BMC Medical Informatics and Decision Making Assignment

BMC Medical Informatics and Decision Making Assignment

Module C: Program Goals, Objectives, and Activities

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Chronic Disease Process: Diabetes Mellitus

  • Target Behavior(s): diabetes self-management (for diabetes patients) and diabetes prevention and screening

Target Population: Native American population in McKinley County, New Mexico, males and females aged 40-65                                                                                  

Program Goals:

 

Program Goals
Goal 1
  • Participants will show an improvement in diabetes self-management behavior
Goal 2
  • Participants will be screened for diabetes
Goal 3
  • Participants will adapt to the recommended diabetes coping lifestyle BMC Medical Informatics and Decision Making Assignment
Goal 4
  • Participants will successfully demonstrate lifestyle changes to prevent diabetes

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Lesson Goals for ALL lessons:

Lesson Goals

 

Lesson 1 Goal
  • 95% of the participants will demonstrate an understanding of the importance of diabetes self-management
Lesson 2 Goal
  • Above 80% of the participants will demonstrate knowledge of diabetes self-management activities
Lesson 3 Goal
  • All participants appreciate the importance of early diabetes screening in early identification and beginning treatment
Lesson 4 Goal
  • Above 70% of the participants are screened for all diabetes types
Lesson 5 Goal
  • Participants understand the importance of maintaining a healthy lifestyle while managing diabetes
Lesson 6 Goal
  • Above 70% of the diagnosed participants demonstrate effective diabetes treatment and management including medication adherence
Lesson 7 Goal
  • All participants show an understanding of maintaining a healthy lifestyle to prevent diabetes and diabetes complications
Lesson 8 Goal
  • Above 85% of the participants demonstrate increased physical activity and dietary/nutritional compliance

 

Lesson Objectives for selected lessons:

Lesson Objectives

 

Lesson 1 Objective(s): ·         Participants will define diabetes self-management by the end of the lesson

·         Participants demonstrate diabetes self-management practices

·         By the end of the lesson, participants will demonstrate ability to measure blood sugar, and record HbA1c levels

  

Lesson 5 Objective(s): ·         By the end of the lesson, participants will demonstrate the importance of physical activity

·         Participants identify physical activity programs they can join

·         Above 70% of the participants will enroll in physical exercise programs by the next meeting

·         Participants understand the role of  nutrition in effective diabetes management

Lesson 6 objective(s): ·         All participants understand the importance of diabetes treatment

·         90% or more of the participants screened and diagnosed with diabetes begin treatment by the next meeting

·         Participants demonstrate an understanding of the importance of diabetes early treatment in preventing diabetes complications

·         Each diagnosed participant identify a way to increase medication compliance

 

Lesson Activities for selected lessons:

Lesson Activities
Lesson 1 Activities Objectives 1 & 2. 1. Participants will define diabetes self-management by the end of the lesson. 2. Participants demonstrate diabetes self-management practices BMC Medical Informatics and Decision Making Assignment

  • Participants define diabetes self-management
  • Participants describe self-management practices
  • Based on the information provided by the instructor, the participants discuss in groups how they can manage diabetes
  • Interactive question and answer activity on diabetes-self management

Objective 3. By the end of the lesson, participants will demonstrate ability to measure blood sugar, and record HbA1c levels

·         The instructor demonstrates different diabetes self-management devices

·         Participants interact with the devices

·         Real life examples of tracking HbA1c levels and measuring blood sugar are demonstrated

·         Participants demonstrate using the provided devices to measure blood sugar

Lesson _5_ Activities Objective 1,2 & 3. 1. By the end of the lesson, participants will demonstrate the importance of physical activity 2. Participants identify physical activity programs they can join 3. Above 70% of the participants will enroll in physical exercise programs by the next meeting

  • Instructor explains the role of physical exercise in diabetes prevention and management as described in the national standards for diabetes self-management
  • Participants identify physical exercises and programs they can join in the community
  • Participants make physical exercise schedules

Objective 4. Participants understand the role of nutrition in effective diabetes management

  • The informs the participants on diabetes self-management education and support programs
  • Instructor describes the relationship between appropriate nutrition and diabetes management and prevention
  • Participants identify their current nutrition patterns
  • Participants mention replacements for proper diet and nutritional benefits
Lesson 6 Activities Objective 1. All participants understand the importance of diabetes treatment

  • Instructor explores the available diabetes treatment therapies
  • Clarification on alternative medicine to the participants
  • Instructor demystifies myths surrounding diabetes medications

Objective 2. 90% or more of the participants screened and diagnosed with diabetes begin treatment by the next meeting.

·         Instructor conducts follow-up on the participants that were screened

·         Diagnosed participants make hospital appointment to begin treatment

Objective 3. Participants demonstrate an understanding of the importance of diabetes early treatment in preventing diabetes complications

·         Participants mention diabetes complications

·         Participants identify ways of preventing diabetes complications

·         Participants verbalize of a plan to avoid complications

Objective 4. Each diagnosed participant identify a way to increase medication compliance

·         Individual participants select a method that medication compliance that would work for them

·         Instructor leads the participants to set reminders for taking medications

·         Provide pill organizers for participants who might need them BMC Medical Informatics and Decision Making Assignment

 

References

American Diabetes Association (n.d.) Diabetes Self-Management Education. Retrieved from  https://www.professional.diabetes.org/diabetes-self-management-education

Davis, J., Fischl, A. H., Beck, J., Browning, L., Carter, A., Condon, J. E., … & Villalobos, S. (2022). 2022 National standards for diabetes self-management education and support. The science of diabetes self-management and care48(1), 44-59. https://doi.org/10.2337/dc21-2396

Powers, M. A., Bardsley, J. K., Cypress, M., Funnell, M. M., Harms, D., Hess-Fischl, A., & Uelmen, S. (2020). Diabetes self-management education and support in adults with type 2 diabetes: a consensus report of the American Diabetes Association, the Association of Diabetes Care & Education Specialists, the Academy of Nutrition and Dietetics, the American Academy of Family Physicians, the American Academy of PAs, the American Association of Nurse Practitioners, and the American Pharmacists Association. Diabetes Care43(7), 1636-1649. https://doi.org/10.2337/dci20-0023 BMC Medical Informatics and Decision Making Assignment

 

SUGGESTED READINGS

The first five suggested readings are related to newer teaching/behavior change strategies.  The final suggested reading provides a very good overview of developing educational objectives and delivering instruction.

American Medical Association (2016, November 16). AMA adopts principles to promote safe, effective mHealth applications. https://www.ama-assn.org/press-center/press-releases/ama-adopts-principles-promote-safe-effective-mhealth-applicationsLinks to an external site.

Institute for Healthcare Improvement. (2021). Stoplight (Red-Yellow-Green) tools for patients with asthma or diabetes. http://www.ihi.org/resources/Pages/Tools/StoplightRedYellowGreenToolsAsthmaDiabetes.aspxLinks to an external site. – There are Stoplight education sheets for multiple chronic diseases, this is just one example.

Lee, J., Choi, M., Lee, S.A., & Jiang, N. (2018). Effective behavioral intervention strategies using mobile health applications for chronic disease management: A systematic review. BMC Medical Informatics and Decision Making, 18, Article 12.  https://bmcmedinformdecismak.biomedcentral.com/articles/10.1186/s12911-018-0591-0Links to an external site.

Toronto Central Local Health Integration Network (n.d.). Stoplight tools for CHF and COPD. http://healthcareathome.ca/torontocentral/en/partner/Pages/Stoplight-Tools.aspxLinks to an external site. Tools provided in MULTIPLE languages.

Gabarda, A.  (2019). Game on: Gamification in health and wellness.  https://www.upmcmyhealthmatters.com/game-on-gamification-in-health-and-wellness/Links to an external site.

World Health Organization (2012). Health education: Theoretical concepts, effective strategies and core competencies. World Health Organization, Regional Office for the Eastern Mediterranean. http://applications.emro.who.int/dsaf/EMRPUB_2012_EN_1362.pdfLinks to an external site. BMC Medical Informatics and Decision Making Assignment