Publication Date


Degree Type

Master's Project

Degree Name

Master of Science (MS)



First Advisor

Coleen R. Saylor

Second Advisor

Mahra Teikmanis


This study evaluates an integrated model of care for children with diabetes that was developed at an HMO. This model program of 56 subjects included a nurse case manager, a multidisciplinary team clinic, and educational and counseling interventions to empower families to improve self-management of the children's diabetes. The purpose of the program was to improve diabetes self-management as measured by pre- and postintervention glycosylated hemoglobin values, quality of life, and self-efficacy ratings. There were improvements in means of all measures of self-management and a statistically significant improvement in self-efficacy beliefs of the parents. The higher quality of life and self-efficacy ratings are related to adherence to a complex diabetic regimen that is critical to effective self-management. This model provides comprehensive, effective care to a service-intensive population.