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Nursing Care Management and Glycemic Control Among Children With Diabetes Enrolled in Medicaid.

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Title: Nursing Care Management and Glycemic Control Among Children With Diabetes Enrolled in Medicaid.
Authors: Jacobson Vann, Julie C., Jain, Nina, Jacob, Sara, Murphy, Taylor, Calikoglu, Ali S.
Source: Journal for Specialists in Pediatric Nursing. Jul2025, Vol. 30 Issue 3, p1-8. 8p.
Subjects: Type 1 diabetes, Nurses, Communicative competence, Motivational interviewing, Human services programs, Occupational roles, Glycosylated hemoglobin, Self-management (Psychology), Helplines, Research funding, Glycemic control, Medical care, Pilot projects, Nursing, Retrospective studies, Nursing services administration, Pre-tests & post-tests, Telemedicine, Caregivers, Medical records, Acquisition of data, Medicaid, Quality assurance, Social support, Community-based social services, Disease risk factors, Disease complications, Children
Geographic Terms: North Carolina
Abstract: Purpose: The benefits of maintaining glycemic control for persons with diabetes include delaying the onset and slowing the progression of macro‐ and microvascular complications. However, many children and adolescents with diabetes do not regularly meet target hemoglobin A1c levels. Our pilot project aimed to improve glycemic control among children and adolescents, 8 to 17 years, with insulin‐dependent diabetes at greatest risk for complications and enrolled in North Carolina Medicaid at least 1 month during the study period. Design and Methods: We used a pre‐intervention post‐intervention design. We implemented an intensive care management intervention, led by a nurse practitioner. The nursing intervention consisted of tele‐health visits, emails, and MyChart messages with patients and caregivers to supplement in‐clinic visits. Therapeutic communication skills were applied, including motivational interviewing techniques and unconditional positive regard. We measured glycosylated hemoglobin (HbA1c) at 6‐month intervals before, during, and after the intervention period. Results: Mean participant (n = 12) HbA1c levels dropped by 1.5 percentage points from baseline (12.8%) to the 6‐month study end point (11.3%). Seventy‐five percent of participants experienced some decrease in HbA1c during the study period. Practice Implications: This pilot project demonstrated short‐term success of care management and therapeutic communication interventions in reducing HbA1c levels among a sample of children and adolescents with complicated case histories. Our findings are consistent with other studies that found telephonic nursing support, care management, and motivational interviewing to be effective interventions among pediatric populations. These studies suggest that nurses can implement relatively low‐resource interventions that add value to health services delivery for children and adolescents with insulin‐dependent diabetes. However, more studies are needed to understand which combinations of interventions may be most effective. [ABSTRACT FROM AUTHOR]
Copyright of Journal for Specialists in Pediatric Nursing is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Nursing Care Management and Glycemic Control Among Children With Diabetes Enrolled in Medicaid.
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  Data: <searchLink fieldCode="AR" term="%22Jacobson+Vann%2C+Julie+C%2E%22">Jacobson Vann, Julie C.</searchLink><br /><searchLink fieldCode="AR" term="%22Jain%2C+Nina%22">Jain, Nina</searchLink><br /><searchLink fieldCode="AR" term="%22Jacob%2C+Sara%22">Jacob, Sara</searchLink><br /><searchLink fieldCode="AR" term="%22Murphy%2C+Taylor%22">Murphy, Taylor</searchLink><br /><searchLink fieldCode="AR" term="%22Calikoglu%2C+Ali+S%2E%22">Calikoglu, Ali S.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+for+Specialists+in+Pediatric+Nursing%22">Journal for Specialists in Pediatric Nursing</searchLink>. Jul2025, Vol. 30 Issue 3, p1-8. 8p.
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  Data: <searchLink fieldCode="DE" term="%22Type+1+diabetes%22">Type 1 diabetes</searchLink><br /><searchLink fieldCode="DE" term="%22Nurses%22">Nurses</searchLink><br /><searchLink fieldCode="DE" term="%22Communicative+competence%22">Communicative competence</searchLink><br /><searchLink fieldCode="DE" term="%22Motivational+interviewing%22">Motivational interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Human+services+programs%22">Human services programs</searchLink><br /><searchLink fieldCode="DE" term="%22Occupational+roles%22">Occupational roles</searchLink><br /><searchLink fieldCode="DE" term="%22Glycosylated+hemoglobin%22">Glycosylated hemoglobin</searchLink><br /><searchLink fieldCode="DE" term="%22Self-management+%28Psychology%29%22">Self-management (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Helplines%22">Helplines</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Glycemic+control%22">Glycemic control</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Pilot+projects%22">Pilot projects</searchLink><br /><searchLink fieldCode="DE" term="%22Nursing%22">Nursing</searchLink><br /><searchLink fieldCode="DE" term="%22Retrospective+studies%22">Retrospective studies</searchLink><br /><searchLink fieldCode="DE" term="%22Nursing+services+administration%22">Nursing services administration</searchLink><br /><searchLink fieldCode="DE" term="%22Pre-tests+%26+post-tests%22">Pre-tests & post-tests</searchLink><br /><searchLink fieldCode="DE" term="%22Telemedicine%22">Telemedicine</searchLink><br /><searchLink fieldCode="DE" term="%22Caregivers%22">Caregivers</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+records%22">Medical records</searchLink><br /><searchLink fieldCode="DE" term="%22Acquisition+of+data%22">Acquisition of data</searchLink><br /><searchLink fieldCode="DE" term="%22Medicaid%22">Medicaid</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+assurance%22">Quality assurance</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Community-based+social+services%22">Community-based social services</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+risk+factors%22">Disease risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+complications%22">Disease complications</searchLink><br /><searchLink fieldCode="DE" term="%22Children%22">Children</searchLink>
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  Label: Geographic Terms
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  Data: <searchLink fieldCode="DE" term="%22North+Carolina%22">North Carolina</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: The benefits of maintaining glycemic control for persons with diabetes include delaying the onset and slowing the progression of macro‐ and microvascular complications. However, many children and adolescents with diabetes do not regularly meet target hemoglobin A1c levels. Our pilot project aimed to improve glycemic control among children and adolescents, 8 to 17 years, with insulin‐dependent diabetes at greatest risk for complications and enrolled in North Carolina Medicaid at least 1 month during the study period. Design and Methods: We used a pre‐intervention post‐intervention design. We implemented an intensive care management intervention, led by a nurse practitioner. The nursing intervention consisted of tele‐health visits, emails, and MyChart messages with patients and caregivers to supplement in‐clinic visits. Therapeutic communication skills were applied, including motivational interviewing techniques and unconditional positive regard. We measured glycosylated hemoglobin (HbA1c) at 6‐month intervals before, during, and after the intervention period. Results: Mean participant (n = 12) HbA1c levels dropped by 1.5 percentage points from baseline (12.8%) to the 6‐month study end point (11.3%). Seventy‐five percent of participants experienced some decrease in HbA1c during the study period. Practice Implications: This pilot project demonstrated short‐term success of care management and therapeutic communication interventions in reducing HbA1c levels among a sample of children and adolescents with complicated case histories. Our findings are consistent with other studies that found telephonic nursing support, care management, and motivational interviewing to be effective interventions among pediatric populations. These studies suggest that nurses can implement relatively low‐resource interventions that add value to health services delivery for children and adolescents with insulin‐dependent diabetes. However, more studies are needed to understand which combinations of interventions may be most effective. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Journal for Specialists in Pediatric Nursing is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=186954587
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1111/jspn.70007
    Languages:
      – Code: eng
        Text: English
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      Pagination:
        PageCount: 8
        StartPage: 1
    Subjects:
      – SubjectFull: Type 1 diabetes
        Type: general
      – SubjectFull: Nurses
        Type: general
      – SubjectFull: Communicative competence
        Type: general
      – SubjectFull: Motivational interviewing
        Type: general
      – SubjectFull: Human services programs
        Type: general
      – SubjectFull: Occupational roles
        Type: general
      – SubjectFull: Glycosylated hemoglobin
        Type: general
      – SubjectFull: Self-management (Psychology)
        Type: general
      – SubjectFull: Helplines
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Glycemic control
        Type: general
      – SubjectFull: Medical care
        Type: general
      – SubjectFull: Pilot projects
        Type: general
      – SubjectFull: Nursing
        Type: general
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Nursing services administration
        Type: general
      – SubjectFull: Pre-tests & post-tests
        Type: general
      – SubjectFull: Telemedicine
        Type: general
      – SubjectFull: Caregivers
        Type: general
      – SubjectFull: Medical records
        Type: general
      – SubjectFull: Acquisition of data
        Type: general
      – SubjectFull: Medicaid
        Type: general
      – SubjectFull: Quality assurance
        Type: general
      – SubjectFull: Social support
        Type: general
      – SubjectFull: Community-based social services
        Type: general
      – SubjectFull: Disease risk factors
        Type: general
      – SubjectFull: Disease complications
        Type: general
      – SubjectFull: Children
        Type: general
      – SubjectFull: North Carolina
        Type: general
    Titles:
      – TitleFull: Nursing Care Management and Glycemic Control Among Children With Diabetes Enrolled in Medicaid.
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            NameFull: Jacobson Vann, Julie C.
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            – D: 01
              M: 07
              Text: Jul2025
              Type: published
              Y: 2025
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