Table 2 Diabetes Manual components and mechanisms through which self-efficacy is influenced
Diabetes Manual programme component | Knowledge and coaching syllabus | Self-efficacy enhancement |
|---|---|---|
2-day training for practice nurses (PN) experienced in diabetes management. | Self-efficacy theory and adult learning. Intervention structure Practical skill development in telephone support and empowering communication | Mastery achievements Positive vicarious learning Adjustment to stress Verbal encouragement Outcome expectations |
Patient workbook approached over 12 weeks | Diabetes facts /Metabolism /Goal setting and evaluation /Exercise /Nutrition/Blood glucose monitoring /Weight loss /Smoking cessation /tests /Complications /Medication /Vignettes /Stress, anxiety and depression /Cholesterol. | Mastery achievements Vicarious experiences |
Relaxation audiotape | Teach techniques and facilitate opportunities | Adjustment to stress |
Question and answer audiotape | Provides for quick diabetes self-management recall for patient and carers/family | Promotes mastery achievements Vicarious learning |
PN telephone support | Assess goal progress; patient recollection of goal achievement, promotion of goal self- evaluation and re-negotiation. | Mastery experiences Verbal encouragement |