EVALUATION OF EMORY UNIVERSITY'S DIABETES EDUCATION FOR CLINICAL SUPPORT STAFF (DECSS) PROGRAM 公开

Abstract

EVALUATION OF EMORY UNIVERSITY'S DIABETES EDUCATION FOR CLINICAL SUPPORT STAFF (DECSS) PROGRAM

The objective of Emory University's Diabetes Education for Clinical Support Staff (DECSS) Program is to improve the delivery of diabetes care by enhancing skills and knowledge of clinical staff that support the care of individuals with diabetes. The behavior change goals for participants that take part in the program are to effectively (1) change participant's knowledge, attitudes, and beliefs about diabetes education, (2) influence participants to become effective educators in their personal and professional lives, and (3) instill participants with the necessary skills to teach patients, family members, and the community about diabetes care. A formative evaluation was completed with a mixed methodology design to measure the effectiveness of the program with the use of a pre-/post-assessment survey, a training evaluation, and post course feedback. Analysis of the assessment surveys and the skills training activities proved to be statistically significant in increasing knowledge gained and confidence in performing skills related to diabetes. The overall content and program satisfaction yielded generally favorable results and the findings have led to recommendations for changes organizationally and in program delivery. Follow-up studies on the long-term impact of the program and the role and influence of clinical support staff in teaching DSME (Diabetes Self-Management Education) is needed. This initial evaluation suggests there is a strong benefit in using the DECSS program to educate more clinical support staff and community health workers, with the ultimate goal of improving the quality of life and health of individuals with diabetes.

Table of Contents

TABLE OF CONTENTS
CHAPTER 1: INTRODUCTION...1

Introduction...1
Public Health Problem...1

Problem statement...1
Diabetes Self-Management Education...2
Instructional Design...3

Description of the Program...4

Logic Model...8
Program Content and Delivery Process...12

Purpose of the Evaluation...13
Evaluation Questions...14
Summary...14

CHAPTER 2: REVIEW OF THE LITERATURE...15

Significance statement...15
THEORY LINKAGES IN THE LOGIC MODEL...16

INPUTS:...16
AADE7 Self-Care Behaviors Framework...16
Clinical Support Staff...18
ACTIVITIES:...20
Capacity Building through Training...20
SHORT TERM OUTCOMES...21
Self-Efficacy...23

Summary...23

CHAPTER 3: METHODOLOGY...24

Introduction...24
Stakeholders...24

ELDEP Staff...24
Emory University...25
American Association of Diabetes Educators...26
Sanofi - Aventis...26

Primary Intended Users...26
Stakeholder Engagement in Evaluation...27
Population and Sample...27
Research Design...28
Procedures and Data Collection Instruments...28

Pre-assessment and Post-assessment surveys...28
Written Evaluation...29
Oral Feedback...31
Course Improvement Activity...31

Plan for Data Analysis...32
Limitations and Delimitations...33
IRB Clearance...34
Summary...35

CHAPTER 4: RESULTS and FINDINGS...36

Introduction...36

Findings...36
Other Findings...50
Summary...50

CHAPTER 5: CONCLUSION, IMPLICATIONS, RECOMMENDATIONS...52

Introduction...52
Summary of the Major Findings...52
Implications...54
Recommendations for the DECSS Program...55
Recommendations for Future Evaluations...57
Personal Account of the Evaluation Process...58
Summary...61

REFERENCES...63
APPENDIX...66
APPENDIX A: PRE-ASSESSMENT/POST-ASSESSMENT (PRE-TEST/POST-TEST)...66
APPENDIX B: DECSS PROGRAM EVALUATION...71
APPENDIX C: DECSS WRITTEN EVALUATION RESULTS...74
APPENDIX D: ORAL FEEDBACK EVALUATION INTRODUCTION...82
APPENDIX E: ORAL FEDBACK EVALUATION DICTATION...83
APPENDIX F: DECSS QUALITATIVE DATA FROM COURSE IMPROVEMENT ACTIVITY...88
APPENDIX G: AGENDA...90
APPENDIX H: CDC FRAMEWORK FOR EVALUATION...91

LIST OF TABLES
Table 1. Description of the AADE's Fundamentals of Diabetes Care Course...7
Table 2. Overview of How DECSS Incorporated the AADE7...36
Table 3. DECSS Pre-/Post Assessment Scores...39
Table 4. Pre-/Post-Assessment Descriptive Statistics...39
Table 5. Paired Sample Statistics for Pre-Post Assessment...40
Table 6. Paired Sample t-test results for Pre-/Post Assessment...41
Table 7. Paired Sample Statistics on Skills Training Evaluation Results...47
Table 8. Paired Sample t-test Results for Each Skill Taught in the Course...48

LIST OF FIGURES
Figure 1. Logic Model for the DECSS Program...11
Figure 2. AADE DSME Outcomes Continuum...17
Figure 3. Bar Graph Displaying Pre-Assessment Scores versus Post-Assessment Scores of Each Participant...40
Figure 4. Bar Graph Illustrating Written Evaluation Results on Course Content...43
Figure 5. Bar Graph Illustrating Written Evaluation Results on Instructional Methods...44
Figure 6. Bar Graph Illustrating Written Evaluation Results on Program Satisfaction...46

About this Master's Thesis

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School	Rollins School of Public Health
Department	Career Masters of Public Health
Degree	MPH
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Public Health
关键词	Diabetes Self Management Education Clinical Support Staff DECSS
Committee Chair / Thesis Advisor	Blais, Linelle, Emory University
Committee Members	Gonzalez, Amparo B, Emory University Rotberg Johnson, Britt , Emory University
Partnering Agencies	National or regional non-profit organization (e.g., American Cancer Society)

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