The document presents a research poster on a proposed diabetes education seminar for residents of the Henry Street Settlement. It includes: - A literature review finding diabetes education improves knowledge, compliance and outcomes. Lower education levels are linked to worse diabetes management. - A pre-post test evaluation of residents' diabetes knowledge will assess the seminar's efficacy in improving knowledge of prevention and management. - If successful, additional seminars should be considered to reinforce learning and promote healthy habits for diabetes.

1. RESEARCH POSTER PRESENTATION DESIGN © 2015
www.PosterPresentations.com
For residents of the Henry Street Settlement, would
the implementation of a diabetes education seminar
compared to prior knowledge improve knowledge
of diabetes prevention and maintenance?
PICO Question
Background
Search Strategy
• An increase in patient knowledge of diabetes results in better compliance to treatment
and decrease in complications (Chavan et al., 2015)
• At follow-up from diabetes education, participants were less likely to be depressed,
more compliant with medications, and scored higher on an assessment of diabetes
knowledge (Hughes, Yang, Ramanathan, & Benjamins, 2016).
• Su et al. (2016) found that individual educational levels are associated with a higher
rate of awareness, treatment, adherence to medications, and glucose monitoring.
• Diabetic patients with a lower level of education and household income are less likely
to receive treatment. Findings suggest that greater attention should be paid to these
populations to achieve a higher rate of compliance (Su et al., 2016).
• Patients who had at least one visit with a Chronic Care Coordinator (CCC) experienced
more diagnostic testing (Solorio et al., 2015).
• The CCC helps the patient become more aware about the next steps needed in the
managements of their diabetes (Solorio et al., 2015).
Research Literature Review
Major EBP Recommendations
● Seminars, counseling sessions, and workshops should be arranged periodically
for diabetic patients to increase awareness (Chavan et al., 2015).
● Diabetes education improves clinical outcomes and quality of life
demonstrating how accurate knowledge increases diabetic regimen compliance
(Funnell et al., 2011).
● Diabetic education helps residents achieve self-care behaviors (Buss et al.,
2012).
● Buss et al. (2012) recommends assessing and prescribing physical activity
based on needs and conditions.
● Providing individualized case management, care coordination, goal setting, and
self-management through clinical site interventions are recommended (Solorio
et al., 2015).
● Focus education on general diabetes knowledge, blood glucose monitoring,
nutrition, physical activity, foot care, and medications (Solorio et al., 2015).
Evaluation
● Pretest consisting of 10 questions
● Post-test (same as pre-test) to assess efficacy
● Success will be measured based on the difference in number of
questions answered correctly between the pretest and posttest
● No difference between pre-test and post-test = low efficacy
● Two questions or more answered correctly = moderate efficacy
● All questions answered correctly by at least 50% of residents = high
efficacy
● To conclude, the seminar was a success. The residents of the Henry
Street and the neighboring towns were receptive to the information of
Diabetes. This was measured by the feedback given to us after the
seminar.
Change Process
● Clearance of educational seminar by Henry Street Settlement
administration
● Preparation of seminar
● Information of time and location will be distributed to residents
● A pre-test and post-test will be given to evaluate residents’ knowledge
of diabetes.
● If the educational seminar is successful, additional learning seminars
should be considered to reinforce learning and healthy habits to prevent
and manage diabetes.
• 29.1 million people have diabetes in the US population.
27.8% are undiagnosed (Centers for Disease Control and
Prevention, 2014)
• High mortality rate related to diabetes (Chavan et al., 2015)
• Minorities and low-income groups have the highest
likelihood of developing life-threatening diseases (our
community, 2016)
• Diabetes is associated with serious complications (Solorio et
al., 2015)
• Diabetes is the seventh leading cause of death in the US
(Centers for Disease Control and Prevention, 2014)
• Residents of Henry Street Settlement have limited
knowledge of diabetes
• Low socioeconomic status and lack of access to quality
healthcare and education (our community, 2016)
Pace University, College of Health Professions, Lienhard School of Nursing
Suraiya Chowdhury, Karen Dwelley, Tess Farenwald, Brianna Franco,
Donna Hughes, Sheryl John, Anne Kim, and Claudine Pearson
Evidence Based Practice Improvement: Diabetes Education Seminar to
Improve Knowledge
Proposed Practice Change
• Interactive educational presentation on diabetes risk factors, management,
and prevention led by Henry Street Settlement on-site nurse
• Considerations: language, reading, learning, and educational levels
• Prior to seminar, a pre-test of 10 questions will be given to assess prior
knowledge of diabetes.
• After the seminar, a post-test will be given to assess efficacy of diabetes
teaching seminar.
• Information of on-site healthcare resources for diabetes control and
management services will be provided.
References
● PubMed, CINAHL, National Clinical Guideline Clearinghouse and
Medline via EBSCO
● Delimitations: peer-reviewed, recent scholarly articles, low income
patients, and English only
● Inclusions/exclusions were made based on education before and after
the seminar, and the population being tested.
● Keywords: diabetes, prevention, education, pre-test, post-test, low
income, and management
● Seven research articles, two systematic reviews, and two clinical
guidelines
Buss, K., Chene, R., Cuadros, J., Fournier, J., Higgins, K., Inturrisi, M., . . . Wilson, J., (2012). Basic guidelines for diabetes care. Agency for Healthcare Research and Quality
…..(AHRQ). California diabetes Program. Retrieved from: https://www.guideline.gov/summaries/summary/38460/basic-guidelines-for-diabetes-care (This is an EBP Guideline
…..included in level one of Evidence Hierarchy)
Centers for Disease Control and Prevention (2014). Estimates on diabetes and its burden in the United States. Atlanta, GA: Centers for Disease Control and Prevention; 2012.
…..Retrieved from: http://ww.cdc.gov/diabetes/pubs/statsreport14/national-diabetes-report-web.pdf (This is a descriptive qualitative study included in level six of Evidence
…..Hierarchy)
Chavan, G. M., Waghachavare, V. B., Gore, A. D., Chavan, V. M., Dhobale, R. V., & Dhumale, G. B. (2015). Knowledge about diabetes and relationship between compliance to
…..the management among the diabetic patients from rural area of Sangli District, Maharashtra, India. Journal of Family Medicine and Primary Care, 4(3), 439–443.
…..http://doi.org/10.4103/2249-4863.161349 (This is a cohort …….study included in level four of Evidence Hierarchy)
Funnell, M. M., Brown, T. L., Childs, B. P., Haas, L. B., Hosey, G. M., Jensen, B., … Weiss, M. A. (2011). National standards for diabetes self-management education. Diabetes
…..Care, 34(Suppl 1), S89–96. http://doi.org/10.2337/dc11-S089 (This is a case control study included in level four of Evidence Hierarchy)
Hughes, M., Yang, E., Ramanathan, D., & Benjamin, M. (2016). Community-based diabetes community health worker intervention in an underserved chicago population.
…..Journal of Community Health.1-8. doi 10.1007/s10900-016-0212-8 (This is a randomized controlled trial included in level two of Evidence Hierarchy)
Our community. (2016). Retrieved July 24, 2016, from http://www.henrystreet.org/about/our-community/ (This is a descriptive qualitative study included in level six of
…..Evidence Hierarchy)
Rong, S., Cai, L., Cui, W., He, J., You, D., & Golden, A. (2016). Multilevel analysis of socioeconomic determinants on diabetes prevalence, awareness, treatment and …..self-
management in ethnic minorities of Yunnan Province, China. International Journal of Environmental Research and Public Health, 13, 751.doi:10.3390/ijerph13080751 …..(This
is a meta-analysis included in level one of Evidence Hierarchy)
Solorio, R., Bansal, A., Comstock, B., Ulatowski, K., & Barker, S. (2015). Impact of a chronic care coordinator intervention on diabetes quality of care in a community health
…..center. Health Services Research, 50:3. (This is a systematic review included in level one of Evidence Hierarchy)
Retrieved from: http://www.mcnt.com/images/diabetes-program/feature-diabetes-.jpg
Retrieved from: Claudine Pearson