Building Competency in Diabetes Education THE ESSENTIALS

2-64 | CHAPTER 2

That is: • Motivators • Inhibitors/facilitators • Intentions • Triggers

Whichever way you look at it, a person’s readiness and capacity to adopt and maintain the healthy behaviours required for self-care involves a conviction that this really needs to happen and confidence that it can be done. The guiding principles of major behavioural theories may align to these two concepts (Table 6).

Table 6. Readiness and capacity to adopt healthy behaviours

Importance of the behaviour to the patient

Confidence (self-efficacy to carry out the behaviour)

• Awareness of related issues/problems/options (TTM, EMP) o Tailored to individual needs and perspectives (HBM) o Arousal of need, verbal persuasion (SE) o Collaborative goal-setting (EMP) • Motivation, pros/benefits vs. cons for patient (TTM) o Health belief about treatment efficacy, susceptibility, inevitability (HBM) o Vicarious experience (SCT) o Build on similar past successes (SF) • •

Health belief in ability to carry out behaviour (HBM) Unrealistic plans, poor social support, environmental pressures (SCT) • Perceived barriers: financial, emotional distress, depression • Coping skills • Performance mastery (SE)

EMP = empowerment; HBM = Health Belief Model; SE = Self-Efficacy Model; SCT= Social-Cognitive Theory; SF = solution-focused therapy; TTM = Transtheoretical Model