Fig. 2From: Outcomes of a 12-month patient-centred medical home model in improving patient activation and self-management behaviours among primary care patients presenting with chronic diseases in Sydney, Australia: a before-and-after studySample goal chart for patients with type 2 diabetes, hypertension, and depression with timeline. SMS – short message service; K10 – Kessler’s psychological distress scale; DASS21 – Depression Anxiety Stress Scale 21 version; DE – diabetes educator; GP – general practitioner; BGL – blood glucose level; BP – blood pressure; HbA1c – glycated haemoglobin; GI – glycaemic index; CV risk – cardiovascular riskBack to article page