Date of Award
2025
Document Type
Doctor of Nursing Practice (DNP)
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
Committee Chair
Bethany Gilbert
Committee Member
Kim Caslon
Subject(s)
Diabetes--Nursing, Blood glucose monitoring, Health self-care, Health behavior, Mobile apps
Abstract
This was a new program implementation that used evidence-based guidelines to implement the use of mHealth technology via text messages to improve patient adherence to treatment plans and ultimately improve glycemic control. Patients were selected from within an established Internal Medicine practice based on a diagnosis of diabetes and HbA1c greater than 7.5%. Participation in the study was voluntary. Using the self-care of diabetes inventory, self-care was also measured. Baseline HbA1c, BMI, and SCODI scores were collected. Patient education was provided following the American Diabetes Association’s recommendation for patient education. The patients downloaded and utilized the application one drop, and received a daily text message related to their diabetes treatment. Messages were received for a 12-week period, at which time the variables were assessed and analyzed. SPSS software was used for the descriptive analysis of the data. The data reflected statistically significant improvement in glycemic control and self-care abilities. The stakeholders were presented with the findings and a plan to implement the intervention as a standard of care within the practice, as well as a plan on how to integrate this into their practice.
Recommended Citation
Rohrborn, Jennifer, "How sweet it is : implementation of a web-based application to assist with adherence to diabetes treatment and improve glycemic control" (2025). Doctor of Nursing Practice (DNP). 137.
https://louis.uah.edu/uah-dnp/137