Clinical Trial Details
— Status: Not yet recruiting
Administrative data
| NCT number |
NCT05870280 |
| Other study ID # |
TUGBABILGEHAN1 |
| Secondary ID |
|
| Status |
Not yet recruiting |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
August 30, 2023 |
| Est. completion date |
October 30, 2023 |
Study information
| Verified date |
July 2023 |
| Source |
Ankara Yildirim Beyazit University |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
Because of the unforeseen rate of increase in case numbers, the high rates of mortality and
morbidity, and the increased socio economic load it causes, diabetes has become the most
discussed chronic and widespread metabolic disease in Turkey, and throughout the World, there
are focused efforts to find a solution. It is very important for a person to self-assesss and
evaluate to draw a roadmap for improved outcomes in a disease with a high financial and moral
burden. A nurse is not only a caregiver to patients, but also a person who guides them to
increased engagement and motivation in the care of their illness. Integrative Nurse Coaching
is gaining notoriaty as an effective method to improve patient engagament and motivation in
self-responsibility for health. The Integrative Nurse Coach Academy in the USA carries out
studies and trainings to further this improvement. With cooperation between United States and
Turkish nurse colleagues, it aims to bring Integrative Nurse Coach practice to Turkey. The
Integrative Nurse Coach uses the nursing process as a framework to guide nurse coaching
practice. This requires a shift in traditional nursing terminology and meaning to understand
and incorporate the patient's subjective experience as follows: from assessment to
stablishing a relationship, identifying readiness for change and the resources available to
the patient for change; from nursing diagnosis to identifying opportunities and issues; from
outcomes to having the patient set the agenda for achievement of the patient's goals; from 3
planning to creating the structure of the coaching interaction; from intervention to
empowering the patient to reach goals; and from evaluating to assisting the patient to
determine the extent to which goals were achieved.
The Theory of Integrative Nurse Coaching (TINC) , developed by the Integrative Nurse Coach
Association , sheds light on this point. The TINC encompasses many holistic nursing theories
and contains three concepts and five components. The three concepts are healing, metaparadigm
in nursing theory (nurse, person, health, environment), and patterns of knowing in nursing
(personal, empirics, aesthetics, ethical, not knowing, sociopolitical. The TINC five
components include Integrative Nurse Coach Self-Development (self-reflection,
self-assessment, self-evaluation self-care), Integral Perspective and Change, Integrative
Lifestyle Health and Well-Being, Awareness and Choice, and Listening With Heart The five
components all have equal value and form the basis for the nurse coach professional practice
model. There is a parallel process of self-development for both the nurse coach and the
client. The SelfDevelopment component empowers individuals (including the nurse coach) to
focus on their health and wellness from an integral perspective and to identify their
individual knowledge, expertise, strengths, and resources, while recognizing the fluidity of
the change. The TINC is designed to guide nurse coaching practice, education, research, and
health care policy. The theory emphasizes, describes, and directs the practice of nurse
coaching, a recognized holistic nursing modality. It has been seen that the TINC framework is
very suitable for individuals with diabetes to provide their own management.
Description:
This research is a quasi-experimental study in pretest-posttest design research; It will be
conducted with individuals with Type 1 diabetes who applied to Ankara City Hospital Endocrine
Polyclinic. The sample size required for the study was found to be 95% power at 95%
confidence level and 35 individuals for high-level effect size (f=0.40). However, the aim is
to reach 40 individuals with the thought that data loss may occur during the study process.
Inclusion Criteria for Research; The patient;
- Being between the ages of 18-65,
- Having a smart phone and being able to use it actively,
- Having been diagnosed with type 1 diabetes at least 1 year ago,
- HbA1c > 7,
- Absence of any psychiatric or mental problems,
- Having the cognitive competence to answer the questions,
- Being able to speak, understand and read and write Turkish
- Patients who voluntarily agreed to participate in the study were included in the study.
Hypotesis H0: Nurse coaching given to individuals with Type 1 Diabetes has no effect on
glycemic control, fear of hypoglycemia, and risk perception.
H1: Nurse coaching given to individuals with Type 1 Diabetes has an effect on glycemic
control, fear of hypoglycemia and risk perception.
Data collection tools Data will be collected through the Sociodemographic data collection
form, the hypoglycemıc attıtudes and behavıor scale, the risk perception scale.
Sociodemographic data collection form:
The form created by the researcher consists of questions about the sociodemographic
information of the individual. In this section, besides questions about diabetes, there are
questions such as gender, weight, height, age, marital status, educational status,
occupation, economic status, and place of residence. The hypoglycemıc attıtudes and behavıor
scale: The scale was developed by Polonsky. The 14-item 5-point Likert-type scale has 3
sub-dimensions. Anxiety, confidence, avoidance. The score of the sub-dimensions is calculated
by dividing the number of items.
The risk perception scale: The scale was developed in 2007 and tested for validity and
reliability. The scale is a self-report scale with 31 items that is easy to complete. Items
8,9,10,11,12, and 13 are scored inversely on the scale. The scale has 2 sub dimensions,
namely risk knowledge and composite risk. These sub dimensions are evaluated separately in
the scale and the total score from the scale is calculated through their total. The scores of
the sub dimensions are calculated through dividing the total score by the number of items in
the sub dimension.
