Date of Conferral

2022

Degree

Ph.D.

School

Public Health

Advisor

Cheryl Cullen

Abstract

AbstractPrediabetes occurs before the development of diabetes in some people. Practitioners who educate people about prediabetes are not consistently using the latest evidence-based practice guidelines. The purpose of this mixed-method study was to fill a gap in the literature by providing evidence of the provider practices, attitudes and barriers when implementing American Diabetes Association (ADA) practice guidelines for the prediabetic patient. The Theory of Planned Behavior applies to evidence-based practice and the implementation of evidence-based practice guidelines. Research questions for this study focused on determining rate of compliance with ADA clinical practice guidelines from health care professionals to include providers in Florida. The quantitative sample was a convenience sample of licensed health care providers in Florida (n=436) who have patients with prediabetes and (n=410) reported responses for screening and treatment preferences for prediabetes. The sample for the qualitative portion of the study were providers (n=5) who participated in interviews after questionnaire completion. Descriptive and inferential statistics that relate to usage of the ADA standards of care were analyzed. A one sample proportion test with confidence interval for screening was not significant at the <.05 level. Interview data were analyzed for themes using hand and auto coding. Self-reported attitudes (3/5) were more favorable than not favorable regarding the preventive treatment of patients with diabetes. Qualitative findings indicate attitudes or barriers may play a role in screening for prediabetes. Potential social change implications include care improvements related to adequate provider resources and support for preventive care for the prediabetic patient potentially reducing risks, complications and costs associated with developing type 2 diabetes mellitus.

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