Graduation Semester and Year
Summer 2026
Language
English
Document Type
DNP Project
Degree Name
Doctor of Nursing Practice
Department
Nursing
First Advisor
Cathy Brown
Abstract
Type 2 diabetes mellitus (T2DM) remains a significant public health concern, particularly in rural and underserved communities where patients often face barriers to effective self-management. This quality improvement (QI) project evaluated the impact of a diabetes intervention bundle consisting of individualized diabetes education, biweekly support phone calls, and digital self-monitoring tools on glycemic control, body weight, diabetes knowledge, medication adherence, diet compliance, and physical activity. The project was implemented over an eight-week period in a rural family medicine clinic and included 18 adults with uncontrolled T2DM (HgbA1c >7%). Participant outcomes were evaluated using pre- and post-intervention clinical measures, the Diabetes Knowledge Questionnaire (DKQ-24), participant logs, and digital health records. Following the intervention, participants demonstrated improvements in glycemic control, body weight, medication adherence, diet compliance, physical activity, and diabetes knowledge. Although the digital applications showed mixed success because some participants preferred using their existing continuous glucose monitor (CGM) applications or had trouble navigating smartphone technology, the education sessions and follow-up phone calls were well received and supported patient engagement. These findings suggest that individualized education combined with ongoing support is a practical and sustainable strategy for improving diabetes self-management in a rural primary care setting.
Keywords
Type 2 diabetes mellitus, Quality improvement, Diabetes self-management, Patient education, Rural health, Glycemic control, Mobile application, HgbA1C
Disciplines
Family Practice Nursing | Geriatric Nursing | Other Nursing | Public Health and Community Nursing
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
Morales, Roxanne, "Poorly Controlled Type 2 Diabetes (T2DM) in a Rural County in Texas: A Diabetes Intervention Bundle" (2026). Doctor of Nursing Practice (DNP) Scholarly Projects. 18.
https://mavmatrix.uta.edu/nursing_dnpprojects2/18
Included in
Family Practice Nursing Commons, Geriatric Nursing Commons, Other Nursing Commons, Public Health and Community Nursing Commons