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Insights and Trends in Diabetes Education

Results of the 2008 AADE National Diabetes Education Practice Survey

From Lenzi Martin Communications, Inc, Chicago, Illinois (Ms Martin); Inova Diabetes Center, Fairfax, Virginia (Ms Lumber); Southeastern University School of Nursing, Hammond, Louisiana (Ms Compton); Division of Diabetes Translation, Atlanta, Georgia (Ms Ernst); Endocrinology Clinical Specialist, VA Puget Sound Seattle Division, Seattle, Washington (Ms Haas); University of Chicago, Chicago, Illinois (Ms Regan-Klich); University of Oklahoma College of Pharmacy, Edmond, Oklahoma (Ms Letassy); St Joseph Healthcare Diabetes Treatment Center, Lexington, Kentucky (Ms McKnight); Behavioral Medicine, Gordon Valley, Minnesota (Mr Nelson); New York Presbyterian/WC, New York, New York (Ms Seley); Jesse Brown VA Medical Center, Chicago, Illinois (Ms Toth); Joslin Diabetes Center, Boston, Massachusetts (Ms Mensing).

Correspondence to Terry Lumber, RN, CNS, CDE, BC-ADM, Director, Inova Diabetes Center, 2700 Prosperity Ave, Suite 100, Fairfax, VA 22301-4330 (terry.lumber{at}inova.org).

Purpose

The purpose of this study is to describe current diabetes education practice and specific interventions and responsibilities of diabetes educators in the United States.

Methods

The 2008 National Practice Survey (NPS) instrument consisted of 53 items addressing diabetes education program structure, processes and interventions, outcomes and quality improvement activities, and the chronic care model. The survey was hosted online for American Association of Diabetes Educators (AADE) members. Participants totaled 2447 members, constituting a 25% return rate. Data from the 2008 NPS were analyzed and compared with results from previous surveys.

Results

Nearly two-thirds of respondents in 2008 provided diabetes education in a single location, most commonly in a clinical outpatient/managed care setting (39%). Most programs provided comprehensive services. Managers noted that 42% of their programs were either cost/revenue neutral or profitable. Programs varied in types of services, number of patient visits, team member functions, time spent on services, and instructional methods used. At least 50% of managers said their programs report outcome data, and 88% participate in quality/performance improvement activities. Nearly two-thirds of respondents were unfamiliar with the AADE-adopted chronic care model.

Conclusions

Many 2008 NPS results concur with those obtained in 2005 through 2007. Areas of variability among programs suggest a need for standardized interventions and practice guidelines. Educators are encouraged to report outcomes to elucidate the contributions of their programs to patient care. AADE can use the results and comparative data obtained from the 2008 survey when developing practice, research, and advocacy activities.

The Diabetes Educator, Vol. 34, No. 6, 970-986 (2008)
DOI: 10.1177/0145721708327286


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