Activity 7: Motivating Change in Patients with Diabetes

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The seventh in a series addressing the challenges of managing diabetes, this activity focuses on proven strategies for facilitating behavior change. The activity begins with a review of the science behind behavior change. Next, two real patient encounters are presented by Dr. Amy Clouse, a family physician, and Dr. Brent Beddis, a family medicine resident, and then critiqued by Dr. Neil Skolnik, a family physician, and Dr. Chante DeLoach, a clinical psychologist, to highlight effective strategies for motivating behavior change in the context of the physician-patient relationship.

Learning Objectives

After completing this activity, you will be able to:

  • Describe the key elements of the Stages of Change model put forward by DiClemente and Prochaska.
  • Outline skills and interventions used in motivational interviewing.
  • Identify potential communication barriers within physician-patient relationships that may contribute to sub-optimal management of diabetes and cardiovascular risk.
  • Outline target blood pressure and cholesterol goals for patients with diabetes.
  • Recommend at least one behavioral change aimed at reducing cardiovascular risk.

CME Credit

This enduring material activity, Motivating Change in Patients with Diabetes, has been reviewed and is acceptable for up to 1 Prescribed credit by the American Academy of Family Physicians. This activity conforms to the AAFP criteria for evidence-based CME clinical content. AAFP accreditation begins May 8, 2012. Term of approval is for two year from this date with the option of yearly renewal.

The evidence-based CME clinical content developed for this activity was based on practice recommendations that were the most current with the strongest level of evidence available at the time this activity was approved. Since some clinical research is ongoing, the American Academy of Family Physicians recommends that learners verify sources and review these and other recommendations prior to implementation into practice.

The AAFP is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American Academy of Family Physicians designates this enduring material for a maximum of 1 AMA PRA Category 1 credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Accessing the Activity

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Acknowledgment of Support

This activity is supported by an independent educational grant from Sanofi US.