Diabetes Self-Management Education (DSME) Reconciliation Report

Transcription

1 Diabetes Self-Management Education (DSME) Reconciliation Report Based on responses from pre and post-tests completed by approximately 200 Medicare beneficiaries that attended a Stanford or Diabetes Empowerment Education Program (DEEP) workshop from April 2014 through April 2016 This data was not statistically tested. Questions regarding this report can be directed to: Mary Funseth MetaStar, Inc Landmark Place Madison, WI mfunseth@metastar.com

2 Average Days in a Week PAS Response Analysis 7.00 Participant Behavior In the last week, how many days did you eat five or more servings of fruits or vegetables? In the last week, how many days did you exercise for at least 30 minutes? In the last week, how many days did you test your blood sugar? Outcome Questions In the last week, how many days did you take your diabetes medication as ordered by your doctor? In the last week, how many days did you check your feet? The questions measured the effect of the DSME classes on the behavior of the participants. Participants showed improvement almost all behaviors tracked. For example, before the class these participants exercised 30 mins an average of 3 days a week, this improved to 4 days a week. Similarly, patients ate more fruits and vegetables. They also showed a slight improvement in adhering to their medication regimen which was very good to begin with.

3 % Answered Correctly 10 Participant Knowledge about Diabetes How does exercise help your blood sugar? Which one is the best way to take care of your feet? What is a retinal exam? Knowledge Questions Carbohydrates (starches and sweets) break down in your body to what? These questions tested the participant s knowledge concerning diabetes and its prevention. The participants showed a marked improvement in these areas after the class. The participants showed a firmer grasp of how good behavior can impact blood sugar levels.

4 % of Respondents with the answer below Empowerment of Participants Never & Almost Never Yes Yes, I can Yes, I can Yes, I can How often in the last week have you felt overwhelmed by living with diabetes? Do you know healthy ways to handle the stress related to your diabetes? When you need it, do you feel you can ask for support on how to live with and take care of your diabetes? Response and Questions Do you feel you can ask your doctor questions about your treatment plan? Do you feel you can make a plan with goals that will help control your diabetes? These questions were designed to monitor how confident the participants felt in handling and managing diabetes. Again, participants showed improvement in all categories. They were more confident that they can manage their blood sugar effectively, felt empowered to ask more questions and consequently were less nervous about their condition.

5 Demographic Charts Home Language Nation WI 3 1 English Non-English Time Since Informed of Diabetes Nation WI 1 Less then 4 years ago Four or more years ago Missing or Unknown

6 Diabetes Type - National 5% 15% 5% -diabetes Type 1 Type 2 Unknown 75% Diabetes Type - WI 0% 17% 3% -diabetes Type 1 Type 2 Unknown 80%

7 No. of Comorbidities 45.0% % % 15.0% Nation WI 1 5.0% Zero One Two Three Four or more Gender Female Nation WI Male 4 6 8

8 Race - Nation 7% 2% 3% 48% 1% 4% 35% American Indian Asian Black Other Pacific Islander White Missing Race - WI 1% 3% 0% 4% 0% American Indian Asian Black Other Pacific Islander White Missing 92%

9 Comorbidities Nation WI 1 Education Level % % 15.0% 1 5.0% Nation WI

10 Recruited From % % 15.0% 1 5.0% Nation WI

11 Questions and Response Charts How does exercise help you blood sugar? Missing Lowers blood sugar Raises blood sugar No effect on blood sugar I don't know Carbohydrates (starches and sweets) break down in your body to what?

12 When you need it, do you feel you can ask for support on how to live with and take care of your diabetes? Missing Yes, I can Maybe I can I don't know if I can I don't think I can No, I can't 25.0% In the last week, how many days did you eat five or more servings of fruits and vegetables? 15.0% 1 Psot 5.0% Missing

13 1 Which one is the best way to take care of your feet? Missing Look at and wash them every day Massage them every day with alcohol Soak them every day for one hour Buy shoes a I don't know larger size 45.0% How often in the last week have you felt overwhelmed by living with diabetes? % % 15.0% 1 5.0% Missing Never Almost Never Sometimes Most of the time Always

14 Do you feel you can ask you doctor questions about your treatment plan? Yes, I can Maybe I can I don't know if I can I don't think I can No, I can't 3 In the last week, how many days did you exercise for at least 30 minutes 25.0% 15.0% 1 5.0% Missing

15 1 What is a retinal exam? Missing An exam of your feet An exam of your gums An exam of your eyes I don't know 9 Do you know healthy ways to handle stress related to your diabetes? Missing Yes Maybe I don't know I don't think so No

16 9 Do you feel you can make a plan with goals that will help control your diabetes? Yes, I can Maybe I can I don't know if I can I don't think I can No, I can't 6 In the last week, how many days did you test your blood sugar? Missing I don't test my blood sugar

17 In the last week, how many days did you take your diabetes medication as ordered by your doctor? Missing I don't test my blood sugar % % % 15.0% 1 5.0% In the last week, how many days did you check your feet? Missing This material was prepared by the Lake Superior Quality Innovation Network, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The materials do not necessarily reflect CMS policy. 11SOW-WI-B