M 01 Engaging Persons With Diabetes in Nurse Coaching With Enabling Technology to Improve Health

Sunday, 24 July 2016: 3:15 PM-4:30 PM
Description/Overview: Purpose: This symposium will highlight results of a Patient-Centered Outcomes Research Institute (PCORI) funded program of research focused on nurse coaching and emerging mobile technologies to enhance and improve the lives of persons living with diabetes. Background: Diabetes affects more than 29 million people in the United States, and an estimated 86 million people have pre-diabetes. The World Health Organization estimates that 9% of people have diabetes globally, and that by 2030, diabetes will be the 7th leading cause of death. Diabetes type-2, the most common type of diabetes, is amenable to interventions that focus on behavior changes such as physical activity and diet. There is increasing evidence that person-centered models of care that target behavioral health are more successful in improving and addressing chronic illnesses such as diabetes. mHealth technologies are emerging as a promising approach to engage persons with diabetes in improving their management of the disease. Smart phones apps and text messaging allow persons with diabetes to receive health information wherever they are. If this technology is developed to allow bi-directional, timely communication of data and tailored feedback, it has the potential to change an individual’s health behavior and prevent or mitigate the factors that lead to disease. Globally, over 4 billion people are using mobile phones, and almost half have smart phones. Given that 91% of adults in the United States own a mobile phone, 63% of adult cell phone owners report use of their phone to access the internet, and 62% of adults with two or more chronic conditions report tracking a health indicator, it appears the barriers to mHealth technology access are being quickly overcome and will assume a larger role in future health care leading to improved health outcomes in individuals with chronic diseases. Presentation: This symposium will feature different elements of this research program: patient and stakeholder engagement, lessons learned from persons with diabetes, their health care providers, and technology experts, and integration of sensor and mobile health technologies into healthcare delivery. The first presentation will explore patient engagement in research and strategies to engage patients, providers and technology thought leaders to inform research and drive health system change. The second describes the results of focus groups with individuals with diabetes, providers and technology experts on the potential for wireless activity trackers on managing chronic conditions. The third describes how an innovative platform was developed and tested that has the capacity to collect and integrate sensor-driven patient generated health data into the electronic health record for clinical practice. The fourth presentation utilizes a case study approach to demonstrate how integration of sensor driven patient generated health data can inform and enhance a nurse health coaching intervention. Conclusion: Innovative health technologies have the potential to increase engagement of individuals with diabetes with personalized, targeted education, action plans or feedback wherever they may be. Research and health programs that are person-centered and responsive to patient priorities have the potential to promote healthier behaviors, motivate change and improve care and outcomes.
Moderators:  Ron Ordona, MSN, RN, FNP, Senior Care Clinic Medical House Calls, Lincoln, CA
Symposium Organizers:  Heather M. Young, PhD, RN, FAAN, Betty Irene Moore School of Nursing, University of California Davis, Sacramento, CA, USA
Engaging Persons With Diabetes in Nurse Coaching With Enabling Technology to Improve Health

Heather M. Young, PhD, RN, FAAN
Betty Irene Moore School of Nursing, University of California Davis, Sacramento, CA, USA



Diabetes Management and mHealth Technology: The Importance of Healthcare Partnterships and Clinical Integration

Sheridan Miyamoto, PhD, MSN, FNP, RN
College of Nursing, The Pennsylvania State University, University Park, PA, USA
Stuart Henderson, PhD
Evaluation, Clinical and Translational Science Center, UC Davis, Sacramento, CA, USA
Sarina Fazio, MS, BSN, RN
Betty Irene Moore School of Nursing, University of California Davis Health System, Sacramento, CA, USA
Madan Dharmar, PhD, MBBS
Betty Irene Moore School of Nursing and Department of Pediatrics, University of California Davis, Sacramento, CA, USA
Heather M. Young, PhD, RN, FAAN
Betty Irene Moore School of Nursing, University of California Davis, Sacramento, CA, USA



mHealth Technology and Clinical Integration of Patient-Generated Health Data (PGHD) for Improving Patient Engagement

Madan Dharmar, PhD, MBBS
Betty Irene Moore School of Nursing and Department of Pediatrics, University of California Davis, Sacramento, CA, USA
Heather M. Young, PhD, RN, FAAN
Betty Irene Moore School of Nursing, University of California Davis, Sacramento, CA, USA
Sarina Fazio, MS, BSN, RN
Betty Irene Moore School of Nursing, University of California Davis Health System, Sacramento, CA, USA
Sheridan Miyamoto, PhD, MSN, FNP, RN
College of Nursing, The Pennsylvania State University, University Park, PA, USA



Sensor Generated Health Data for Behavior Change in Nurse Coaching: A Case Study

Sarina Fazio, MS, BSN, RN
Betty Irene Moore School of Nursing, University of California Davis Health System, Sacramento, CA, USA
Heather M. Young, PhD, RN, FAAN
Betty Irene Moore School of Nursing, University of California Davis, Sacramento, CA, USA
Sheridan Miyamoto, PhD, MSN, FNP, RN
College of Nursing, The Pennsylvania State University, University Park, PA, USA
Madan Dharmar, PhD, MBBS
Betty Irene Moore School of Nursing and Department of Pediatrics, University of California Davis, Sacramento, CA, USA