Behavioral Health Education

The goal is to increase the percentage of understanding of diabetes and how to live empowered with diabetes. I will conduct outreach programs in various methods to reach the people to participate in the health program. My objective is done by specific, measurable, achievable, results-focused, and time-bound (SMART) goals. By May 31, 2018, an increase of 40% establishes one-on-one follow up education session with each individual and families through home visits or phone calls to monitor them to improve their lifestyles. By February 30, 2018, an increase of 80% distribution of brochures and with door to door interactions with the individuals in the community. By September 2018, increase 90% of people to engage in community health fair, classes, and exercise activities on diabetes and cardiovascular classes. This will introduce the individuals in social support that allow interactions with teaching and

Several nationwide programs and incentives were administered in the last couple of decades to promote awareness of diabetes and hopefully help prevent millions of Americans from developing diabetes. Health Agencies, such as World Health Organization (WHO) and Center of Disease Control and Prevention (CDC), have developed objectives to tackle diabetes. Some of these objectives include conducting surveillance and obtaining diabetes data to identify trends in the population, spreading awareness about the condition, and developing programs that will enhance diabetes care and ensure the longevity of the patients. Various programs have been developed but while some excel, others fail to benefit the lives of the patient.

This can be achieved through motivational interviewing. A randomized controlled trial compared teenagers who received 12 months of motivational interviewing visits versus a control group receiving only “supportive” visits for 12 months (Channon et al., 2007). The group that received the motivational interviewing had an average hemoglobin A1c decrease from 9.3% to 8.7%; this improvement was maintained at 12 months and 24 months post-intervention (Channon et al, 2007). Another study performed by Stanger et al., studied the effects of motivational interviewing along with contingency management (2013). The motivational interviewing sessions were done individually with the adolescent and the contingency management concept was incorporated through rewarding the adolescent with money for meeting various goals such as, regularly monitoring their blood sugars. At the end of treatment, average hemoglobin A1c was decreased from 11.62% to 9.11% and adherence to diabetes management was increased as represented by how many times the adolescent checked their blood sugar in a day and week (Stanger et al.,

Diabetes is a serious medical condition that can also be a risk factor for the development of many different diseases and conditions including dementia, heart disease, and CVA. Thus, effective management of diabetes is very important. Patient compliance can be difficult to achieve if the person affected with diabetes is not educated about the illness or treatment, has not fully accepted the diagnosis or its severity, will not change habits or believes that the prescribed treatment regime is too difficult or ineffective, has cultural beliefs conflicting with the treatment regime, experiences stressful events, lacks social support, or suffers from psychiatric issues unrelated to diabetes (Gerard, Griffin, & Fitzpatrick, 2010). As one may expect, adequate education programs are essential tools when dealing with diabetics. Solid education will provide the patient with information as well as teaching the necessary skills to manage the disorder. The primary focus of any diabetes education program must be to empower patients as a part of the multidisciplinary team. This team should be focused at integrating diabetes into the lives of the patients and this focus should be based on the decisions made by the patient, otherwise the treatment plan can be looked on as forced (Gerald et al., 2010). Every patient stricken with diabetes has the right to benefit from an education program of this type. First, basic education and facts should be administered directly following the diagnosis of

According to Rural Health Information Hub (2017), the fundamental purpose of disease prevention is to keep individuals healthy. One implements health promotion interventions in an effort to promote healthy behaviors and to decrease the risks of developing chronic illnesses (RHIH, 2017). According to the ADA (2016) individuals that participate in health promotion behaviors are more likely to have better health outcomes compared to those who do not. The EBP change project has shown that educating patients with prediabetes can increase diabetes knowledge and promote an increase in health promotion behaviors. The EBP change project outcome has indicated that participants who completed the 6-week diabetes education program were able to increase their knowledge regarding type 2 diabetes. Therefore, with the positive outcome of the EBP change project, the EBP change project site can incorporate certain aspects of the diabetes education program into their patient education to increase diabetes knowledge, picking healthier food options and participants in activities that would increase physical fitness.

* The U.S. High Blood Pressure Education Program is a public-private cooperative effort formed to help reduce death and disability related to hypertension, which is at the root of 50% of those suffering heart attacks and two-thirds of those suffering strokes. Using a campaign that integrates social marketing to first build awareness of the “silent killer,” and then encourage action, awareness of the problem more than tripled to over 90% and those seeking treatment more than doubled within a single decade.

Implementing these lifestyle habits will result in healthier people and lowered rates of chronic illness. One avenue to best prevent the development of chronic disease is to have health and wellness programs in the community, workplace, and schools (NCSL, 2012). If the population was properly educated on how to realistically live healthy lifestyles, then it would be easier to change and adopt healthier habits. This is especially true for adolescents in the school system. If nutrition and health classes were mandatory components of education across the nation, children would be able to learn healthy habits early on in life and more easily maintain those habits as they grow older. Results of these programs would be vastly beneficial due to a reduction in chronic disease prevalence. In addition to promoting healthy lifestyles and chronic disease prevention, discovering and implementing newly effective treatments are paramount to reduce chronic disease. With more advanced technology and medications, early detection and management of chronic diseases are improved and risks for CCM are reduced (Chatterjee et al., 2014). These improvements will not only

Type 2 diabetes is a chronic disease where patient education is imperative and requires education that surpasses the primary care office. According to Cha et al. (2012) basic education and family involvement is an essential component for pre-diabetic and diabetic population to achieve glycemic control. Time management and time constraint are obstacles that are affecting the primary care provider in initiating health promotion topics and disease prevention information (Kowinsky, Greenhouse, Zombek, Rader & Reidy, 2009). Recognizing the time constraint at the EBP change project site for health promotion and patient education a culturally sensitive educational program would be created to promote healthy lifestyle behaviors targeting African Americans with prediabetes.

My teaching on primary prevention of type II diabetes adheres to HP2020 objectives D-1 to D-16 on diabetes, specifically objective D-1 that deals with reducing the annual number of new cases of diagnosed diabetes in the population. (Target is a 10% improvement from the baseline of 8.0 new cases of diabetes per 1,000 population aged 18 to 84 years occurred in the past 12 months to the target of 7.2 new cases per 1,000 population aged 18 to 84 years). Education on the preventive measures needed to be taken by an at-risk population tackles this issue of reducing the annual number of cases.

In some studies, such as Rakhshandehroo and colleagues integrated training programs, will improve significantly knowledge, attitude and performance in diabetic patients and may improve their metabolic control.[11] ( Rakhshandero et al., 2008). Sung and Kim study in south Korea showed combination of educational intervention with telephone counseling and follow-up lead to blood glucose control and improvement of self- management or self- care of diabetic patients.[12] (Song & Kim,2009) These findings confirm results of our study.

Stepping Forward curriculum have been clinically tested by the Naomi Berrie Diabetes Center in affiliation with Columbia University Diabetes Research Department.

The review of literature section will define diabetes and prediabetes, identify the prevalence and major risk factors for diabetes, and present behavioral changes that can reduced the risk of developing diabetes. This section discusses the types of presentations and teaching methods that have been utilized in diabetes prevention and the health belief model. The final paragraphs in the review of literature present the learning theory and delivery method of instructional designs, which are ideal for a diabetes prevention program.

Diabetes is associated with wide range of complications such as chronic renal failure, blindness, amputations, heart disease, high blood pressure, stroke, and neuropathy (Alotabi, A., et al., 2016). There is no known cure for diabetes, but the disease can be controlled through health management that includes multiple perspectives of care such as medications, blood glucose monitoring, diet, nutrition, screening for long-term complications and regular physical activity (Alotabi, A., et al., 2016). Managing diabetes may be complicated and requires the knowledge and skills of both healthcare providers and the clients. Studies have shown that to prevent or delay diabetic complications due to diabetes, counseling and other lifestyle interventions are the effective therapy. Even with many policies set up for diabetes, 8.1 million Americans are undiagnosed with diabetes mellitus, and approximately 86 million Americans ages 20 and older have blood glucose levels that considerably increase their risk of developing Diabetes Mellitus in the next several years (CDC, 2015). For diabetes care to be successful there needs to be a good understanding of the disease and management by both patients and healthcare providers,

            The program plan for intervention of diabetes will help to control the blood sugar levels. According to Ulbricht (2009) with high levels of blood sugar the patient body does not produce enough insulin. This is because the body has developed resistant to insulin. To normal individuals the level of blood sugar ranges from 70 to 150.

Hoag's Mary & Dick Allen Diabetes Center provides programs and services to help patients manage their diabetes care. Patients are offered diabetes education through series of diabetes self-management classes and individual medical nutrition therapy counseling. Patients are educated with various nutrition-related topics including comorbidities associated with diabetes. The Omega-3 Fatty Acids handouts will be an effective way to help participants reduce their heart disease risks.