Improving access to quality diabetes education in a rural state: the Montana Quality Diabetes Education Initiative.
Identifieur interne : 003C81 ( Main/Corpus ); précédent : 003C80; suivant : 003C82Improving access to quality diabetes education in a rural state: the Montana Quality Diabetes Education Initiative.
Auteurs : Marcene K. Butcher ; Judy Gilman ; Jane Fitch Meszaros ; Deb Bjorsness ; Mary Madison ; Janet M. Mcdowall ; Carrie S. Oser ; Elizabeth A. Johnson ; Todd S. Harwell ; Steven D. Helgerson ; Dorothy GohdesSource :
- The Diabetes educator [ 0145-7217 ]
English descriptors
- KwdEn :
- MESH :
- geographic : Montana.
- prevention & control : Diabetes Mellitus.
- rehabilitation : Diabetes Mellitus.
- standards : Patient Education as Topic.
- Humans, Mentors, Rural Population, Self Care, Urban Population.
Abstract
PURPOSE
Diabetes self-management education (DSME) is an integral component of diabetes care; however, skilled educators and recognized programs are not uniformly available in rural communities.
METHODS
To increase access to quality DSME, the Montana Diabetes Control Program and the Montana chapter of the American Association of Diabetes Educators developed a mentoring program with 3 levels: basic, intermediate, and advanced. All participants were assisted by a volunteer certified diabetes educator (CDE) mentor. In addition, the program provided technical support for recognition through the American Diabetes Association and the Indian Health Service.
RESULTS
From 2000 to 2005, 90 individuals participated; 76% were nurses and 21% dietitians. Twenty-seven of the 90 enrollees (30%) completed their structured option, and 13 achieved CDE certification. Most provided services in frontier counties (66%). Statewide, the number of CDEs in Montana increased 46% from 52 in 2000 to 76 in 2005. Twenty-five of the 30 facilities that received technical assistance achieved recognition. Statewide, the number of recognized education programs increased from 2 in 2000 to 22 in 2005. Twelve (55%) of these programs were located in frontier counties.
CONCLUSIONS
Mentoring and technical support is an effective method to increase personnel skills for DSME and to increase access to quality education programs in rural areas.
DOI: 10.1177/0145721706296029
PubMed: 17102163
Links to Exploration step
pubmed:17102163Le document en format XML
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<author><name sortKey="Butcher, Marcene K" sort="Butcher, Marcene K" uniqKey="Butcher M" first="Marcene K" last="Butcher">Marcene K. Butcher</name>
<affiliation><nlm:affiliation>The Montana Department of Public Health and Human Services, Helena (Ms Butcher, Ms McDowall, Ms Oser, Ms Johnson, Mr Harwell, Dr Helgerson, Dr Gohdes)</nlm:affiliation>
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<author><name sortKey="Gilman, Judy" sort="Gilman, Judy" uniqKey="Gilman J" first="Judy" last="Gilman">Judy Gilman</name>
<affiliation><nlm:affiliation>St Patrick Hospital and Health Sciences Center, Missoula, Montana (Ms Gilman)</nlm:affiliation>
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<author><name sortKey="Meszaros, Jane Fitch" sort="Meszaros, Jane Fitch" uniqKey="Meszaros J" first="Jane Fitch" last="Meszaros">Jane Fitch Meszaros</name>
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<author><name sortKey="Bjorsness, Deb" sort="Bjorsness, Deb" uniqKey="Bjorsness D" first="Deb" last="Bjorsness">Deb Bjorsness</name>
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<author><name sortKey="Madison, Mary" sort="Madison, Mary" uniqKey="Madison M" first="Mary" last="Madison">Mary Madison</name>
<affiliation><nlm:affiliation>Fort Peck Service Unit, Indian Health Service, Poplar, Montana (Ms Madison)</nlm:affiliation>
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<author><name sortKey="Mcdowall, Janet M" sort="Mcdowall, Janet M" uniqKey="Mcdowall J" first="Janet M" last="Mcdowall">Janet M. Mcdowall</name>
<affiliation><nlm:affiliation>The Montana Department of Public Health and Human Services, Helena (Ms Butcher, Ms McDowall, Ms Oser, Ms Johnson, Mr Harwell, Dr Helgerson, Dr Gohdes)</nlm:affiliation>
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<author><name sortKey="Oser, Carrie S" sort="Oser, Carrie S" uniqKey="Oser C" first="Carrie S" last="Oser">Carrie S. Oser</name>
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<author><name sortKey="Johnson, Elizabeth A" sort="Johnson, Elizabeth A" uniqKey="Johnson E" first="Elizabeth A" last="Johnson">Elizabeth A. Johnson</name>
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<author><name sortKey="Harwell, Todd S" sort="Harwell, Todd S" uniqKey="Harwell T" first="Todd S" last="Harwell">Todd S. Harwell</name>
<affiliation><nlm:affiliation>The Montana Department of Public Health and Human Services, Helena (Ms Butcher, Ms McDowall, Ms Oser, Ms Johnson, Mr Harwell, Dr Helgerson, Dr Gohdes)</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Helgerson, Steven D" sort="Helgerson, Steven D" uniqKey="Helgerson S" first="Steven D" last="Helgerson">Steven D. Helgerson</name>
<affiliation><nlm:affiliation>The Montana Department of Public Health and Human Services, Helena (Ms Butcher, Ms McDowall, Ms Oser, Ms Johnson, Mr Harwell, Dr Helgerson, Dr Gohdes)</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Gohdes, Dorothy" sort="Gohdes, Dorothy" uniqKey="Gohdes D" first="Dorothy" last="Gohdes">Dorothy Gohdes</name>
<affiliation><nlm:affiliation>The Montana Department of Public Health and Human Services, Helena (Ms Butcher, Ms McDowall, Ms Oser, Ms Johnson, Mr Harwell, Dr Helgerson, Dr Gohdes)</nlm:affiliation>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Improving access to quality diabetes education in a rural state: the Montana Quality Diabetes Education Initiative.</title>
<author><name sortKey="Butcher, Marcene K" sort="Butcher, Marcene K" uniqKey="Butcher M" first="Marcene K" last="Butcher">Marcene K. Butcher</name>
<affiliation><nlm:affiliation>The Montana Department of Public Health and Human Services, Helena (Ms Butcher, Ms McDowall, Ms Oser, Ms Johnson, Mr Harwell, Dr Helgerson, Dr Gohdes)</nlm:affiliation>
</affiliation>
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<author><name sortKey="Gilman, Judy" sort="Gilman, Judy" uniqKey="Gilman J" first="Judy" last="Gilman">Judy Gilman</name>
<affiliation><nlm:affiliation>St Patrick Hospital and Health Sciences Center, Missoula, Montana (Ms Gilman)</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Meszaros, Jane Fitch" sort="Meszaros, Jane Fitch" uniqKey="Meszaros J" first="Jane Fitch" last="Meszaros">Jane Fitch Meszaros</name>
<affiliation><nlm:affiliation>St Vincent Healthcare, Billings, Montana (Ms Meszaros)</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Bjorsness, Deb" sort="Bjorsness, Deb" uniqKey="Bjorsness D" first="Deb" last="Bjorsness">Deb Bjorsness</name>
<affiliation><nlm:affiliation>Great Falls Clinic, Great Falls, Montana (Ms Bjorsness)</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Madison, Mary" sort="Madison, Mary" uniqKey="Madison M" first="Mary" last="Madison">Mary Madison</name>
<affiliation><nlm:affiliation>Fort Peck Service Unit, Indian Health Service, Poplar, Montana (Ms Madison)</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Mcdowall, Janet M" sort="Mcdowall, Janet M" uniqKey="Mcdowall J" first="Janet M" last="Mcdowall">Janet M. Mcdowall</name>
<affiliation><nlm:affiliation>The Montana Department of Public Health and Human Services, Helena (Ms Butcher, Ms McDowall, Ms Oser, Ms Johnson, Mr Harwell, Dr Helgerson, Dr Gohdes)</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Oser, Carrie S" sort="Oser, Carrie S" uniqKey="Oser C" first="Carrie S" last="Oser">Carrie S. Oser</name>
<affiliation><nlm:affiliation>The Montana Department of Public Health and Human Services, Helena (Ms Butcher, Ms McDowall, Ms Oser, Ms Johnson, Mr Harwell, Dr Helgerson, Dr Gohdes)</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Johnson, Elizabeth A" sort="Johnson, Elizabeth A" uniqKey="Johnson E" first="Elizabeth A" last="Johnson">Elizabeth A. Johnson</name>
<affiliation><nlm:affiliation>The Montana Department of Public Health and Human Services, Helena (Ms Butcher, Ms McDowall, Ms Oser, Ms Johnson, Mr Harwell, Dr Helgerson, Dr Gohdes)</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Harwell, Todd S" sort="Harwell, Todd S" uniqKey="Harwell T" first="Todd S" last="Harwell">Todd S. Harwell</name>
<affiliation><nlm:affiliation>The Montana Department of Public Health and Human Services, Helena (Ms Butcher, Ms McDowall, Ms Oser, Ms Johnson, Mr Harwell, Dr Helgerson, Dr Gohdes)</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Helgerson, Steven D" sort="Helgerson, Steven D" uniqKey="Helgerson S" first="Steven D" last="Helgerson">Steven D. Helgerson</name>
<affiliation><nlm:affiliation>The Montana Department of Public Health and Human Services, Helena (Ms Butcher, Ms McDowall, Ms Oser, Ms Johnson, Mr Harwell, Dr Helgerson, Dr Gohdes)</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Gohdes, Dorothy" sort="Gohdes, Dorothy" uniqKey="Gohdes D" first="Dorothy" last="Gohdes">Dorothy Gohdes</name>
<affiliation><nlm:affiliation>The Montana Department of Public Health and Human Services, Helena (Ms Butcher, Ms McDowall, Ms Oser, Ms Johnson, Mr Harwell, Dr Helgerson, Dr Gohdes)</nlm:affiliation>
</affiliation>
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<series><title level="j">The Diabetes educator</title>
<idno type="ISSN">0145-7217</idno>
</series>
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</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Diabetes Mellitus (prevention & control)</term>
<term>Diabetes Mellitus (rehabilitation)</term>
<term>Humans (MeSH)</term>
<term>Mentors (MeSH)</term>
<term>Montana (MeSH)</term>
<term>Patient Education as Topic (standards)</term>
<term>Rural Population (MeSH)</term>
<term>Self Care (MeSH)</term>
<term>Urban Population (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en"><term>Montana</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Diabetes Mellitus</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Diabetes Mellitus</term>
</keywords>
<keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Patient Education as Topic</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Humans</term>
<term>Mentors</term>
<term>Rural Population</term>
<term>Self Care</term>
<term>Urban Population</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p><b>PURPOSE</b>
</p>
<p>Diabetes self-management education (DSME) is an integral component of diabetes care; however, skilled educators and recognized programs are not uniformly available in rural communities.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>To increase access to quality DSME, the Montana Diabetes Control Program and the Montana chapter of the American Association of Diabetes Educators developed a mentoring program with 3 levels: basic, intermediate, and advanced. All participants were assisted by a volunteer certified diabetes educator (CDE) mentor. In addition, the program provided technical support for recognition through the American Diabetes Association and the Indian Health Service.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>From 2000 to 2005, 90 individuals participated; 76% were nurses and 21% dietitians. Twenty-seven of the 90 enrollees (30%) completed their structured option, and 13 achieved CDE certification. Most provided services in frontier counties (66%). Statewide, the number of CDEs in Montana increased 46% from 52 in 2000 to 76 in 2005. Twenty-five of the 30 facilities that received technical assistance achieved recognition. Statewide, the number of recognized education programs increased from 2 in 2000 to 22 in 2005. Twelve (55%) of these programs were located in frontier counties.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Mentoring and technical support is an effective method to increase personnel skills for DSME and to increase access to quality education programs in rural areas.</p>
</div>
</front>
</TEI>
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<Month>01</Month>
<Day>29</Day>
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<DateRevised><Year>2018</Year>
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<Day>13</Day>
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<Issue>6</Issue>
<PubDate><MedlineDate>2006 Nov-Dec</MedlineDate>
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<Title>The Diabetes educator</Title>
<ISOAbbreviation>Diabetes Educ</ISOAbbreviation>
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<ArticleTitle>Improving access to quality diabetes education in a rural state: the Montana Quality Diabetes Education Initiative.</ArticleTitle>
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<Abstract><AbstractText Label="PURPOSE">Diabetes self-management education (DSME) is an integral component of diabetes care; however, skilled educators and recognized programs are not uniformly available in rural communities.</AbstractText>
<AbstractText Label="METHODS">To increase access to quality DSME, the Montana Diabetes Control Program and the Montana chapter of the American Association of Diabetes Educators developed a mentoring program with 3 levels: basic, intermediate, and advanced. All participants were assisted by a volunteer certified diabetes educator (CDE) mentor. In addition, the program provided technical support for recognition through the American Diabetes Association and the Indian Health Service.</AbstractText>
<AbstractText Label="RESULTS">From 2000 to 2005, 90 individuals participated; 76% were nurses and 21% dietitians. Twenty-seven of the 90 enrollees (30%) completed their structured option, and 13 achieved CDE certification. Most provided services in frontier counties (66%). Statewide, the number of CDEs in Montana increased 46% from 52 in 2000 to 76 in 2005. Twenty-five of the 30 facilities that received technical assistance achieved recognition. Statewide, the number of recognized education programs increased from 2 in 2000 to 22 in 2005. Twelve (55%) of these programs were located in frontier counties.</AbstractText>
<AbstractText Label="CONCLUSIONS">Mentoring and technical support is an effective method to increase personnel skills for DSME and to increase access to quality education programs in rural areas.</AbstractText>
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<ForeName>Marcene K</ForeName>
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<Author ValidYN="Y"><LastName>Gilman</LastName>
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</AffiliationInfo>
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<Initials>D</Initials>
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</AffiliationInfo>
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<Language>eng</Language>
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<Country>International</Country>
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