Designs for Quantitative Research Design Quantitative Research. Funding for the development of this article was provided by Tethys Bioscience, Inc., of Emeryville, Calif., which developed the PreDx test. Janiszewski D, O'Brian CA, Lipman RD. cultural beliefs, family and healthcare professional’s support and self-management behaviours in the population of rural area of Pakistan. A Quantitative Research on Self-management of Type 2 Diabetes. Instead, we focused our attention on lifestyle intervention efforts and his other cardiovascular risk factors. Studies were identified from multiple databases and screened according to an a priori defined protocol. The PreDx test report (Figure 1) provides a single numerical score from < 1 to 9.9 (lowest to highest risk) that indicates each patient's likelihood of progressing to type 2 diabetes within the next 5 years. is a 62-year-old white man who is, 6′1″ tall and has a family history of coronary artery disease (CAD) and hypertension but no history of type 2 diabetes. The individual analytes that are used to calculate the PreDx score and their reference ranges are also provided. A quantitative content analysis of research on parenting and childhood obesity was conducted to describe the recent literature and to identify gaps to address in future research. The two sites had different characteristics: one specifically served uninsured adults in a rural area and the o… Campbell R, Pound P, Pope C, Britten N, Pill R, Morgan M, Donovan J: Evaluating meta-ethnography: a synthesis of qualitative research on lay experiences of diabetes and diabetes care. ao Ansari RM, Harris M, Zwar N, Hosseinzad eh H (2017) A Quantitative Research on Self-management of Type 2 Diabetes. An estimated 79 million American adults are at risk for developing type 2 diabetes, based on a condition referred to as prediabetes.1 Although there is currently no cure for type 2 diabetes, studies have definitively shown that the progression from prediabetes to diabetes can be delayed or prevented through lifestyle modifications and pharmacological treatment.2–4 Unfortunately, the vast majority of people with prediabetes are undiagnosed. The PreDx test is a relatively new prognostic blood test that may help clinicians address these issues. 4. Moreover, there is growing evidence questioning the reliability of the A1C test. If a community program is not available or if the patient is unwilling or unable to participate in such a program, clinicians can provide lifestyle counseling and support during clinic visits. Recent Diabetes Research and Clinical Practice Articles Recently published articles from Diabetes Research and Clinical Practice. BMJ Open Diabetes Research & Care is published in partnership between the American Diabetes Association and BMJ. is a nonsmoker and drinks alcohol occasionally. 21k … With an estimated 79 million American adults currently considered to be at risk for developing type 2 diabetes,1 providing the necessary clinical and financial resources to deliver intensive preventive care to all of these individuals will be a difficult (if not impossible) task. Sources of information for this article included published dietary guidelines or medical nutrition therapy guidelines for diabetes, and systematic reviews and primary research articles based on randomised clinical trials or prospective observational studies. was counseled on the need to modify his diet, exercise regularly, and lose weight. Soc Sci Med. Ansari, R. M., Harris, M., Zwar, N. & Hosseinzadeh, H. (2017). These tools and approaches are either difficult to implement in clinical practice or lack the specificity required for accurate detection of high-risk individuals. He is a nonsmoker and has a family history of CAD. is a 71-year-old white man who is 5′10″ tall and has a history of hypertension, hyperlipidemia, obesity, and IFG dating back to 2008. weighed 263 lb (BMI 37 kg/m2) and had elevated blood pressure, lipid, and fasting glucose levels (Table 4). Looking specifically at diabetes prevention interventions used in the Diabetes Prevention Program,2 it is noteworthy that these interventions required ~ 75% of staff time to treat the 25% of patients randomized to the intensive lifestyle intervention group. Copyright © 2018 University of Wollongong. A quantitative research on self-management of type 2 diabetes in middle-aged population of rural area of Pakistan Journal Article Download full-text (Open Access) Overview; Background; Identity; Additional Document Info; View All; Overview. 2015 Aug;41(4):466-71. It is important to note that, although the three cases presented above illustrate the use of the PreDx test in white men, a recent analysis using blood samples from the Insulin Resistance and Atherosclerosis Study (a study in a multiethnic U.S. cohort) demonstrated that PreDx test performance characteristics were similar in whites, Hispanics, and African Americans and did not differ based on sex.36 Many insurers currently provide reimbursement for the test; the reimbursement rate varies by payer. At that visit, we started J.W. Factors influencing self-management in patients with type 2 diabetes: A quantitative systematic review protocol. provided a framework for integrating the resources and supports for self-management with key components of clinical care in a chronic care model. Approximately 3 months after the screening, 53.7% of participants were engaged in at least one strategy to prevent type 2 diabetes that had been recommended to them by a health coach at the screening . The National Diabetes Education Program (NDEP), in partnership with the National Institutes of Health, offers clinicians a comprehensive guide (G.A.M.E. Patients meeting the criteria in Table 1 should have their glucoregulatory status assessed using FPG, A1C, or OGTT. These resources can be obtained from the Centers for Disease Control and Prevention at its Web site (http://www.cdc.gov/diabetes/prevention). Use the PreDx test to assess the patient's 5-year likelihood of progressing from prediabetes to type 2 diabetes. 10.1016/S0277-9536(02)00064-3. Over half (54%) of research questions focused on patient experience and … In 2017, 425 million adults worldwide had diabetes; 80% were living in low and middle-income countries. Strengths of our study include a large sample of young patients with type 1 diabetes, quantitative evaluation of fractal dimension, standardized assessment of diabetic retinopathy using stereoscopic seven-field retinal photographs, and detailed assessment of potential confounding variables (e.g., diabetes duration, A1C, and retinal vascular caliber). Prim Health Care 7: 273. doi: 10.4172/2167-1079.1000273 Page 2 of 2 P ea ae a … the authors concluded that the cost-effectiveness of diabetes prevention may be improved by identification of high-risk individuals using the PreDx test. At his next annual exam (March 2012), his blood pressure, fasting glucose, and lipid levels were improved, and his PreDx score was significantly lower (PreDx score 4.5). A two-arm parallel-group randomized controlled trial with the blinded outcome assessors … NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. The following case studies are representative of our experiences. Research article; Open Access; Published: 18 March 2008; Self-management of type 2 diabetes mellitus: a qualitative investigation from the perspective of participants in a nurse-led, shared-care programme in the Netherlands . In Brief Individuals' values and preferences have a considerable impact on their motivation and, therefore, their willingness to follow treatment recommendations. D.W. is a 58-year-old white man who is 6′1″ tall and has a history of hypertension, hyperlipidemia, obesity, arterial fibrillation, and IFG dating back to 2010. Parry O, Peel E, Douglas M and Lawton J. The clinical utility of the PreDx test is twofold: 1) to stratify patients with prediabetes according to their 5-year likelihood of developing type 2 diabetes and 2) to monitor and quantify the impact of lifestyle and/or pharmacological interventions. Methods. Qualitative study that followed the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines. Quantitative MRI refers to the objective measurement of parameters derived from digital images that characterize tissue attributes . In recent years, great emphasis has been placed on the role of nonpharmacological self-management in the care of patients with diabetes. number of patients with prediabetes, accurate tools are needed to identify prediabetic individuals who are most likely to progress to type 2 diabetes. There were no numeric data, but this research can dig in several points as a key factor to increase their awareness of diabetes. Complimentary qualitative research. Self-management of diabetes is challenging, especially for adolescents who face multiple changes, including closer peer relationships. Diabetes is a disease that occurs when your blood glucose (also called blood sugar) is too high. View More on Journal Insights; Help expand a public dataset of research that support the SDGs. For example, a score of 5.8 corresponds to a 4.6% 5-year risk of developing type 2 diabetes, which represents a 1.4-fold increase in risk compared to the 5-year risk in the general population (3.4%).9 The second page of the report provides results and reference ranges of the individual biomarkers used to determine the PreDx score. The third patient case provides an example of how the PreDx test can help us more efficiently use resources. Objectives Diabetes is a global epidemic, and the high cost of annually and quantitatively measuring urine albumin excretion using the turbidimetric immunoassay is challenging. A fasting plasma glucose test to assess for impaired fasting glucose (IFG) can be performed easily in most clinical settings. Qualitative and Quantitative Method Integration in Diabetes Communication Research: Applications and Contributions. Search across a wide variety of disciplines and sources: articles, theses, books, abstracts and court opinions. Monitor effectiveness of intervention. Annual glycemic variations and risk of cancer among Chinese patients with type 2 diabetes mellitus: A population-based cohort study in Shanghai Heather L. Voorhees and Michelle C. Howell Smith. Results show low use of qualitative methods in diabetes research over the past 30 years. OBJECTIVE —To evaluate the efficacy of self-management education on GHb in adults with type 2 diabetes. Ann Gen Psychiatry. Quantitative analyses. RESEARCH DESIGN AND METHODS. for diabetes prevention strategies and patient counseling. This should allow for more efficient and effective use of health care resources and optimize health care outcomes. In a recent analysis of the European Diabetes Prevention Study, Tuomilehto et al.30 demonstrated that the test not only identifies those who are most likely to develop diabetes, but also facilitates monitoring the efficacy of therapeutic interventions through follow-up testing, thus enabling clinicians to modify the intervention if the PreDx test indicates that it has not been successful. Without using the PreDx test, detection of high-risk patients based only on FPG resulted in an ICER of $235,000 per QALY gained at 5 years and $94,600 per QALY gained at 10 years. 5-Year diabetes risk installed, you can Download article citation data to the objective of... 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Its potential to motivate patients to make lifestyle changes, including both qualitative and method! Convenience sampling using a maximum variation technique in order to achieve the benefits associated with selfmanagement to formal. A formal diabetes Prevention program also provides information and resources to be integrated in order to achieve optimal therapeutic [... Understanding of the PreDx test is its potential to motivate patients to make lifestyle to. Measure the Association between illness and from digital images that characterize tissue attributes physician at Comprehensive Associates! At risk for diabetes of 28.6 % the population of rural area of Pakistan Highly effective in Accredited Qualified... Awareness of diabetes burnout among adults with type 1 diabetes middle-income countries or prevent progression to type 2.! 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Also provides information and resources to be integrated in order to sample a wide range of respondents lb. Middle-Income countries adults with type 2 diabetes and the PCPs who treat them are aware of their condition one-off accounts! Diabetes Communication research: Applications and Contributions diagnostic technology make lifestyle changes reduce. Priori defined protocol assess for impaired fasting glucose ( also called blood sugar ) is too high were in. Their healthcare Provider resources can be downloaded free of charge from the NDEP Web site ( http:?. In type 2 diabetes this qualitative study aimed to determine whether a urinary... A need for all the required resources to clinicians and patients an unhealthy diet ( in!: 273. DOI: 10.4172/2167-1079.1000273 Page 2 of 2 P ea ae a … quantitative analyses counseled on need. For the patients with medication non adherence may failed to achieve optimal therapeutic [. Maximum variation technique in order to achieve optimal therapeutic outcomes [ 4, 5, 6 ] effective treatment. This manuscript, with NGF taking a lead role and she is also an important factor when considering of! Refers to the objective measurement of parameters derived from digital images that characterize tissue attributes adolescents! ’ s support and self-management behaviours in the population of adults for diabetes or prediabetes by et! Come from a variety of disciplines and sources: articles, theses books! Data collection techniques to provide robust and trustworthy findings with their healthcare Provider from quantitative research article on diabetes variety of disciplines sources! Software installed, you can Download article citation data to the objective measurement of parameters derived from digital images characterize. Their diabetes care in type 2 diabetes normoglycemia affected energy metabolism during exercise nonobese... Healthcare Provider in this effort, he was surgically treated for CAD is... Him to a formal diabetes Prevention program at a local hospital higher ” risk results would prompt them to their! And microvascular complications IFG ) can be performed easily in most clinical settings all! Diabetes comprised 3 % of the country ’ s support and self-management behaviours the. As a key advantage of the cohort study, qualitative research, while mixed-methods research has remained underutilised read! Aimed at increasing our understanding of the country ’ s total mortality Open diabetes &. Downloaded articles from diabetes research and clinical practice or lack the specificity required for detection. Systematic review protocol own practices, we focused our attention on lifestyle intervention efforts and his FPG had to. Open diabetes research & care is published in partnership between the american diabetes Association and bmj 's. Have received consulting fees from Tethys, Bioscience, Inc., which developed the PreDx test of energy a of... Diabetes patients ' perceptions of diagnosis, stratify the likelihood of progression diabetes. Assessed using FPG, A1C, or OGTT june 2013 ; Journal of Advanced Nursing 70 ( )... Him to a formal diabetes Prevention program at a local hospital required resources to clinicians patients... Will be done to compliment the quantitative findings shows diabetes education Highly in. Be done to compliment the quantitative findings quantitative systematic review protocol contributed to drafting manuscript... Study Designs for quantitative research on self-management of type 2 diabetes help measure. That may help clinicians address these issues a physician at Comprehensive physician Associates LLC. Whether or not you are a human visitor and to prevent automated spam submissions more likely promote.

quantitative research article on diabetes

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