Graduation Semester and Year

Spring 2026

Language

English

Document Type

DNP Project

Degree Name

Doctor of Nursing Practice

Department

Nursing

First Advisor

Kirsten Drake, DNP, RN, NEA-BC, OCN, CLYYGB, ACUE

Second Advisor

Rhonda Winegar, PhD, DNP, RN, FNP-BC, CCRN, CPN

Third Advisor

Yungfei Kao, PhD.

Abstract

Type 2 diabetes (T2DM) is a chronic medical condition with profound impacts on the people who experience it and the healthcare system. Glycemic control is paramount for preventing costly complications, morbidity, and mortality; however, this has been elusive, especially in underserved populations. Data from national, state, and local agencies confirm that glycemic control is below target, especially among vulnerable populations. Self-care behaviors are a critical component of management, and many studies have shown success with various educational programs; however, gaps still exist. This project aimed to use a diabetes education and technology bundle intervention developed and administered with the Plan-Do-Study-Act framework to reduce weekly self-monitored blood glucose, increase weekly minutes of exercise, reduce intake of nutrient-poor, calorie-dense foods, increase knowledge of diabetes self-care behaviors, and increase satisfaction with care in under-resourced adults with T2DM in a primary care clinic in North Texas. The project was conducted within an eight-week timeframe and found a statistically significant reduction in weekly self-monitored blood glucose and diabetes self-care knowledge using paired t-test analysis. This project proved that vulnerable persons with T2DM can improve glycemic control with practical, low-cost resources if they have relevant and meaningful support.

Keywords

type 2 diabetes, vulnerable, low health literacy, technology, health coaching, asynchronous, culturally sensitive, diet, food tracking, food logging

Disciplines

Community Health and Preventive Medicine | Endocrinology, Diabetes, and Metabolism | Interprofessional Education

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