Diabetes education in primary care : a practical approach using the Addie model

Mash, Bob (2010-10)

The original publication is available at http://www.cmej.org.za/index.php/cmej

Article

Diabetes is an almost perfect example of a chronic disease that requires high levels of behaviour change and self-care activities. Many articles are written on the aspects of lifestyle that should be modified and what the goals should be.1 I have previously written in CME on the application of motivational interviewing in consultations with diabetic patients.2 The reality in many primary care practices is that we are often too busy managing the patient’s presenting problem (e.g. sore throat, joint pains, backache) in a limited time frame to comprehensively deal with the underlying continuing problem. All too often we only have time to repeat or modify the prescription, do a blood test or hand the patient a leaflet on lifestyle change after a few words of advice. In this article I therefore focus on a more explicit approach to the incorporation of diabetic education into primary care practice using the conceptual framework of ADDIE.

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