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Background and Significance


  • Post Date 2018-11-08T09:09:58+00:00
  • Post Category New Samples

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Background and Significance

Background and Significance


 Title ---  Does implementation of mobile web app for medication reminder and health education increases treatment adherence among Hispanic women with type 11 diabetes


(I attached a sample paper pls follow the same)


The background and significance (B&S) paper is a five (5) page paper in APA format (excluding title page, abstract, references and appendices) that could form the introductory section of your clinical scholarly project. The B&S will introduce a clinical problem and the clinical context that led you to identify the clinical question. You will review the relevant background literature and theory related to the problem. You will discuss the relevance of this review to a local clinical setting at the unit, organizational, metropolitan, state, national, and international levels as applicable. You will discuss the potential benefits and challenges of addressing the clinical question in the local setting, and explore the larger contextual impact related to this problem. You will include an appendix with a Matrix of your five (5) research articles.

Please note, this paper will discuss the introductory background literature and theoretical basis related to a clinical question. The clinical problem may or may not be related to your expected clinical scholarly project for the program.


MY CLINICAL QUESTION PICO QUESTION -- Identifying barriers to Diabetic treatment adherence among Hispanic women in community primary care clinic

Patient population --- (Hispanic women with type 2 diabetes)

 Intervention Exposure -- (implementation of mobile web base app for medication reminder and health education)

Comparison --- (Compared to traditional clinic generated patient education handout)

Outcome— (increase patient understanding, improve quality of life and reduce health care cost) Time (3-6 months).

Background and SignificanceStudent:Professor:Course title:Date:Implementation of mobile web app for medication reminder and health education to increase treatment adherence among Hispanic women with type II diabetesBackground and Significance Type II diabetes mellitus (T2DM) is today an increasing and significant health problem. Hispanic-Americans are amongst the high-risk ethnic groups given that they have a disproportionate burden of obesity along with its related comorbidities (Gazmararian, Ziemer & Barnes, 2009). Drugs do not work in patients who do not take them and adherence to medication is of great importance. Adherence to a medication regimen is basically understood as the degree to which a patient takes medicines as prescribed. The problem of poor adherence to prescribed treatments is considerably complex. Compliance to therapy in patients who have T2DM is dependent on various variables, including variables that are specific to the provider, to the patient, and to the treatment. Non-adherence to therapy is complicated even further when religion and cultural factors are computed with the Hispanic community (Whittemore, 2007). The risk of weight gain, for some patients, might put forth a substantial influence on their adherence to diabetes therapy, whilst for other patients the cost of drugs or the risk of hypoglycemia might be more significant factors. Physicians have to discuss these issues with their patients and come up with a patient-centric treatment plan in order to attain optimal adherence to treatment (Linn, Vervloet & van Dijk, 2011). It is of note that diabetes that is not controlled in a proper way opens a pathway for several other serious medical complications such as nephropathy, retinopathy, peripheral neuropathy, as well as an increased of developing cardiovascular disease. In the United States, diabetes affects roughly 25.8 million persons. It affects over 10 percent of all Hispanic Americans – 2 million. Hispanic women are seventeen times more likely to die from diabetes compared to non-Hispanic Caucasian women. Although countrywide more men compared to women have been diagnosed with T2DM, Hispanic women have a higher diagnosis rate relative to Hispanic men (Campos, 2007). Barriers diabetic Hispanic women face to the adherence to diabetes treatment A lot of ethnic minorities in the United States have restricted access to health care owing to their lower socio-economic status. Cost: Campos (2007) stated that roughly 60 percent of diabetic Hispanic adults have a yearly income under $20,000 relative to about 28 percent of diabetic whites. Cost of medicines is a significant reason as to why some patients with diabetes decrease their frequency or dose of insulin therapy. Treatment cost contributes to the hesitancy of patients to seek treatment of their diabetes, to remain adherent to insulin therapy, and to escalate dosages of insulin as required in order to control hyperglycemia (Campos, 2007). The other barr...

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