Document Detail

Behavior changes in patients with diabetes and hypertension after experiencing shared medical appointments.
MedLine Citation:
PMID:  22243680     Owner:  NLM     Status:  In-Data-Review    
Purpose: This project examined recently implemented shared medical appointments (SMAs) at a free clinic for patients with diabetes and/or hypertension. Changes in patients' self-managing behaviors, specifically exercise and goal-setting activity, were explored after participating in SMAs for 4 months. Data sources: The study employed a pretest-posttest quasi-experimental design. Participants completed a questionnaire of their self-managing behaviors and a behavioral action plan at each SMA. The SMAs were facilitated in English, Spanish, and bilingually (English and Spanish) with a total of 37 participants. Conclusions: Descriptive analysis showed a significant increase in exercise time with a mean increase of 86 min per week at post-SMA (p= .002, 95% confidence interval [CI]). Each participant identified a measurable goal, and 97% of participants reported achieving or almost achieving their goals. Males reported a significantly (p= .002, 95% CI) larger increase in exercise time than women. Variance of self-managing behaviors among the English, Spanish, and bilingual SMAs was statistically not significant. Implications for practice: Though much evidence exists demonstrating that SMAs provide effective quality care, literature is lacking in examining patients' self-managing behaviors after participation in language-specific SMAs. Understanding patients' response to programs that address the needs of the individual leads to more effective programs.
Kathleen Dickman; Christine Pintz; Kathleen Gold; Coleen Kivlahan
Publication Detail:
Type:  Journal Article     Date:  2011-08-05
Journal Detail:
Title:  Journal of the American Academy of Nurse Practitioners     Volume:  24     ISSN:  1745-7599     ISO Abbreviation:  J Am Acad Nurse Pract     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-01-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8916634     Medline TA:  J Am Acad Nurse Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  43-51     Citation Subset:  N    
Copyright Information:
©2011 The Author(s) Journal compilation ©2011 American Academy of Nurse Practitioners.
School of Nursing, George Mason University, Manassas, Virginia George Washington University School of Nursing, Washington, DC Diabetes Research and Wellness Foundation, Washington, DC Aetna MEDICAID.
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