APNA's definition of primary health care nursing covers health, scope of practice, primary health care, roles and settings. We also explore general practice nursing and Phillips et al. six roles of the general practice nurse.
Improving Patient Activation Through Diabetes Self Management Education: DESMOND Program Outcomes
Research has shown that patient activation is related to positive health outcomes, consequently resulting in cost reductions to the healthcare system. Growing evidence suggests that increasing patient active involvement in the management of their diabetes through diabetes self-management education (DSME) improves a variety of health outcomes. Whilst many studies have shown positive effects of DSME on health outcomes, effects are often not sustained over time without ongoing support. In a recent pilot study, we determined that DESMOND was a successful intervention to significantly increase patient activation. Our objective for this study was to evaluate whether the effects of DESMOND on patient activation could be maintained in the short term. We have shown that DESMOND, which is aimed at strengthening the role of people living with type 2 diabetes in self managing their healthcare, resulted in a significant positive effect on patient activation that is sustained 3 months after program participation. Whilst the positive effects of DESMOND on patient activation were sustained 3 months after program participation, the magnitude of the effect was reduced. This points to the importance of regular primary care support following self-management education to help sustain positive behaviour changes over time.