Doctor of Nursing Practice (DNP) Projects

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Doctor of Nursing Practice

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Family Nurse Practioner

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Health coaching, diabetes, self-management, group education, online health program


Dr. Terrie Black DNP, MBA, CRRN, FAHA, FAAN

DNP Project Chair

Dr. Stephen Segatore DNP, FNP-C



Background: Type 2 diabetes is a growing epidemic in the United States and innovative programs are needed to improve care and reduce diabetic related complications.

Purpose: To provide accessible education and coaching support to improve diabetes self-management and self-efficacy of Americans.

Methods: Patients with diabetes and those at risk for diabetes were recruited from a Community Health Center in rural Massachusetts to participate in an online group coaching and education program. Participants completed pre- and post-intervention surveys on diabetes related self-care behaviors and self-efficacy. Online group coaching sessions were held once weekly in the month of January 2021. Each session included an educational, knowledge based lecture, barrier identification, goal session, and question and answer.

Results: A total of 28 eligible participants gave informed consent and of these, 11 participants completed the pre-surveys, and 5 participants completed the program and the post-intervention surveys. Pre-and post-test results revealed a difference on average, of participants’ diabetes self-management behaviors increased by 4.00 points from pre-test (M = 26.60) to post-test (M = 30.60). Results did not show a significant change for self-efficacy for diabetes management from pre-test.

Conclusion: Online diabetes coaching and support has potential to help people improve diabetes related self-care behaviors. Participants may need more time to improve self-efficacy.

Keywords: diabetes, self-management, health coaching

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.