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Medical Nutrition Therapy in a Chronic Care Model for the Treatment of Diabetes—A Baseline Study as Precursor to a Pilot Study Collaborative

Giaco, Karen M.
http://rave.ohiolink.edu/etdc/view?acc_num=akron1176300411

Abstract Details

2007, Master of Science in Nutrition and Dietetics, University of Akron, Nutrition and Dietetics.
Diabetes mellitus continues to increase in prevalence despite conventional healthcare interventions. Diabetes exacerbates risks for debility, morbidity, and mortality, and it increases healthcare costs. New strategies like the Wagner Chronic Care model (CCM) present new hope for those living with diabetes particularly with Medical Nutrition Therapy as a component. A collaborative among the Summa Health System, the University of Akron, and Kent State University will incorporate MNT into a CCM as part of a multidisciplinary pilot study utilizing a patient population from the Family Medicine Center (FMC) at Akron City Hospital. As a precursor to the larger pilot study, the current study characterizes the patient population of the pilot study and explored baseline relationships between blood glucose control and knowledge, blood glucose control and activation, and knowledge and activation. The sample was characterized based on gender age, weight, comorbidies, smoking prevalence, baseline knowledge and activation. No relationships were found between blood glucose control and knowledge, blood glucose control and activation, nor between knowledge and activation. A critical limitation existed in a small sample size (N=18) and the knowledge tool had not yet been validated. Because patients agreed to participate in the study, subjects were self-selected; therefore, the sample may not have been representative of all diabetic patients within the FMC. The researcher did not possess freedom to adapt protocols to meet needs of the current study because this study had been prearranged by virtue of the pilot study. Hence, by laying the groundwork for the larger pilot study, the current study can assist in the process of developing diabetes treatment modalities that improve outcomes for those who live with diabetes—in ways current approaches have fallen short.
Deborah Marino (Advisor)
77 p.
Chronic care model; diabetes; medical nutrition therapy; MNT

Recommended Citations

Citations

  • Giaco, K. M. (2007). Medical Nutrition Therapy in a Chronic Care Model for the Treatment of Diabetes—A Baseline Study as Precursor to a Pilot Study Collaborative [Master's thesis, University of Akron]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=akron1176300411

    APA Style (7th edition)

  • Giaco, Karen. Medical Nutrition Therapy in a Chronic Care Model for the Treatment of Diabetes—A Baseline Study as Precursor to a Pilot Study Collaborative. 2007. University of Akron, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=akron1176300411.

    MLA Style (8th edition)

  • Giaco, Karen. "Medical Nutrition Therapy in a Chronic Care Model for the Treatment of Diabetes—A Baseline Study as Precursor to a Pilot Study Collaborative." Master's thesis, University of Akron, 2007. http://rave.ohiolink.edu/etdc/view?acc_num=akron1176300411

    Chicago Manual of Style (17th edition)

akron1176300411
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© 2007, all rights reserved.
This open access ETD is published by University of Akron and OhioLINK.