Operations and Implementation

Panel Presentation

(OI12-01) Improving Health in Diabetes Program: A Nurse Coaching and mHealth Technology Intervention

Tuesday, April 25
2:00 PM - 3:00 PM
Location: Tangerine Ballroom

This session will highlight the learnings from 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. Diabetes affects more than 29 million people in the United States, and an estimated 86 million people have pre-diabetes. 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. Furthermore, mHealth technologies are emerging as a promising approach to engage persons with diabetes in improving their management of the disease. Technology that allows bi-directional, timely communication of data and tailored feedback, has the potential to change an individual's health behavior and prevent or mitigate the factors that lead to disease. mHealth technologies have the potential to support a person's effort to engage in sustainable lifestyle choices which can lead to better self-management of their disease. These technology solutions can play a critical role in improving the health of patients living with diabetes not only by empowering the patient but also by enhancing patient-centered healthcare interactions.
Panel Presentation: Various elements of this research program are discussed including 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.
Presentation 1: Engaging Persons with Diabetes in Nurse Coaching with Enabling Technology to Improve Health.
We will explore strategies to engage patients, providers and technology leaders to inform research and drive health system change.
Presentation 2: Partnering with Patient Stakeholders for Program Success.
Patients will share their experience in engaging as research partners and stakeholders, and discuss their role in the program's success.
Presentation 3: Diabetes Management and mHealth Technology: The Importance of Healthcare Partnerships and Clinical Integration.
Outcomes will be presented from focus groups conducted with individuals living with diabetes aimed at understanding the acceptability, feasibility and potential usefulness of mHealth tools and the interface of those tools with the health care system to improve self-management of diabetes.
Presentation 4: Clinical Integration of Patient-Generated Health Data (PGHD) for Improving Patient Engagement.
Lessons learned in developing an innovative platform and integrating a sensor-driven patient generated health data into the electronic health record for clinical practice, and experience from deployment and troubleshooting technology challenges will be discussed.
Conclusion: Innovative health technologies have the potential to increase engagement of individuals with diabetes with personalized, targeted education and 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.

Learning Objectives:

Heather M. Young

Dignity Health Dean’s Chair in Nursing Leadership, Dean and Professor, Betty Irene Moore School of Nursing, Associate Vice Chancellor for Nursing, UC Davis
Betty Irene Moore School of Nursing, UC Davis

A nurse leader, educator and scientist and a nationally recognized expert in gerontological nursing and rural health care, Dr. Young is associate vice chancellor for nursing, founding dean and professor at the Betty Irene Moore School of Nursing at UC Davis. Dr. Young’s research and clinical interest is the promotion of healthy aging with a particular focus on the interface between family and formal health-care systems. Her educational focus is the development of innovative, interprofessional graduate programs in Nursing Science and Health-Care Leadership that advance health and contribute to bold system change.
Her current research includes the use of telehealth and community-based strategies to promote health for older adults. Dr. Young is a co-investigator of the Initiative for Wireless Health and Wellness at UC Davis, a project involving faculty from nursing, medicine, engineering and serves as chief scientist for the Center for Information Technology Research for the Interest of Society (CITRIS). She is co-director of the new UC Davis Latino Aging Research Resource Center. She served as a member of the Presidential Council of Advisors on Science and Technology (PCAST) Working Group on Systems Engineering for Healthcare. She is an external reviewer for the Standing Committee, Patient-Centered Outcomes Research Institute (PCORI) National Institutes for Health and participated in an advisory panel to develop an early measurement for PCORI.

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Margaret Hitchcock

Patient Advisory Board Member
UC Davis School of Nursing

Margaret Hitchcock, PhD is a member of the Patient Advisory Board, UC Davis School of Nursing PCORI P2E2T2. She retired from UC Davis and started a consulting business related to medical sciences. Dr. Hitchcock completed her degree in Microbiology with a special emphasis on Virology and Immunology at the University of California, Davis. She then completed two postdoctoral fellowships, one in Medical Pathology and the other in Gynecologic Oncology followed by several years as a research faculty member within the UC Davis Department of Obstetrics & Gynecology focusing on both human papillomavirus and HIV. Subsequent to this, she served as a subcontractor to the California Department of Public Health as a scientific administrator for the California Cancer Research Program. More recently, she was the Comprehensive Cancer Control Unit Chief within CDPH and provided oversight for the National Comprehensive Cancer Control Program grants to CDPH, including grants for colorectal and ovarian cancer. Dr. Hitchcock served as Co-Chair of the Research, Surveillance and Evaluation Team within the California Dialogue on Cancer (CDOC) and is an ongoing member of the CDOC Executive Committee. She is also a founding board member of the California Colorectal Cancer Coalition (C4), serves as the Secretary/Treasurer, chairs and administers the community grant program for improving colorectal cancer screening in California, and co-manages the website content. She has also served as an Adjunct Faculty at Sonoma State University and is the Lead Faculty Area Chair for Sciences and Math within the College of Humanities and Sciences at the University of Phoenix. One of her roles is to teach Microbiology and Anatomy & Physiology to LVN earning their BSN.

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Diane L. Goodman

Patient Advisor
UC Davis PCORI team

Retired Family Court Services Director for Superior Court of California serving Amador, Calaveras and Sacramento Counties for 22 years. Served as the Day Treatment Director for the Northwest Florida Mental Health Center for 5 years, Clinical Caseworker for Gateway Battered Women's Shelter in Denver, Colorado for 3 years. Currently enjoying volunteer work, traveling and spending time with my grandchildren

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Sheridan Miyamoto

Assistant Professor
Pennsylvania State University

Sheridan Miyamoto is an Assistant Professor in the College of Nursing and is a faculty member of the Network on child Protection and Well-Being at Penn State University. Dr. Miyamoto received her Ph.D. in Nursing Science and Health-Care Leadership doctoral program at the Betty Irene Moore School of Nursing at UC Davis. Her clinical work as a Nurse Practitioner at UC Davis Medical Center’s Child and Adolescent Abuse Resource and Evaluation Diagnostic and Treatment Center focused on providing health and forensic services to children in Northern California. She also supported six rural sites through live telehealth sexual assault consultations, allowing children to receive quality care within their own community. Miyamoto’s research interests include utilizing administrative databases to improve risk tools to identify families at risk of recurrent subsequent serious maltreatment and the use of telehealth technology to improve forensic care for children in rural communities. She is also interested in providing tools to support the promotion of positive health behaviors and the prevention of re-victimization of children who have experienced maltreatment.

Dr. Miyamoto was awarded the Doris Duke Fellowship for the Promotion of Child Well-Being from 2013-2015 and was selected as a Jonas Scholar from 2010-2012.

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Madan Dharmar

Associate Professor in Residence
Univeristy of California Davis Health System

Dr Dharmar is an Associate Professor in Residence in the Department of Pediatrics at the University of California, Davis Health System. A physician, clinical epidemiologist and federally funded researcher, Dharmar’s area of expertise is health services research, telehealth and, mHealth. His research focus is in the development of quality measures to evaluate health care and apply innovative technologies to improve health-care delivery. He is currently the principal investigator and director for the federally funded, Pediatric Emergency Assistance for Newborns Using Telehealth (PEANUT) Program.

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(OI12-01) Improving Health in Diabetes Program: A Nurse Coaching and mHealth Technology Intervention



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