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Group Diabetes Self-Management Education in a Primary Care Setting: A Quality Improvement Project

Harris, Tara DNP, RN, FNP-BC; Silva, Susan PhD; Intini, Ronald MD; Smith, Tommy MBA; Vorderstrasse, Allison DNSc, RN, APRN

doi: 10.1097/NCQ.0b013e3182aa08b7

This quality improvement project evaluated the effectiveness of a monthly diabetes self-management education intervention on HbA1C and knowledge levels in patients with type 2 diabetes mellitus. A retrospective analysis evaluating 51 patients found no significant improvement in HbA1C levels; however, there was a significant improvement in knowledge levels. Race was an influential factor on HbA1C levels showing a significant elevation in mean HbA1C in African Americans, while there was a decrease in mean HbA1c in Caucasians over the 6-month evaluation period.

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RSI Medical, PC Wendell (Drs Harris and Intini and Mr Smith) and Duke University School of Nursing, Durham (Drs Silva and Vorderstrasse), North Carolina.

Correspondence: Tara Harris, DNP, RN, FNP-BC, RSI Medical, PC, 1465 Huntdell Main Dr, Wendell, NC 27591 (

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The authors declare no conflicts of interest.

Accepted for publication: August 26, 2013.

Published online before print: October 10, 2013

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins