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Table 2 Diabetes Manual components and mechanisms through which self-efficacy is influenced

From: A psychological approach to providing self-management education for people with type 2 diabetes: the Diabetes Manual

Diabetes Manual programme component Knowledge and coaching syllabus Self-efficacy enhancement
2-day training for practice nurses (PN) experienced in diabetes management. Self-efficacy theory and adult learning.
Intervention structure
Practical skill development in telephone support and empowering communication
Mastery achievements
Positive vicarious learning
Adjustment to stress
Verbal encouragement
Outcome expectations
Patient workbook approached over 12 weeks Diabetes facts /Metabolism /Goal setting and evaluation /Exercise /Nutrition/Blood glucose monitoring /Weight loss /Smoking cessation /tests /Complications /Medication /Vignettes /Stress, anxiety and depression /Cholesterol. Mastery achievements
Vicarious experiences
Relaxation audiotape Teach techniques and facilitate opportunities Adjustment to stress
Question and answer audiotape Provides for quick diabetes self-management recall for patient and carers/family Promotes mastery achievements
Vicarious learning
PN telephone support Assess goal progress; patient recollection of goal achievement, promotion of goal self- evaluation and re-negotiation. Mastery experiences
Verbal encouragement