Behavior Change and Patient Education Flashcards

Which theory underpins the concept that a person's beliefs about the severity of diabetes, their personal susceptibility to complications, and the benefits vs. barriers of action influence their self-care behavior?

Answer: Health Belief Model (Rosenstock)

The Health Belief Model (HBM) posits that health behavior is driven by perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and cues to action.

A patient with diabetes reports: My doctor told me to exercise, but I live in a neighborhood without safe sidewalks and I work two jobs. Which ADCES7 domain does this scenario primarily illustrate as a challenge?

Answer: Being Active

The Being Active self-care domain is directly challenged by environmental (lack of safe exercise space) and socioeconomic (work schedule) barriers.

Self-Determination Theory (SDT) describes three psychological needs essential for intrinsic motivation. Which set correctly identifies these three needs?

Answer: Autonomy, Competence, Relatedness

Self-Determination Theory (Deci and Ryan) identifies Autonomy (sense of choice), Competence (feeling capable), and Relatedness (feeling connected to others) as the three basic psychological needs for intrinsic motivation.

Which approach most effectively reduces diabetes stigma during patient education?

Answer: Using person-first language, acknowledging social determinants, and separating behaviors from personal worth

Reducing stigma requires person-first language, recognition that diabetes results from complex genetic and social factors (not just choices), and separating the person's worth from their health behaviors.

A CDCES is planning a 10-week community DSMES group program for adults with type 2 diabetes. Which evidence-based structure best aligns with national standards?

Answer: A combination of individual needs assessment, group education sessions incorporating skills training and peer support, with follow-up at 6-12 months

DSMES national standards require individualized needs assessment, curriculum that includes skills training (not just information), and ongoing support with structured follow-up -- not one-time or lecture-only formats.

When a CDCES observes that a patient with diabetes is depressed, what is the most appropriate clinical pathway?

Answer: Screen using a validated tool (PHQ-9), document findings, and facilitate a warm referral to mental health services while continuing DSMES

The CDCES screens for depression using validated tools, documents findings, and facilitates referral -- but continues DSMES support as depression and diabetes management are interconnected.