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The Diabetes Educator
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TOOL CHEST

The Diabetes Literacy and Numeracy Education Toolkit (DLNET)

Materials to Facilitate Diabetes Education and Management in Patients With Low Literacy and Numeracy Skills

Kathleen Wolff, MSN, BC-ADM, BC-FNP, Kerri Cavanaugh, MD, MHS, Robb Malone, PharmD, CDE, Victoria Hawk, MPH, RD, Becky Pratt Gregory, MS, RD, CDE, Dianne Davis, RD, LDN, CDE, Kenneth Wallston, PhD and Russell L. Rothman, MD, MPP

From the Vanderbilt University School of Nursing (Ms Wolff, Dr Wallston), Vanderbilt University Department of Medicine (Dr Cavanaugh), Vanderbilt Diabetes Center (Ms Gregory, Ms Davis), Nashville, Tennessee, the University of North Carolina, Department of Medicine (Dr Malone, Ms Hawk), Chapel Hill, North Carolina, Eshelman School of Pharmacy (Dr Malone), and Vanderbilt University, Departments of Medicine & Pediatrics (Dr Rothman), Nashville, Tennessee.

Correspondence to Russell L. Rothman, MD, MPP, Vanderbilt University Medical Center, 6100 Medical Center East, North Tower, Vanderbilt Center for Health Services Research, Nashville, TN 37232-8300 (russell.rothman{at}vanderbilt.edu).

Purpose

Diabetes self-management education is an important component of comprehensive diabetes care. Patients with low health literacy and numeracy may have difficulty translating information from traditional diabetes educational programs and materials into effective self-care.

Methods

To address this potential barrier to successful diabetes teaching and counseling, the authors developed the Diabetes Literacy and Numeracy Education Toolkit (DLNET).

Conclusion

The DLNET is composed of 24 interactive modules covering standard diabetes care topics that can be customized to individual patient needs and used by all members of the multidisciplinary diabetes care team. The material's content and formatting aims to improve the ease of use for diabetes patients with low literacy and numeracy by adhering to a lower text reading level, using illustrations for key concepts, and color-coding and other accommodations to guide patients through instructions for self-care. Individual sections of the DLNET may be provided to patients for initial teaching, as well as for reinforcement. Although designed for lower literacy and numeracy skills, the DLNET provides unique materials to facilitate diabetes education for all patients.


This version was published on March 1, 2009

The Diabetes Educator, Vol. 35, No. 2, 233-245 (2009)
DOI: 10.1177/0145721709331945


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