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KMID : 0379220180380010169
Journal of Korea Gerontological Society
2018 Volume.38 No. 1 p.169 ~ p.185
Senior Center Based Diabetes Self-management Program: An Action Research Approach
Ko Ha-Na

Song Mi-Soon
Abstract
The purpose of this study examined the feasibility and efficacy of a senior center-based diabetes self-management program applying action research approach. The cyclical action research method was applied for this study: plan, act, evaluate, and reflect in delivering three waves of the intervention program. Three waves of a 12 weeks-length small group diabetes self-management program were offered during the period of 15 months in a senior center in Seoul. Planning of 2 nd and 3 rd wave program were based on reflection of 1 st and 2 nd program evaluation respectively. Among the 46 participants, 93.48% (N=43) completed the program. The quantitative evaluation showed statistically significant improvement in HbA1C( p <.001), fasting plasma glucose( p <.001), BMI( p =.016), waist circumference(p=.001), systolic blood pressure( p =.036), diabetes self-management behavior( p <.001) and health knowledge( p =.008). Qualitative data revealed that individual management was very helpful in empowering and adhering for own diabetes care for the participants. Participants reported high satisfaction towards the program with mean satisfaction score of 65.12. Application of the Diabetes Self-management program with action study strategy was successful in community setting for improving participants¡¯ subjective and objective outcomes. Action research method guides the practitioner to tailor the program to respond for the participants and field needs.
KEYWORD
Diabetes, Older adults, Action research, Community, Senior center
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