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The Diabetes Educator
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The Content, Integrity, and Efficacy of a Nurse Coaching Intervention in Type 2 Diabetes

Robin Whittemore, PhD, APRN

Yale School of Nursing, 100 Church Street South, PO Box 9740, New Haven, CT 06536-0740 robin.whittemore{at}yale.edu

Susan Chase, EdD, RN, CS

Carol Lynn Mandle, PhD, RN, CS

Sister Callsta Roy, PhD, FAAN

Boston College School of Nursing, Chestnut Hill, Massachusetts

PURPOSE

the purpose of this study was to systematically evaluate the content, integrity, and efficacy of a nurse coaching intervention provided after diabetes education that focused on dietary and exercise lifestyle change in persons with type 2 diabetes.

METHODS

A multimethod design incorporated an interpretive approach to examine the content and integrity of the intervention and a multiple-baseline, single-subject method to determine the preliminary efficacy of the intervention.

RESULTS

The primary strategies of the nurse coaching intervention consisted of facilitating lifestyle change through educational reinforcement, psychosocial support, and motivational guidance. Aggregate quantitative outcomes revealed a modest increase in health-promoting behaviors and a decrease in fasting blood glucose, indicating a trend toward physiologic adaptation. Participants demonstrated a significant increase in integration reflective of psychosocial adaptation.

CONCLUSIONS

Providing individualized nursing care after diabetes education may improve health outcomes and the quality of life of persons newly diagnosed with type 2 diabetes. This multimethod design is a cost-effective approach for preliminary evaluation of complex and/or novel interventions.

The Diabetes Educator, Vol. 27, No. 6, 887-898 (2001)
DOI: 10.1177/014572170102700614
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