Author(s): Catherine Heinlein, Cheryl Westlake

Email(s): cheinlein@apu.edu

DOI: 10.5958/2454-2660.2021.00041.7   

Address: Catherine Heinlein1, Cheryl Westlake2
1Associate Professor, Azusa Pacific University, School of Nursing, 701 E Foothill Blvd, Azusa, CA 91702, USA.
2 Memorial Care Shared Services, 17360 Brookhurst Street, Fountain Valley, CA 92708.
*Corresponding Author

Published In:   Volume - 9,      Issue - 2,     Year - 2021


ABSTRACT:
The purpose of the study was to determine the effect of a community-based American Association of Diabetes Educators diabetes behavior-change program on diabetes risk, knowledge, and self-efficacy in Indian nursing students. A prospective, repeated measures (pre-post-test) quasi-experimental design with purposive sampling was used with 48 nursing students from Mission of Mercy School of Nursing, Kolkata, India. Subjects, three groups of 16 students, participated in a diabetes behavior-change educational program using culturally modified training sessions. Diabetes risk was assessed with body mass index, waist circumference, blood pressure, and serum glucose. Diabetes knowledge was assessed using the Diabetes Knowledge Test 2 (general and insulin-use subscales) and self-efficacy with the Diabetes Self-Efficacy Scale. To evaluate the intervention’s efficacy with 44 students who completed the intervention and assessments, data were evaluated using descriptive statistics and paired student t-test. Subjects were female, single, 20.55 + 1.6 years old, of the Hindu faith (n=31, 64.6%) South Asian ethnicity (n=45, 93.76%), without health insurance (n=40, 83.3%) and no family history of diabetes (n=29, 60.4%). A significant difference was demonstrated in glucose (p<.01), self-efficacy (p<.01), and insulin-use diabetes knowledge (p<.01). The benefit of a diabetes behavior-change program on nursing students’ insulin-use knowledge and self-efficacy suggests Indian nursing may be interested to adopt the American Association of Diabetes Educators program as part of their curriculum. The negative impact on glucose requires further exploration. Students may apply the knowledge and skills learned with themselves, each other, and at both clinical sites and within their communities.


Cite this article:
Catherine Heinlein, Cheryl Westlake. Assessing Knowledge and Self-Efficacy among Nursing Students to Operate a Diabetes Behavior-Change Program in Kolkata, India. Int. J. Nur. Edu. and Research. 2021; 9(2):167-174. doi: 10.5958/2454-2660.2021.00041.7

Cite(Electronic):
Catherine Heinlein, Cheryl Westlake. Assessing Knowledge and Self-Efficacy among Nursing Students to Operate a Diabetes Behavior-Change Program in Kolkata, India. Int. J. Nur. Edu. and Research. 2021; 9(2):167-174. doi: 10.5958/2454-2660.2021.00041.7   Available on: https://ijneronline.com/AbstractView.aspx?PID=2021-9-2-9


REFERENCES:
1.    World Health Organization. Diabetes country profiles. 2016. India. http://www.who.int/diabetes/country-profiles/ind_en.pdf. Accessed 2019; 3(7):
2.    Kommoju U, Reddy B. Genetic etiology of type 2 diabetes mellitus: a review. International Journal of Diabetes in Developing Countries. 2011; 31(2): 51-64. doi:10.1007/s13410-011-0020-8.
3.    Rafique G, Shaikh F. Identifying needs and barriers to diabetes education in patients with diabetes. Journal of Pakistan Medical Association. 2006; 56(8): 347-352.
4.    Christie D, Strange V, Allen E, et al. Maximising engagement, motivation and long term change in a Structured Intensive Education Programme in Diabetes for children, young people and their families: Child and Adolescent Structured Competencies Approach to Diabetes Education (CASCADE). BMC Pediatrics. 2009; 9: 57. doi:10.1186/1471-2431-9-57.
5.    Deeb LC. Diabetes technology during the past 30 years: a lot of changes and mostly for the better. Diabetes Spectrum. 2008; 21(2): 78-83.
6.    Kaveeshwar SA, Cornwall J. The current state of diabetes mellitus in India. The Australasian Medical Journal. 2014; 7(1): 45-48. doi:10.4066/AMJ.2013.1979.
7.    Vimalavathini R, Agarwal SM, and Gitanjali, B. Educational program for patients with type-1 diabetes mellitus receiving free monthly supplies of insulin improves knowledge and attitude, but not adherence. International journal of diabetes in developing countries; 2008; 28(3): 86–90. doi:10.4103/0973-3930.44079
8.    Carney T, Stein SE, Quinlan JJ. The need for additional training for nutritional management of diabetes. British Journal of Nursing. 2013; 22(9): 512-517.
9.    Gordon KA, Carmany KE, Baker JR, Goliat LM. Innovative Teaching for Undergraduate Nursing Students Through Mastery Modeling. Nursing Education Perspectives. 2018; 39(3): 184-186. doi:10.1097/01.NEP.0000000000000234.
10.    Dubovi I, Dagan E, Sader Mazbar O, Nassar L, Levy ST. Nursing students learning the pharmacology of diabetes mellitus with complexity-based computerized models: A quasi-experimental study. Nurse Education Today. 2018; 61: 175-181. doi:10.1016/j.nedt.2017.11.022.
11.    Sprengel AD. A study of the attainment of diabetes concepts using a simulation-gaming instructional strategy. Dissertation Abstracts International. 1992; 53(4-A):1065. Accessed March 5, 2019.
12.    Negarandeh R, Mahmoodi H, Noktehdan H, Heshmat R, Shakibazadeh E. Teach back and pictorial image educational strategies on knowledge about diabetes and medication/dietary adherence among low health literate patients with type 2 diabetes. Primary Care Diabetes. 2013;7(2):111-118. doi:10.1016/j.pcd.2012.11.001
13.    Saylor J, Hertsenberg L, McQuillan M, O’Connell A, Shoe K, Calamaro CJ. Effects of a service learning experience on confidence and clinical skills in baccalaureate nursing students. Nurse Education Today. 2018; 61: 43-48. doi:10.1016/j.nedt.2017.11.009.
14.    Hultquist TB, Brown SG, Geske J, Kaiser KL, Waibel-Rycek D. Partnering with community-dwelling individuals with diabetes for health behavior change using action plans: An innovation in health professionals education and practice. Health Promotion Practice. 2015; 16(6): 906-915. doi:10.1177/1524839915596309.
15.    American Association of Diabetes Educators. The Art and Science of Diabetes Self-Management Education Desk Reference (4th Edition). Chicago, IL: American Association of Diabetes Educators; 2017.
16.    National Heart, Lung and Blood Institute. Calculate Your Body Mass Index. https://www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmicalc.htm. Accessed March 7, 2019.
17.    Misra A. Ethnic-Specific Criteria for Classification of Body Mass Index: A Perspective for Asian Indians and American Diabetes Association Position Statement. Diabetes Technology and Therapeutics. 2015; 17(9): 667-671. doi:10.1089/dia.2015.0007.
18.    World Health Organization. Waist circumference and waist–hip ratio: report of a WHO expert consultation, Geneva, 8–11 December 2008.https://apps.who.int/iris/bitstream/handle/10665/44583/9789241501491_eng.pdf?ua=1 Accessed March 7, 2019.
19.    Lorig K, Stewart A, Ritter P, González V. Outcome Measures for Health Education and Other Health Care Interventions. Thousand Oaks, CA: Sage Publications, Inc; 1996.
20.    Collins GS, Mughal S, Barnett AH, Fitzgerald J, Lloyd CE. Modification and validation of the Revised Diabetes Knowledge Scale. Diabetic Medicine. 2011; 28(3):306-310. doi:10.1111/j.1464-5491.2010.03190.x.
21.    Noser AE, Huffhines L, Clements MA, Patton SR. Diabetes conflict outstrips the positive impact of self-efficacy on youth adherence and glycemic control in type 1 diabetes. Pediatric Diabetes. 2017; 18(7): 614-618. doi:10.1111/pedi.12471.
22.    Merkel RM, Wright T. Parental Self-Efficacy and Online Support Among Parents of Children Diagnosed With Type 1 Diabetes Mellitus. Pediatric Nursing. 2012; 38(6): 303-308. Accessed March 7, 2019.
23.    Harrington C, Carter-Templeton HD, Appel SJ. Diabetes Self-Management Education and Self-Efficacy Among African American Women Living with Type 2 Diabetes in Rural Primary Care. Journal of Doctoral Nursing Practice. 2017; 10(1): 11-16. doi:10.1891/2380-9418.10.1.11.
24.    Lorig K, Ritter PL, Villa FJ, Armas J. Stanford English Diabetes Self-Management study. Study reported in Community-based peer-led diabetes self-management: A randomized trial. The Diabetes Educator. 2009; 35(4): 641-51.
25.    Fitzgerald JT, Funnell MM, Anderson RM, Nwankwo R, Stansfield RB, Piatt GA. Validation of the Revised Brief Diabetes Knowledge Test (DKT2). The Diabetes Educator. 2016;42(2): 178-187. doi:10.1177/0145721715624968.
26.    Scheiderich SD, Freibaum CN, and Peterson LM. (1983). Registered nurses knowledge about diabetes mellitus. Diabetes Care. 6(1): 57-61.
27.    Tawalbeh, L. and Gharaibeh, B. (2014). Diabetes Knowledge among University Nursing Students in the North of Jordan. Pakistan Journal of Nutrition. 13: 728-734. doi:10.3923/pjn.2014.728.734.
28.    Ramjan LM, Watanabe H, Salamonson Y. Diabetes knowledge and perceptions among nursing students, and curriculum differences in Japan and Australia: A cross-sectional study. Nurse Education Today. 2017;53: 7-12. doi:10.1016/j.nedt.2017.03.005.
29.    Zowgar AM, Siddiqui MI, Alattas KM. Level of diabetes knowledge among adult patients with diabetes using diabetes knowledge test. Saudi Medical Journal. 2018;39(2): 161-168. doi:10.15537/smj.2017.2.21343.
30.    American Council on Exercise. ACE-sponsored research: Validating the talk test as a measure of exercise intensity. https://www.acefitness.org/certifiednewsarticle/888/ace-sponsored-research-validating-the-talk-test-as/ Accessed March 7, 2019.
31.    Misra, R. ed., (2011). AAPI’s Guide to Nutrition, Health and Diabetes 2nd ed. Chennai, India: Allied Publishers Private Limited.
32.    Krause SA. Precepting Challenge: Helping the Student Attain the Affective Skills of a Good Midwife. Journal of Midwifery and Women’s Health. 2016;61: 37-46. doi:10.1111/jmwh.12517.
33.    Soper D. Free Statistics Calculators. Post-hoc Statistical Power for a Student t-Test https://www.danielsoper.com/statcalc/calculator.aspx?id=47. Updated 2006 – 2019. Accessed March 28, 2019.
34.    Office of the Registrar General and Census Commissioner, India, Ministry of Home Affairs, Government of India. Census of India (2011). Paper 1 of 2018: Language. Census of India 2011 Paper 1 OF 2018 Language India, States And Union Territories (Table C-16) http://censusindia.gov.in/2011Census/C-16_25062018_NEW.pdf. Accessed March 7, 2019.
35.    Lindseth G. Evaluating rural nurses for preparation in implementing nutrition interventions. Journal of Rural Health. 1990;6(3): 231-245.
36.    Warber JI, Warber JP, Simone KA. Research and professional briefs. Assessment of general nutrition knowledge of nurse practitioners in New England. Journal of the Academy of Nutrition and Dietetics. 2000;100(3): 368-370.
37.    Bandura A. Self-efficacy. In V. S. Ramachaudran (Ed.), Encyclopedia of human behavior (Vol. 4, pp. 71-81). New York: Academic Press. (Reprinted in H. Friedman [Ed.], Encyclopedia of mental health. San Diego: Academic Press, 1998).Retrieved from https://www.uky.edu/~eushe2/Bandura/Bandura1994EHB.pdf.
38.    Tudor-Locke, C., Craig, C., Brown, W., Clemes, S., De Cocker, K., Giles-Corti, B., Hatano, Y., Inoue, S., Matsudo, S., Mutrie, N., Oppert, J., Rowe, D., Schmidt, M., Schofield, G., Spence, J., Teixeira, P., Tully, M., Blair, S., (2011). How many steps are enough? For adults. The International Journal of Behavioral Nutrition and Physical Activity. 8. 79. 10.1186/1479-5868-8-79.
39.    Soper D. Free Statistics Calculators. A-priori sample size for Student t-test website. https://www.danielsoper.com/statcalc/calculator.aspx?id=49. Updated 2006 – 2019. Accessed March 28, 2019.
40.    Willson VL, Putnam RR. A Meta-Analysis of Pretest Sensitization Effects in Experimental Design. American Educational Research Journal. 1982;19(2): 249-258.
41.    Vanderlee L, Ahmed S, Ferdous F, et al. Self-care practices and barriers to compliance among patients with diabetes in a community in rural Bangladesh. International Journal of Diabetes in Developing Countries. 2016; 36(3): 320-326. doi:10.1007/s13410-015-0460-7.

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