Dittman, Patricia

Background: The prevalence of Type 2 diabetes is substantially significant in the United States and has been this way for several years. Diabetes is a complex, chronic disease that, without proper control, may result in avoidable complications. Once the diagnosis of diabetes is made, it is critical to establish clear treatment goals on increasing knowledge, self-efficacy and enhancing self-care. Implementing a program that supports self-care strategies for adults with diabetes to help achieve optimal health outcomes. For US adults aged 18 years or older the prevalence of diagnosed diabetes in non-Hispanic blacks is 12.1% which is the second highest (CDC,2019).
Purpose: The purpose of this study is to determine if a PowerPoint presentation in Haitian Creole on diabetes self-management will improve self-efficacy, diabetes knowledge and management among Haitian patients with type 2 diabetes.
Methods: In this pre‐post prospective design study, 13 participants with type 2 diabetes recruited from a primary care clinic in Boca Raton, FL were asked to complete a survey called the Diabetes Self‐Management Questionnaire (DSMQ), after which they attended a face‐to‐face or virtual PowerPoint presentation done in Haitian Creole with an optional 1‐hour discussion session. Following the class, they completed the same self‐management questionnaire with 2 additional investigator‐developed questions regarding class benefit.
Results: Paired sample t tests were performed to compare the pretest to posttest scores on the DSMQ questionnaire which showed statistically significant improvement.
Conclusion: The study found a perceived benefit in a self-management educational class in Haitian Creole for Haitian patients with type 2 diabetes.

Uncontrolled hypertension can negatively affect a person’s overall health. Therefore, it is crucial that health care providers understand evidence-based measures that can improve hypertension control. The following Doctor of Nursing Practice project aimed to help improve hypertension outcomes in a community health clinic in West Palm Beach, Florida. The purpose of this paper is to highlight the impact of self-measured blood pressure monitoring (SMBP) as a self-management support strategy and discuss the outcomes of an educational intervention in a small community population. Along with a synthesis of current evidence on SMBP, this paper outlines the processes involved in measuring the effects of SMBP education on hypertension control. A data analysis involving mean differences between baseline and follow up blood pressure measurements, along with a paired samples t-test describing the differences between two week and 12 week post-intervention data is described. An evaluation of the project’s overall success and a discussion of implications for future practice are included as well.