What is the State of Patient Self-Management Support Programs? An Evaluation
What is the State of Patient Self-Management Support Programs?
This report evaluates self-management support programs.
AADE Recommended Measures and Measurement Methods
Diabetes Self-Care Behavior |
Measures |
Methods of Measurement |
Monitoring blood glucose
|
- Frequency of missed tests
- Frequency and schedule of monitoring (e.g., times/day, days/week)
- Planned, unplanned testing
- Review of pharmacy refill record
|
- Review of log book
- Meter memory review or printout
- Self-report
- Demonstration of technique
|
Solving problems
|
- Blood glucose testing
- Adjusting food, medication, activity
- Contact with healthcare provider for resolving problems
- Checking meter and strips for function
- Number of blood glucose tests per month that require assistance
- Number of times that ketones are tested (when appropriate)
- Missed days from work or school
|
- Patient self-report
- Review of log book (unreliable)
- Meter memory review or printout
- Review of medical chart
- Frequency of medication adjustment
|
Taking medication
|
- Adherence to medication regimen
- Dose accuracy
|
- Pill count
- Review of pharmacy refill record
- Demonstration
- Self-report
- Blood glucose and medication records
- Observation, role playing
|
Living with diabetes
|
- Depression score
- Stress
- Quality of life
- Functional measurement
- Treatment self-efficacy
- Patient empowerment
- Self-report
|
Validated instruments (e.g., SF-12, SF-36, Zung/Beck Depression Scale)
|
Reducing risks of diabetes complications
|
- Smoking status
- Frequency of foot self-exam
- Aspirin therapy
- Eye exam
- MD visit
- Diabetes educator visit
- Registered Dietician visit
- Lipids checked
- Blood pressure checked
- Flu vaccine, pneumonia vaccine
- Urine check for protein
- Prepregnancy counseling
|
- Patient self-report
- Chart or exam code audit
- Demonstration of self-care activities
|
Being active
|
- Type of physical activity
- How often
- How long
- How intense
|
- Patient self-report
- Observation
- Pedometer
|
Eating
|
- Type of food choices
- Amount of food eaten
- Timing of meals
- Alcohol intake
- Effect of food on glucose
- Problem solving and special situations
|
- Patient self-report
- Observation
- Food and blood glucose records
- 24-hour recall, food frequency questionnaires
|
Source: Mulcahy et al. 2003. (Derived from Table 4: AADE Diabetes Education Core Outcomes Measures for Diabetes Self-Care Behaviors, pages 776-9.)
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