Date Approved

4-25-2023

Graduate Degree Type

Project

Degree Name

Nursing (D.N.P.)

Degree Program

College of Nursing

First Advisor

Dr. Anne McKay, DNP, RN, AGPCNP-BC, AGNP-C, CMSRN

Second Advisor

Dr. Amy Manderscheid, DNP, RN, AGPCNP-BC, AGNP-C, CMSRN

Academic Year

2022/2023

Abstract

Background: Type 2 diabetes mellitus (T2DM) is a chronic disease associated with life- threatening outcomes. To prevent such outcomes, people with diabetes must possess the knowledge and skills required to manage their chronic disease. Objectives: To evaluate the impact of video-based education (VBE) on participant Diabetes Self-Management Education Skills (DSMES). Methods: The experimental study was conducted in a primary care office in a Midwest state. A convenience sample of 55 participants was selected. Pre- and post-implementation surveys were administered to measure change in self-efficacy between DMSES scores after viewing the VBE intervention. The Wilcoxon Rank Sum test was performed using Statistical Analysis Software to measure change in confidence between survey scores. Should the study find a statistically significant difference between scores (p=≤0.005), analysis between age and sex variables will be performed to determine if the intervention is more efficacious among certain populations. Results: Twenty-one individuals participated in the study. Participants’ ages ranged from 38 to 74 years (M = 56.1) with 71.4% (n =15) females and 28.6% (n =6) males. Composite data of survey scores did not find a statistically significant change regarding confidence in eating regular meals (p=0.2581, z-score=1.1176), ability to follow diet when preparing food for others (p=0.8845, z-score=0.2543), appropriate food selection (p=0.3631, z-score=0.9116), blood sugar knowledge (p=0.8968, z-score=0.0642), ability to meet recommended exercise goals (p=0.3231, z-score= -0.9119), preventing hypoglycemia during exercise (p=0.6701, z-score= -0.4220), judging when illness warrants medical evaluation (p=0.9160, z-score= -0.2321), or ability to control diabetes (p=0.5610, z-score= -0.6126). Conclusions: The study did not find a statistically significant difference in confidence between survey scores. Additional research must be conducted to explore VBE in diabetes nutrition education and expand the body of literature regarding VBE. Implications: Should future studies find statistically and/or clinically significant outcomes, VBE could offer additional educational support in underserved populations.

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