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Behavior changes in patients with diabetes and hypertension after experiencing shared medical appointments.
MedLine Citation:
PMID:  22243680     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
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.
Authors:
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.
Affiliation:
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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