Date of Graduation
5-2024
Document Type
Capstone
Keywords
Diabetes mellitus type 2; Social determinants of health; Rural health care
Degree Name
Doctor of Nursing Practice (DNP)
Degree Level
Graduate
Advisor/Mentor
Kilmer, Michele R.
Abstract
PURPOSE: To determine if identifying SDOH barriers to care in adults with DMT2 and providing information about community-based resources designed to decrease the impact of these barriers will improve adherence, decrease SDOH barriers, and reduce HbA1c levels.
DESIGN/METHODS: Quasi-experimental design. Participants completed PRAPARE screenings and received handouts detailing contact information for local resources. HbA1c levels were collected prior to or at the initial appointment. Contact was attempted at 4-6 weeks to ensure resources were utilized. 3-month follow up appointments were completed during which PRAPARE screenings were repeated, HbA1c levels were collected, and post-intervention surveys were completed.
CONClUSIONS: Participants who did not access resources demonstrated a slight increase in HbA1c 0.35% in comparison to participants who did access the resources provided. However, paired samples t-test identified no significant difference in the mean HbA1c in either group. PRAPARE screenings demonstrated 83% of participants identified at least one SDOH barrier. Improving access to community-based resources can aid in the reduction of barriers to care and improve the management of chronic conditions thereby improving the overall health of the community.
Citation
Williams, K. (2024). Increasing Utilization of Community Resources to Address Social Determinants of Health Barriers in Patients with Diabetes Mellitus Type 2. The Eleanor Mann School of Nursing Capstone Projects. Retrieved from https://scholarworks.uark.edu/nursstudent/33
