Patient-centered education and care coordination initiative to improve self-management skills in Latinos with multiple sclerosis

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dc.contributor.advisorLee, Kyoung
dc.contributor.authorCastro, Anna L.
dc.contributor.committeeMemberPark, Gloria
dc.contributor.committeeMemberBass, Ann
dc.date.accessioned2021-10-07T17:50:38Z
dc.date.available2021-10-07T17:50:38Z
dc.date.issued2021-08
dc.description.abstractMultiple sclerosis (MS) is a chronic, disabling neurological disease that attacks young adults. Similar to many other chronic conditions in patients with MS, self-management skills can improve the quality of patients’ lives. However, improvement of self-management skills remains a challenge in patients with chronic diseases, especially Latino patients with MS who struggle with language barriers and low health literacy. This quality initiative project involved the implementation of a new process for educating MS patients and coordinating their physical and occupational referrals in a privately owned neurology outpatient clinic in an urban city of Texas. A one-group, pre-test/post-test design guided the project. Baseline data were collected in the first week, followed by eight weeks of implementing changes. There was a statistically significant improvement in pre-education and post-education Multiple Sclerosis Self-Management Revised Scale (MSSM-R) scores. Post-intervention score (M = 94.7, SD = 3.6) was significantly higher than before intervention score (M = 80.7, SD = 7.7, t (7) =5.600, p =.001, d =1.97). This quality initiative project demonstrates that culturally sensitive, patient-centered education and care coordination can positively impact MS knowledge, communication, and self-management skills in Latinos with MS.en_US
dc.description.collegeCollege of Nursing and Health Sciencesen_US
dc.description.departmentNursing Practiceen_US
dc.format.extent52 pagesen_US
dc.identifier.urihttps://hdl.handle.net/1969.6/89777
dc.language.isoen_USen_US
dc.rightsThis material is made available for use in research, teaching, and private study, pursuant to U.S. Copyright law. The user assumes full responsibility for any use of the materials, including but not limited to, infringement of copyright and publication rights of reproduced materials. Any materials used should be fully credited with its source. All rights are reserved and retained regardless of current or future development or laws that may apply to fair use standards. Permission for publication of this material, in part or in full, must be secured with the author and/or publisher.en_US
dc.subjectLatinosen_US
dc.subjectmultiple sclerosis,en_US
dc.subjectMultiple Sclerosis Self-Management Revised Scaleen_US
dc.subjectquality improvement initiativeen_US
dc.subjectpatient-centered care coordinationen_US
dc.subjectcare coordinationen_US
dc.subjectHispanicen_US
dc.titlePatient-centered education and care coordination initiative to improve self-management skills in Latinos with multiple sclerosisen_US
dc.typeTexten_US
dc.type.genreDissertationen_US
dcterms.typeText
dcterms.typeText
thesis.degree.disciplineNursing Practice DNPen_US
thesis.degree.grantorTexas A & M University--Corpus Christien_US
thesis.degree.levelDoctoralen_US
thesis.degree.nameDoctor of Nursing Practiceen_US

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