Item request has been placed! ×
Item request cannot be made. ×
loading  Processing Request

A Health Systems Approach to Nurse-Led Implementation of Diabetes Prevention and Management in Vulnerable Populations.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read Online Read More Add to Saved list
  • Additional Information
    • Source:
      Publisher: Taylor & Francis Group Country of Publication: United States NLM ID: 101697320 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2328-8620 (Electronic) Linking ISSN: 23288620 NLM ISO Abbreviation: Health Syst Reform Subsets: MEDLINE
    • Publication Information:
      Original Publication: Philadelphia, PA : Taylor & Francis Group, [2015]-
    • Subject Terms:
      Diabetes Mellitus, Type 2*/prevention & control ; Diabetes Mellitus, Type 2*/nursing ; Vulnerable Populations*; Self-Management/education ; Humans ; United States
    • Abstract:
      Diabetes mellitus is seventh-leading cause of death in the United States, and has a substantial economic burden, contributing $237 billion in direct medical costs. The incidence rate of type 2 diabetes (T2DM) is expected to continue to increase, disproportionally impacting vulnerable groups. The increasing prevalence and disproportionate burden emphasize the need for health systems to effectively integrate and implement large- and small-scale, culturally tailored nurse-led diabetes prevention programs (DPP) and diabetes self-management education programs (DSME). This two-stage analysis uses a health system approach to provide a synopsis of evidence-based nurse-led DPP and DSME implementation across various health system settings. Using the results from an integrative review, a health system focused framework was developed and applied to two case studies highlighting specific aspects of how successful large- and small-scale nurse-led interventions are integrated into health systems across varying vulnerable populations specifically Veterans, Asian Americans and Haitians. Case study results use examples to show large-scale implementation of DSME across the federal Veterans Health Administration (VHA) improves diabetes self-management and access for Veterans and smaller-scale DPP and DSME programs within community health centers targeting vulnerable populations impact health literacy and diabetes self-management. These examples demonstrate key steps toward improving access and outcomes for diabetes management and the critical role of nurse-led diabetes interventions as a priority across the health system and the importance of financial and organizational support for DPP and DSME programs to overcome access barriers to improve diabetes interventions and management.
    • Grant Information:
      K23 DK138324 United States DK NIDDK NIH HHS; R00 NR019325 United States NR NINR NIH HHS
    • Contributed Indexing:
      Keywords: Diabetes mellitus; diabetes prevention programs; diabetes self-management education; nurse
    • Publication Date:
      Date Created: 20250609 Date Completed: 20250609 Latest Revision: 20260307
    • Publication Date:
      20260307
    • Accession Number:
      10.1080/23288604.2025.2503648
    • Accession Number:
      40489647