A mixed-methods needs assessment of diabetes self-management education in rural Wisconsin

Abstract

Diabetes is a metabolic disease that affects blood glucose regulation. In 2017, diabetes was the seventh leading cause of death in the United States. Adherence to a self-management regimen can reduce diabetes mortality and disability. Diabetes self-management practices can be improved through Diabetes Self-Management Education (DSME). The purpose of this study was to assess the availability, accessibility, quality of DSME in Monroe County. Further, this study attempted to identify strengths, weaknesses, opportunities, and threats related to providing DSME within the county. One survey and one key informant interview was conducted with six health care providers who directly engage in DSME from four health care institutions in Monroe County. Results identified two additional locations that county residents may be receiving DSME. Further, results indicated that health insurance played a key role in individuals obtaining DSME at the various health care institution. Results also revealed a variation in DSME quality amongst the four health care institutions. Lastly, strengths identified were personalized care and strong communication, weaknesses were no uniformity and insufficiencies, an opportunity was partnerships, and a threat was social conditions. Results from this study may allow for the expansion and improvement of DSME services for Monroe County residents.