Date of Award

Summer 2021

Document Type

Final DNP Paper

Degree Name

Doctor of Nursing Practice (DNP)



Faculty Chair

Dr. Laura Walker


Dr. Remona Peterson


Background: Prediabetes and Type 2 diabetes (T2DM) are major health challenges among the patient population at a family medical clinic in northwest Alabama. Poorly managed T2DM can cause complications which could decrease individuals’ quality of life and lead to mortality.

Purpose: The purpose of this project was to assess the feasibility and efficacy of a self-management intervention aimed at empowering prediabetic and T2DM patients to achieve better diabetes management and glycemic control (hbA1c < 5.7 percent).

Design Methods: A mixed-methods design was utilized with pre/post-questionnaires for analysis of data collected before and after the implementation of an educational intervention on diabetes self-management education and support (DSMES). Fifteen adults with T2DM were recruited from a family medical clinic in northwest Alabama.

Results: The results indicated that the educational intervention increased participants’ knowledge (p=.003 three-months post) and self-efficacy (p=.007 three-months post). Although there were improved hbA1c levels among the participants, there was no statistically significant difference in hbA1c scores (p=.392).

Conclusion: The DNP project findings supported implementation of a diabetes self-management approach by health care professionals. Further research, with an increased implementation period and larger sample is needed to show if the educational intervention has long-term effects.

Included in

Nursing Commons



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