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Improving access to quality diabetes education in a rural state: the Montana Quality Diabetes Education Initiative.

Identifieur interne : 003C81 ( Main/Curation ); précédent : 003C80; suivant : 003C82

Improving 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 Gohdes

Source :

The Diabetes educator [ 0145-7217 ]

RBID : pubmed:17102163

Descripteurs français

KwdFr :
- Autosoins (MeSH), Diabète (prévention et contrôle), Diabète (rééducation et réadaptation), Humains (MeSH), Mentors (MeSH), Montana (MeSH), Population rurale (MeSH), Population urbaine (MeSH), Éducation du patient comme sujet (normes).
MESH :
- normes : Éducation du patient comme sujet.
- prévention et contrôle : Diabète.
- rééducation et réadaptation : Diabète.
- Autosoins, Humains, Mentors, Montana, Population rurale, Population urbaine.

English descriptors

KwdEn :
- Diabetes Mellitus (prevention & control), Diabetes Mellitus (rehabilitation), Humans (MeSH), Mentors (MeSH), Montana (MeSH), Patient Education as Topic (standards), Rural Population (MeSH), Self Care (MeSH), Urban Population (MeSH).
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

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Marcene K. Butcher

<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>
<wicri:noCountry>no dot</wicri:noCountry>
</affiliation>

Judy Gilman

<affiliation><nlm:affiliation>St Patrick Hospital and Health Sciences Center, Missoula, Montana (Ms Gilman)</nlm:affiliation>
<wicri:noCountry>no dot</wicri:noCountry>
</affiliation>

Jane Fitch Meszaros

<affiliation><nlm:affiliation>St Vincent Healthcare, Billings, Montana (Ms Meszaros)</nlm:affiliation>
<wicri:noCountry>no dot</wicri:noCountry>
</affiliation>

Deb Bjorsness

<affiliation><nlm:affiliation>Great Falls Clinic, Great Falls, Montana (Ms Bjorsness)</nlm:affiliation>
<wicri:noCountry>no dot</wicri:noCountry>
</affiliation>

Mary Madison

<affiliation><nlm:affiliation>Fort Peck Service Unit, Indian Health Service, Poplar, Montana (Ms Madison)</nlm:affiliation>
<wicri:noCountry>no dot</wicri:noCountry>
</affiliation>

Janet M. Mcdowall

<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>
<wicri:noCountry>no dot</wicri:noCountry>
</affiliation>

Carrie S. Oser

<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>
<wicri:noCountry>no dot</wicri:noCountry>
</affiliation>

Elizabeth A. Johnson

<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>
<wicri:noCountry>no dot</wicri:noCountry>
</affiliation>

Todd S. Harwell

<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>
<wicri:noCountry>no dot</wicri:noCountry>
</affiliation>

Steven D. Helgerson

<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>
<wicri:noCountry>no dot</wicri:noCountry>
</affiliation>

Dorothy Gohdes

<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>
<wicri:noCountry>no dot</wicri:noCountry>
</affiliation>

Le document en format XML

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<series><title level="j">The Diabetes educator</title>
<idno type="ISSN">0145-7217</idno>
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<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="KwdFr" xml:lang="fr"><term>Autosoins (MeSH)</term>
<term>Diabète (prévention et contrôle)</term>
<term>Diabète (rééducation et réadaptation)</term>
<term>Humains (MeSH)</term>
<term>Mentors (MeSH)</term>
<term>Montana (MeSH)</term>
<term>Population rurale (MeSH)</term>
<term>Population urbaine (MeSH)</term>
<term>Éducation du patient comme sujet (normes)</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en"><term>Montana</term>
</keywords>
<keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Éducation du patient comme sujet</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Diabetes Mellitus</term>
</keywords>
<keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Diabète</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Diabetes Mellitus</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Diabète</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>
<keywords scheme="MESH" xml:lang="fr"><term>Autosoins</term>
<term>Humains</term>
<term>Mentors</term>
<term>Montana</term>
<term>Population rurale</term>
<term>Population urbaine</term>
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<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>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">17102163</PMID>
<DateCompleted><Year>2007</Year>
<Month>01</Month>
<Day>29</Day>
</DateCompleted>
<DateRevised><Year>2018</Year>
<Month>03</Month>
<Day>13</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">0145-7217</ISSN>
<JournalIssue CitedMedium="Print"><Volume>32</Volume>
<Issue>6</Issue>
<PubDate><MedlineDate>2006 Nov-Dec</MedlineDate>
</PubDate>
</JournalIssue>
<Title>The Diabetes educator</Title>
<ISOAbbreviation>Diabetes Educ</ISOAbbreviation>
</Journal>
<ArticleTitle>Improving access to quality diabetes education in a rural state: the Montana Quality Diabetes Education Initiative.</ArticleTitle>
<Pagination><MedlinePgn>963-7</MedlinePgn>
</Pagination>
<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>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Butcher</LastName>
<ForeName>Marcene K</ForeName>
<Initials>MK</Initials>
<AffiliationInfo><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)</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Gilman</LastName>
<ForeName>Judy</ForeName>
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</AffiliationInfo>
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<ForeName>Janet M</ForeName>
<Initials>JM</Initials>
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</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Oser</LastName>
<ForeName>Carrie S</ForeName>
<Initials>CS</Initials>
<AffiliationInfo><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)</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Johnson</LastName>
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</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Harwell</LastName>
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<Initials>TS</Initials>
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</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Helgerson</LastName>
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</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Gohdes</LastName>
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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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<MeshHeadingList><MeshHeading><DescriptorName UI="D003920" MajorTopicYN="N">Diabetes Mellitus</DescriptorName>
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<MeshHeading><DescriptorName UI="D009009" MajorTopicYN="N" Type="Geographic">Montana</DescriptorName>
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<MeshHeading><DescriptorName UI="D010353" MajorTopicYN="N">Patient Education as Topic</DescriptorName>
<QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012424" MajorTopicYN="N">Rural Population</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012648" MajorTopicYN="N">Self Care</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014505" MajorTopicYN="N">Urban Population</DescriptorName>
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<Day>15</Day>
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<PubMedPubDate PubStatus="medline"><Year>2007</Year>
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<PubMedPubDate PubStatus="entrez"><Year>2006</Year>
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<ArticleIdList><ArticleId IdType="pubmed">17102163</ArticleId>
<ArticleId IdType="pii">32/6/963</ArticleId>
<ArticleId IdType="doi">10.1177/0145721706296029</ArticleId>
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Improving access to quality diabetes education in a rural state: the Montana Quality Diabetes Education Initiative.

Improving access to quality diabetes education in a rural state: the Montana Quality Diabetes Education Initiative.

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