| Behavior changes in patients with diabetes and hypertension after experiencing shared medical appointments. | |
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MedLine Citation:
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PMID: 22243680 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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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. |
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Authors:
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Kathleen Dickman; Christine Pintz; Kathleen Gold; Coleen Kivlahan |
Publication Detail:
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Type: Journal Article Date: 2011-08-05 |
Journal Detail:
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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:
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Created Date: 2012-01-16 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8916634 Medline TA: J Am Acad Nurse Pract Country: United States |
Other Details:
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Languages: eng Pagination: 43-51 Citation Subset: N |
Copyright Information:
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©2011 The Author(s) Journal compilation ©2011 American Academy of Nurse Practitioners. |
Affiliation:
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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. |
Export Citation:
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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