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Use of the Transtheoretical Model to Enhance Resources and Supports for Diabetes Self Management

Lessons From the Robert Wood Johnson Foundation Diabetes Initiative

From the Division of Health Behavior Research, Washington University School of Medicine, St Louis, Missouri (Dr Highstein, Dr O'Toole, Ms Shetty, Ms Brownson), and the Department of Health Behavior and Health Education, School of Public Health, University of North Carolina at Chapel Hill (Dr Fisher).

Correspondence to Gabrielle R. Highstein, PhD, RN, Washington University School of Medicine, Division of Health Behavior Research, 4444 Forest Park Avenue, Suite 6700, St Louis, MO 63108-2212 (greed{at}im.wustl.edu).

Purpose

The purpose of this article is to describe how Resources and Supports for Self Management (RSSM) and strategies of the transtheoretical model (TTM) intersect to produce a comprehensive approach resulting in cutting-edge diabetes programs.

Methods

Specific components of RSSM, especially individualized assessment, collaborative goal setting, and enhancing skills, are reviewed in terms of contributions to the TTM.

Results

Specific examples from the Diabetes Initiative of using TTM constructs from 5 projects are shown to illustrate the first 3 RSSM constructs: individualized assessment, collaborative goal setting, and skill building.

Conclusion

Diabetes Initiative grantees have demonstrated that the TTM enhances RSSM and facilitates the adoption of good diabetes self-management behaviors.

The Diabetes Educator, Vol. 33, No. Supplement 6, 193S-200S (2007)
DOI: 10.1177/0145721707304476


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				E. B. Fisher, C. A. Brownson, M. L. O'Toole, V. V. Anwuri, and G. Shetty Perspectives on Self-Management From the Diabetes Initiative of the Robert Wood Johnson Foundation The Diabetes Educator, June 1, 2007; 33(Supplement_6): 216S - 224S. [Abstract] [Full Text] [PDF]