More than A1C: Types of success among adults with type-2 diabetes participating in a technology-enabled nurse coaching intervention

Patient Education and Counseling
Sarina FazioHeather M Young

Abstract

Success in diabetes research and self-management is often defined as a significant decrease in glycated hemoglobin (A1C). The aim of this article is to explore different types of successes experienced by adults with type-2 diabetes participating in a health technology and nurse coaching clinical trial. A qualitative analysis was conducted using surveys and documentation from motivational interview-based coaching sessions between study nurses and intervention participants. Of the 132 cases reviewed, types of success predominantly fell into five categories: 1) change in health behaviors; 2) change in mindset or awareness; 3) change in engagement with healthcare resources; 4) change in physical or emotional health; and 5) change in health indicators. Experiences of success in diabetes are more varied than traditional A1C-based outcome models. Our findings suggest coaching and technology can assist patients to achieve a range of successes in diabetes management through goal setting, health tracking, resolving barriers, and aligning goals with factors that impact change. While A1C reduction is a critical factor in decreasing risk of diabetes-related complications, when healthcare professionals focus on A1C as the main indicator of d...Continue Reading

Citations

Sep 2, 2020·Japan Journal of Nursing Science : JJNS·Hyung-Eun SeoSujin Choi
Feb 23, 2021·Nutrition, Metabolism, and Cardiovascular Diseases : NMCD·Rogério Tavares RibeiroJoão Filipe Raposo
Jun 9, 2021·Diabetes Research and Clinical Practice·Barbara M DalyRobert Keith Rhodes Scragg

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