Doctor of Nursing Practice (DNP) Projects
Access Control
Open Access
Degree Program
Doctor of Nursing Practice
Degree Track
Family Nurse Practioner
Year Degree Awarded
2021
DOI
https://doi.org/10.7275/22848470
Month Degree Awarded
May
Keywords
Type 2 diabetes, diabetes and exercise, blood glucose control, telehealth, exercise self-efficacy, telephone coaching
Advisor
Joohyun Chung, Ph.D., MStat, RN, Biostatistician
DNP Project Chair
Joohyun Chung, Ph.D., MStat, RN, Biostatistician
Abstract
Abstract
Background and Review of Literature: Exercise is essential to the self-management of Type 2 Diabetes Mellitus (T2DM). The literature reveals that many patients with difficulty in the self-management of exercise improve with coaching. The literature also reveals that an adequate exercise routine results in improved blood glucose control and the prevention of complications.
Purpose: This DNP project aims to demonstrate the positive effect of low-cost telehealth coaching to improve self-efficacy in an exercise regimen for T2DM patients.
Methods: A one-group pretest-posttest design was used in this project. Telephone calls and text messaging were used to coach patients to improve exercise self-efficacy A self-efficacy scale was used to measure the pre- and post-intervention self-efficacy.
Implementation plan/Procedure: This project was implemented by recruiting participants from the community and administering three weeks of remote coaching via phone calls and text messaging.
Implication/Conclusion: Evidence from the literature supports the positive effect of telehealth coaching in improving self-efficacy in patients with T2DM. The project’s outcome was a significant improvement in exercise self-efficacy in the participants which far exceeded 5% on the self-efficacy scale after three weeks of coaching. The results showed that telehealth coaching via phone calls and text messaging is an effective, low-cost means of helping T2DM patients improve self-efficacy in maintaining an exercise routine due to the behavior modification that occurred from the intervention.
Keywords: Type 2 diabetes, diabetes and exercise, remote health coaching, blood glucose control, telehealth, behavior change in chronic disease, exercise self-efficacy, telephone coaching.
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