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Understanding Barriers to Behavior Change in Diabetes Self-Management Education

Understanding Barriers to Behavior Change in Diabetes Self-Management Education is a 2-hour course addressing the difficulties involved in helping others change behavior. We would all take better care of ourselves if we could. But formidable barriers can block the way, often unseen by health professionals, families or by clients themselves. What stops people from making positive changes? How can diabetes educators help clients overcome those barriers? This class will provide you with insight into clients’ barriers to change. Barriers addressed include external factors: socioeconomic, practical, and interpersonal. The program also covers internal factors, psychological and spiritual. Coping techniques include goal setting, building hope, finding support, and raising self-efficacy. The program also addresses barriers within educators and between educators and clients. Several example programs are reviewed briefly. Several teaching guides for use with clients are provided.

Length: 2.00 hour(s)
CE Credit:
Please note that after 6-30-2010 RN credit will no longer be available.
  RD and DTR - 2.00 professional (CPE) hour(s). Level 2, Learning Need Code: 1000, 1130, 5020, 5090, 5190, 6010, 6030, and 6060
 RN - 2.00 contact hour(s)
Originally Authored: 09-24-2003
Last Updated: 12-10-2009

Price: $30.00

Additional Course Information

Course Objectives:
  1. List four aspects of the diabetes self management that can interfere with behavior change.
  2. Define self-efficacy and explain its importance in behavior change.
  3. Explain in simple terms the cost/benefit theory of behavior change.
  4. List three common external barriers to behavior change.
  5. Describe how external barriers play out in people with diabetes.
  6. Identify at least three major intra-personal barriers to behavior change in diabetes.
  7. Describe and apply two methods for identifying barriers faced by particular client.
  8. Describe and apply at least four approaches to helping clients overcome their personal barriers to behavior change.
  9. Recognize two possible attitudes within educators that make it harder to deal with client barriers.
  10. Recognize and address two possible barriers between educators and clients that can inhibit client adoption of new behaviors.
Course Topics:
  1. Introduction to Behavior Change
  2. Why Change is Hard
  3. Costs/Benefits of Behavior Change
  4. Barriers in the Educator/Client Relationship
  5. Problem Solving
  6. Overview of Barriers to Self-Care
  7. Psychosocial Barriers – Self-Esteem
  8. Self-Efficacy
  9. Ways to Build Self-Efficacy
  10. Lack of Hope
  11. Cognitive Barriers – Self-Defeating Thoughts
  12. Developing Positive Thoughts by Changing Negative Ones
  13. Diabetes Specific Barriers
  14. Emotional Barriers
  15. Stress
  16. Interpersonal Barriers
  17. Lack of Support
  18. Lack of Reasons to be Well
  19. Social and Economic Barriers
  20. Identifying Clients’ Personal Barriers
  21. Issues for Children and Adolescents
  22. Patience
  23. Behavior Change Models & Tools
  24. Case Study
  25. References
Course Handouts:
  1. Steps in Problem Solving
  2. Barriers to Behavior Change
  3. Self-Esteem
  4. Action Planning Form
  5. Behavior Change Resources
  6. Developing Positive Thoughts
  7. Questions to Ask
  8. The Ups, Downs and All Arounds - Dealing with Emotions, Stress and Diabetes
  9. Communication Skills
  10. Getting Help Worksheet
  11. Setting Positive Goals
  12. Diabetes Control and Complications Trial
  13. Ways Over The Barriers
  14. Self-Esteem Sentence Completion
  15. Handout Answers

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