Date of Award

Spring 5-6-2022

Document Type

DNP Project

Project Team Faculty Member

Terri Furfaro

Project Team Faculty Member

Angela Andrews


Type 2 diabetes mellitus, personal health coach, diabetes management, glucose, glycosylated hemoglobin A1C, hyperglycemia, hypoglycemia, insulin, exercise, diet regimen, chronic disease, primary care


Management of type 2 diabetes mellitus (T2DM) can reduce hemoglobin a1c values and ultimately reduce the risk of morbidity and mortality. Many adults live with uncontrolled T2DM due to a lack of knowledge of disease management. The purpose of this project was to evaluate the implementation of a personal health coach for the management of T2DM in adult patients. An extensive literature review was conducted, and the use of the Diabetes Management Self-Efficacy Scale (DMSES) was chosen to evaluate participants’ self-efficacy regarding their T2DM. Adult patients aged 21-75 with a diagnosis of T2DM and a hemoglobin a1c >7 in a federally qualified healthcare clinic in southern Illinois were asked to complete a pre-and post- DMSES and a pre-and post- hemoglobin a1c. Seven participants were initially enrolled, with three completing the project in its entirety. During the implementation period, participants were engaged in routine phone calls with the investigators to discuss areas of diabetic management. Results revealed a mean decrease in hemoglobin a1c values by 0.93% and improvements in DMSES scores examining the ability to check blood sugars and correct as necessary, ability to perform foot exams, adjust meals based on dietary needs and blood glucose levels, and to follow a healthy meal plan and take medication appropriately. The DSMES scores showed a mean decrease or no change for questions 5, 9, and 10, which examined weight and exercise. Overall, results revealed participants gained confidence in their perceived abilities to manage their T2DM.

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