Date of Award

4-27-2020

Degree Type

Evidence-Based Project Report

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

First Advisor

Christine P. Kurtz

Abstract

Type 2 Diabetes Mellitus (T2DM), one of the most common chronic diseases, is increasing worldwide, and once diagnosed, lifetime self-management is critical to maintain glycemic control (Vermeire et al., 2005; American Diabetes Association (ADA), 2018). Management of T2DM has been acknowledged as challenging due to the need for strict lifestyle adaptations. From a public health perspective, uncontrolled diabetes leads to increased healthcare costs, secondary complications, and ultimately severe disabilities (ADA, 2018). The purpose of this evidencebased practice (EBP) project was to evaluate the effectiveness of a diabetes-specific mobile health application (MHA) on glycated-hemoglobin (HbA1C), self-care perception (SCP), and self-care behaviors (SCB). The Iowa model was used to guide this project in primary care settings in Northwest Indiana. A retrospective chart review determined that a high number adults had uncontrolled T2DM. A protocol was developed and implemented over an 8-week period. A within group design was used for pre and post-intervention evaluation of the HbA1C and SCP using paired-samples t tests. Statistically significant differences were noted in pre- HbA1C (M = 9.95; SD = 1.07) compared to post-HbA1C (M = 8.21; SD = 1.10) (t = 6.674, df = 17, *p < 0.05), and in pre-SCP (M = 34.6; SD = 10.5) compared to post-SCP (M = 42.6; SD = 8.09) (t = -4.403, df = 17, *p < 0.05). A statistically significant difference in project-specific pre and post- intervention SCBs were found with the behaviors of checking glucose (Z = 2.389, *p < .05), recording glucose (Z = 2.666, *p < .05), and medication adherence (Z = 2.313, *p < .05). There was not a statistically significant difference in the perception of activity engagement (Z = 1.718, p > .05). Results indicated that a MHA intervention had a statistically and clinically significant impact on HbA1C, SCP, and SCBs with the exception of activity engagement.

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C. Anderson DNP poster.pdf (1930 kB)
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