Building Competency in Diabetes Education THE ESSENTIALS

11-40 | CHAPTER 11

Coping-skills training (8,48,50,51) ● A short-term, small-group or individual training program that teaches social skills/ assertiveness training (help individuals express themselves in clear, appropriate and constructive language, with positive outcomes) as well as problem-solving and conflict- resolution skills (48,50). This can be described as a hybrid between assertiveness training and the original cognitive behavioural therapy designed for the treatment of depression. ● These programs are often incorporated into pediatric interventions, but are not as widely implemented in adult programs. The chronic disease self-management program at Stanford, described in Chapter 2: Foundations for Diabetes Self-management Education and Support, may be described as one approach to offering this intervention in adult healthcare services. ● Sessions are designed to include (48,50): o Didactic and role-play demonstration of skills by leaders. o Practice in small group triads, giving feedback. o Practice in situations of increasing difficulty and conflict. Brief Action Planning Defined as a structured, stepped-care self-management support technique for chronic illness care and disease prevention Brief Action Planning (BAP) has its root in motivational interviewing. Using these principles and elements from behaviour change theory, BAP employs a structured process where three specific questions and five skills are utilized to illicit a course of action (52). Currently, this approach is being used in a variety of settings, including primary care, where previous behaviour change methods were found to be too time consuming and required considerable training. BAP focuses on building self efficacy and the development of action plans that the patient feels they can accomplish (52,53).