Diabetic Coaching Program to Improve African American Patients Glycemic Control

Abstract

Practice Problem: The purpose of the practice problem was to find out if, among African Americans with type II diabetes who are over 18, adopting a diabetic coaching program that emphasizes diet management can result in better glycemic control over 10 weeks than for those who do not receive coaching. PICOT: In African Americans with type II diabetes over 18 years of age (P), does a diabetic coaching program on diet management (I), compared to no coaching program (C), improve glycemic control (O) over 10 weeks (T)? Evidence: The evidence used to guide this project came from databases, including PubMed, Embase, CINAHL, and BioMed Central, were searched to obtain a broad range of relevant healthcare literature (Heath et al., 2021; MacFarlane et al., 2022). Also, pre-and post A1C data was collected and analyzed. Intervention: The intervention program used was a Diabetic Coaching Program. The program covered several diabetes management topics during the session, including medication management, blood sugar monitoring, and meal choices. Outcome: Using the tool Intellectus provided insight on the statistical impact of the coaching program. Analysis of the difference between pre-HBA1C and post HBA1C levels showed how the diabetic coaching program affected participants’ glycemic outcome. This finding suggested the difference in the mean of PRE-HBA1C and the mean of POST-HBA1C was not significantly different from zero. Conclusion: The diabetic coaching program aimed to improve diabetes awareness and diet management to enhance glycemic control among African Americans. The intervention's clinical significance emphasized evaluating the effectiveness and efficacy of the diabetic coaching program. The outcome found that there was not a significant change in participants. The sample was small which was a limitation of the project.