PICOT Quantitative Study

Instructions: My PICOT questions is How does adults living in USA. who had educated on Diabetes Self-Management Education (DSME) compared to adults who had not received Diabetes Self-Management Education (DSME) has improved A1C over 6 month period? 

Choose a quantitative study that addresses your PICOT question.

Use the following framework to write 250- to 400-words summarizing the study:

• 1st sentence: design and sample size/description
• 2nd sentence: intervention, comparison, and outcome variables
• 3rd sentence: how outcome variables are measured (unless already clear)
• 4th sentence: quantified results for intervention and comparison group(s), confidence interval if desired, p-value, and/or effect size, or NNT
• 5th– 6th sentences: Interpretation of clinical significance and strength of findings

The summary must be substantive and in scientific voice. Avoid unnecessary words. Maintain good grammar and parallel structure. Cite the study the way you would for the first time in a published paper, and provide the full citation at the bottom. Provide a doi if possible.

Post your summary, link to your article, and references

First Name Last Name

Professors Name

Subject 

Date

PICOT Response

Design and Sample size description

The study was quantitative and it entailed the collection of Baseline biometric data from a cohort adult patients with diabetes.  During the study, the researcher conducted home visits to 19 patients, which were conducted by doctoral students from the Rutgers University School of nursing. As part of the study, the visits included knowledge assesment, diabetes self-management education, review of foods in the home and providing education on the proper use of monitoring tools like the blood pressure monitor and glucometer. In the study, Biomarkers were then obtained and post-intervention and were then compared to the baseline biomarkers. The data describing lifestyle were collected and opportunities in regard to customized patient education was also provided. 

Intervention, comparison and outcome variables

In the study all participants in the project received information on the targeted goals for A1C, blood pressure, glucose and BMI in regard to the American Diabetes Association guidelines. There was a determined and individualized group visits during the visits on non-group participants. During this time the participants were also provided with free blood pressure monitors as part of self-management behaviors (Lavelle, et al.). Later on there was follow up. 

Measurement

The means of the group were calculated during the pre- and post- intervention data for the different biomarkers (fasting glucose, A1C, diastolic pressure, systolic pressure and BMI). Calculations were made on different values and analysed through the Microsoft excel.

Quantified results for intervention

Of the 19 participants in the project who received in-home DSME, fourteen completed all which is equal to 74% retention rate during the tome of study.  Of the 14 retained, 13 went on the subsequent in-office appointment overlooking family medicine in the event that blood pressure and BMI was obtained. All the fourteen participants completed lab monitoring in addition to A1C (Lavelle, et al.). 

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Interpretation

The study suggests that DSME improves outcomes of diabetes thus improvement to health indicators. Most improvements were also seen in A1C and serum glucose in addition 90% of participation.  The improvement was also not likely due to mean change (p<0.05) (Lavelle, et al.).  This call for additional study on the use of DSME as an effective tool in care. 

Works Cited

Lavelle, D., et al. "Diabetes Self-Management Education in the Home." Cureus, 2016, doi:10.7759/cureus.710.