Using the tools and project planning activities you have completed thus far, it is time for you to begin writing the first part of the Introduction section of your proposal. Create headers that match

EBP Question: For type II diabetics in impoverished communities, is the implementation of self-management effective? impoverished community.

Author and Date

Title of Article

Population, size (n)

Setting

Type of Evidence

Description of Intervention

Outcome Measures

Findings that Help Answer the EBP Question

Limitations

Evidence Level and Quality

Implications for Proposed Project

Authors:

Margaret A. Powers, Joan Bardsley, Marjorie Cypress, Paulina Duker, Martha M. Funnell, Amy Hess Fischl, Melinda D. Maryniuk, Linda Siminerio, & Eva Vivian

Publication Date:

5 June 2015

Diabetes Self-management Education and Support in Type 2 Diabetes: A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics

N/A

N/A

Literature Review

This is a study of a given phenomenon through a thorough survey of peer-reviewed articles.

Quality of life.

Type II diabetes is a burdensome and complex disease that demands individuals to make rational health decisions to maintain a healthy lifestyle.

The implementation of self-management is therefore effective for diabetics in rural communities where they would have difficulty accessing healthcare resources.

This literature review did not incorporate a section highlighting the limitation. Nonetheless, there are minor differences between the findings of these articles.

The findings of this article are consistent and hence adequate to be used in the project.

This article will help build on the research concerning the importance of introducing self-management care for diabetes type II in impoverished communities.

Authors:

Morgan Griesemer Lepard, Alessandra L. Joseph, April A. Agne & Andrea L. Cherrington

Publication Date:

7 May 2015

Diabetes Self-Management Interventions for Adults with Type 2 Diabetes Living in Rural Areas: A Systematic Literature Review

N/A

N/A

Literature Review

This is a study of a given phenomenon through a thorough survey of peer-reviewed articles.

Rates of type II diabetes

The authors found that in impoverished communities, there are higher rates of type II diabetes due to limited access to diabetes education, health services, and community resources.

However, interventions such as collaborative goal-setting and motivational support are likely to enhance the metabolic control of a diabetic.

Possible publication bias.

Difficulty comparing data from several articles.

The interventions analyzed were of different lengths and designed for several cultural groups hence making it difficult to compare the studies.

The evidence provided by this article is sufficient, however, the inconsistencies in the results in different articles interfere with the validity of the results.

The findings from this article will be used to build on the research since the results indicate that there is a positive impact of self-management care for diabetics in rural communities.

Authors:

Roger Carpenter, Toni DiChiacchio & Kendra Barkera

Publication Date:

10 Jan 2019

Interventions for self-management of type 2 diabetes: An integrative review

N/A

N/A

Integrative review

It is a methodology that summarizes past theoretical and empirical literature to offer a comprehensive comprehension of a phenomenon.

HbA1c level.

A significant amount of literature showed that self-management has a short-term improvement in distress reduction and glycemic control.

Due to the exhaustive nature of the existing evidence on this phenomenon, it is difficult to be informed about the entire body of literature on this topic.

The evidence offered by this article is inadequate because different articles reveal different results on the efficacy of self-management in diabetes care.

Implications remain inconclusive.

Authors:

Fadli, F.

Publication Date:

2022

The Impact of Self-Management-Based Care Interventions on Quality of Life in Type 2 Diabetes Mellitus Patients: A Philosophical Perspective

N/A

N/A

Literature Review

This is a study of a given phenomenon through a thorough survey of peer-reviewed articles.

The quality of life of type 2 diabetes mellitus patients.

Most articles indicated an increase in the quality of life and self-care behaviors among type 2 diabetes patients after being subjected to self-management interventions.

Some articles did not indicate a major difference in the quality of life among diabetics utilizing self-management in impoverished communities.

The article provides valid evidence because most of the articles reviewed provided similar results.

Since this article indicates a positive relationship between self-management and diabetics in impoverished societies, it will be used to build research on the topic.

Authors:

Burd, C., Gruss,

S., Albright, A.,

Schumacher, P.

& Alley, D.

Publication Date:

28 Jan 2022

Translating knowledge into action to prevent type 2 diabetes: Medicare expansion of the National Diabetes Prevention Program lifestyle intervention.

Over 3,000 adults

RCT groups

Literature Review

This is a study of a given phenomenon through a thorough survey of peer-reviewed articles.

Rate of Diabetes Type II among groups using medicine and self-management.

The self-management group indicated a 71% rate of reducing the effects of diabetes type II while the group using metformin indicated a 31% likelihood of managing the disease.

Racial inequality because a majority of the respondents were not at a high risk of developing diabetes type 2.

High-quality evidence because there are expert opinions from Medicaid

Innovation Center.

Results will help answer the EBP question and build on the research.

Authors:

Yamaoka, K., Nemoto, A., & Tango, T.

Publication Date:

19 June 2019

Comparison of the Effectiveness of Lifestyle Modification with Other Treatments on the Incidence of Type 2 Diabetes in People at High Risk: A Network Meta-Analysis

n=113

Online

research

PUBMED

database

Meta-

analysis

An epidemiological, formal, and quantitative study design is utilized to systematically analyze the findings of past research on a given topic.

Quality of life of diabetics.

Findings indicate that self-management through lifestyle modifications help prevent the progression of type 2 diabetes.

The type of education training utilized was ununiform among different studies.

The study only used PUBMED in the review.

Good quality of evidence because the sample used was adequate. However, some articles provide inconsistent results.

The findings will be used to supplement the findings of other articles on the same topic.

Authors:

Kerrison, G., Gillis, R. B., Jiwani, S. I., Alzahrani, Q., Kok, S., Harding, S. E., Shaw, I. & Adams, G. G.

Publication Date:

16 Apr 2017

The Effectiveness of Lifestyle Adaptation for the Prevention of Prediabetes in Adults: A Systematic Review

Population: 1,780 studies

n:9 studies

Electronic

Databases such as CENTRAL, Cochrane, PsycINFO, EMBASE, MEDLINE, CINAHL

Systematic

Review

Summary of literature that use reproducible and explicit methods to synthesize, critically appraise, and search a particular issue.

Glycemic control, weight changes, BMI, and physical exercise capacity.

Self-management such as changing lifestyle behaviors helps minimize the incidence of diabetes type 2.

Minor differences in the findings of the studies.

High-quality evidence

These results will help formulate the final project’s report on the efficacy of self-management in individuals with diabetes type II.

Authors:

Walker, R. J., Strom Williams, J., & Egede, L. E.

Publication Date:

April 2016

Influence of Race, Ethnicity, and Social Determinants of Health on Diabetes Outcomes

N/A

N/A

Systematic

Review

Summary of literature that use reproducible and explicit methods to synthesize, critically appraise, and search a particular issue.

Quality of life

Even though the findings of this article do not address the evidence-based question directly, it helps highlight factors that might affect certain groups from receiving treatment such as economic classes.

Limited evidence on how ethnicity and race affect the quality of health outcomes of diabetics in impoverished communities.

The evidence provided is of moderate quality.

The findings of this article could be used to explain some of the factors that prevent diabetics in impoverished communities from accessing medical care services. This will help indicate a need for the implementation of self-management.

Authors:

Delahanty, L. M., Peyrot, M., Shrader, P. J., Williamson, D. A., Meigs, J. B., Nathan, D. M., & DPP Research Group.

Publication Date:

2013

Pretreatment, Psychological, and Behavioral Predictors of Weight Outcomes Among Lifestyle Intervention Participants in the Diabetes Prevention Program (DPP)

n: 274

DPP

community centers

Randomized

clinical trial

Assigning respondents to different groups (control group and treatment group) that receive different treatments.

Weight loss.

Self-efficacy, healthy diets, and greater exercise helped 40.5% of the participants in the Diabetes Prevention Program (DPP) achieve their weight loss goal.

The participants in this study did not fully represent all diabetics trying to lose weight.

The evidence provided is high quality.

These findings show that self-management could help diabetes manage the disease.

Authors: Whittemore, R., Vilar-Compte, M., De La Cerda, S., Marron, D., Conover, R., Delvy, R., & Pérez-Escamilla, R.

Publication Date:

23 August 2019

Challenges to diabetes self-management for adults with type 2 diabetes in low-resource settings in Mexico City: a qualitative descriptive study

n: 20 adults

3 Seguro Popular primary care clinics in Mexico City

Qualitative descriptive study

This approach systematically describes a phenomenon.

Glycemic targets.

Factors that interfere with the efficacy of self-management in diabetics include lack of resources, mental health issues, cultural beliefs, and lack of family support.

The sample was in a single geographical location hence it does not mirror the situation in other impoverished regions.

High-quality evidence.

The findings could be used in the project to show how self-management helps patients in impoverished societies manage the disease.