Graduation Year


Degree Type

Open Access Capstone

Document Type


Degree Name

Doctor of Nursing Practice (DNP)



Department Name when Degree Awarded

Baccalaureate and Graduate Nursing

First Advisor

Jill Cornelison

Department Affiliation


Second Advisor

Molly J. Bradshaw

Department Affiliation



Diabetes (DM) is a deadly disease affecting millions. Lack of proper DM self-care management can lead to numerous complications and even death. The American Diabetes Association (ADA) recommends lifestyle change as a first-line treatment along with diabetes self-management education (DSME). However, according to the Centers for Disease Control and Prevention (CDC) only a fraction of those diagnosed attend. The purpose of this project was to improve DM self-management behaviors following a patient focused unique DMSE designed to meet community needs. A customized crash course style DM educational session was offered to all DM patients in a rural primary care clinic. The Diabetes Self-Management Questionnaire (DSMQ) was utilized to assess mean DM self-management changes within four sub-categories and self-management sums using a pre-post intervention design. Paired t tests reveal a statistically significant change in glucose management (p = 0.13) among six voluntary participants. All other measures found no statically significant change. Although small, this change supports use of brief DMSE to improve DM self-management practices.

Keywords: Diabetes (DM), American Diabetes Association (ADA), American Association of Diabetes Educators (AADE), Chronic Care Model (CCM), Diabetes Self-Management Education (DSME), Plan-Do-Study-Act (PDSA), Diabetes Self-Management Questionnaire (DSMQ)


For full manuscript or more information please contact Michelle Macdonald at