Primary Care Research Institute, Department of Family Medicine, State University of New York at Buffalo
Diabetes Educ. 2011 Mar-Apr;37(2):212-9. doi: 10.1177/0145721710397385. Epub 2011 Feb 28.
The purpose of this study was to explore the issues and challenges faced by certified diabetes educator (CDE) trainees in providing diabetes self-management education to patients in safety-net practices.
Semi-structured interviews were conducted with CDE trainees and a CDE mentor in 2 primary care practices. Transcripts were analyzed using a content-driven immersion-crystallization approach to identify major themes.
Four major themes emerged from the qualitative interview data: (1) patient recruitment approaches, (2) patient barriers to attending diabetes education classes, (3) teaching challenges, and (4) CDE integration into the practices.
This study underscores the need for diabetes educators and other health education professionals to be creative and flexible in delivering self-management education to patients in underserved settings. The complexity of diabetes care and the self-care responsibilities placed on the patient reinforce the need for a team approach such as that proposed in the medical home model and should include certified diabetes educators.
本研究旨在探讨认证糖尿病教育者（CDE）在安全网实践中为患者提供糖尿病自我管理教育时所面临的问题和挑战。
在 2 个初级保健实践中，对 CDE 受训者和 CDE 导师进行了半结构化访谈。使用内容驱动的沉浸式结晶方法对转录本进行分析，以确定主要主题。
从定性访谈数据中出现了四个主要主题：（1）患者招募方法，（2）患者参加糖尿病教育课程的障碍，（3）教学挑战，以及（4）CDE 融入实践。
本研究强调了糖尿病教育者和其他健康教育专业人员在为服务不足的环境中的患者提供自我管理教育时需要具有创造性和灵活性。糖尿病护理的复杂性和患者自身的护理责任强调了需要采用团队方法，例如医疗之家模式所提出的方法，并应包括认证糖尿病教育者。
