A Nursing Approach to Self-Management Education for Individuals with Mental Illness and Diabetes

Authors

Edna Fuentes-Casiano, Case Western Reserve UniversityFollow
Martha Sajatovic, Case Western Reserve UniversityFollow

Author ORCID Identifier

Martha Sajatovic

Document Type

Article

Publication Date

Winter 2-1-2016

Abstract

Patients with serious mental illness (SMI) and diabetes often seek care in primary care settings and have worse health outcomes than patients who have either illness alone. Individual, provider, and system-level barriers present challenges to addressing both psychiatric and medical comorbidities. This article describes the feasibility, acceptability, and implementation of Targeted Training and Illness Management (TTIM), a self-management intervention delivered by trained nurse educators and peer educators to groups of individuals with SMI and diabetes to improve self-management of both diseases. TTIM is intended to be delivered in a primary care setting. Findings are intended to support the future development of nurse-led programs within the primary care setting that teach self-management to individuals with concurrent SMI and diabetes. This approach supports both adaptability and flexibility in delivering the intervention. Interventions such as TTIM can provide self-management skills, accommodate people with both SMI and diabetes in primary care settings such as patient-centered medical homes, and address known barriers to access.

Language

english

Publication Title

Diabetes Spectrum

Grant

R01MH085665

Rights

© The Author(s) 2016. This is an open access article under the CC BY-NC-ND license (https://creativecommons.org/licenses/by-nc-nd/3.0/), which permits non-commercial distribution and reproduction in any medium, provided the original work is properly cited.

Recommended Citation

Mary Ellen Lawless, Stephanie W. Kanuch, Siobhan Martin, Denise Kaiser, Carol Blixen, Edna Fuentes-Casiano, Martha Sajatovic, Neal V. Dawson; A Nursing Approach to Self-Management Education for Individuals With Mental Illness and Diabetes. Diabetes Spectr 1 February 2016; 29 (1): 24–31. https://doi.org/10.2337/diaspect.29.1.24