A novel approach to diabetes prevention: implementation of a multimedia-based diabetes prevention program
Creators: name: Buonocore, Rosemary
Publisher: name: No Publisher Supplied
Year: 2020

description: More than one in three Adults are diagnosed with Prediabetes in the United States (U.S.) (Centers for Disease Control and Prevention [CDC], 2018). People diagnosed with prediabetes are at high risk for developing type 2 diabetes mellitus, heart disease, stroke, and other cardiovascular risk factors such as hypertension and hyperlipidemia. Type 2 Diabetes Mellitus is considered a global epidemic and was reported as the seventh leading cause of death in the U.S. in 2015 (CDC, 2018). Prediabetes can be reversed by implementing lifestyle changes such as eating a healthy diet, increasing physical activity, and losing weight (CDC, 2018; Watson, 2017). Lifestyle modification is the gold standard of treatment to delay the progression of prediabetes and prevent type 2 diabetes mellitus (ADA, 2018; CDC, 2018; Watson, 2017). Through discussions with key stakeholders, patients, and research, this gap of care was revealed for patients who are diagnosed with prediabetes. Implementing a multimedia-based diabetes prevention program (DPP), to educate about lifestyle modifications (diet, exercise, weight loss), can reduce the progression of prediabetes and lead to the prevention of type 2 diabetes mellitus (CDC, 2018; Watson, 2017). Purpose of Project:The purpose of this quality improvement project was to determine whether a multimedia-based diabetes prevention program reverses or reduces the progression of prediabetes and prevents type 2 diabetes mellitus. Methodology:The proposed DNP pilot project used a quasi-experimental quantitative design. This project included a purposeful sample of men and women in central New Jersey from an internal medicine practice that were diagnosed with prediabetes. Recruitment was completed using Recruitment Flyers, In-Person Recruitment during office visits, Telephone Conversation. Participants were asked to sign consent and they were given the opportunity to raise any concerns and they were informed that they may withdraw from the study at any time. There was minimal risk with the implementation of the DNP Project. The intervention consisted of a pre/post intervention questionnaire, Diabetes Prevention Program Educational PowerPoint with voice audio, educational handouts and a food diary journal. Results:Overall, the participant weight, BMI, and HbA1c all decreased at the completion of the project. There was a 10 point increase in the score of the post intervention questionnaire for three participants and one participant scored a 100% on both the pre and post intervention questionnaire. The results showed that there was an increase in participant knowledge about prediabetes and type 2 diabetes mellitus prevention after the completion of the multimedia-based diabetes prevention educational intervention. The results corroborated that the implementation of the multi media-based Diabetes Prevention Program delayed the progression of prediabetes and prevented type 2 diabetes mellitusImplications for Practice:The implications of this multimedia based Diabetes Prevention Program intervention is that it minimized the gap in care by educating patients about lifestyle modifications (diet, exercise, weight loss), reduced the progression of prediabetes and prevented type 2 diabetes mellitus. There was minimal to no financial cost to the practice by creating and implementing the educational PowerPoint presentation. There was also no financial cost to the participants by participating in the DNP project. The multimedia based Diabetes Prevention Program intervention saved the practitioner time and improved quality of patient care. Instead of educating patients for five minutes, the practitioner can simply play the PowerPoint which ensures the patient has received the proper education about their condition and how to treat prediabetes. Implementing the Diabetes Prevention Program into clinical practice reduces delivery costs and participant burden, improves quality of care, and saves the practitioner time. A goal was for this multimedia-based diabetes prevention program to become part of the standard of care in the primary care setting.