Evaluation of a training program for improving adherence-promotion skills of dietetic interns

Improving the skills of health professionals in engaging patients in diabetes-related problem solving

“…It is the successor to "EPT," which, from 1983 to 1996, was offered to undergraduate medical, nursing, and dietetic students 14,15 and to practicing health professionals. [16][17][18] Evaluations of the original EPT program demonstrated that participants' didactic teaching skills changed, 14,19 changes translated to the practice environment, 20 changes persisted for at least several months, 21 and EPT could be effectively disseminated at other institutions.…”

“…We reached two conclusions: direct instruction skills useful for accomplishing goals suggested by the left half of the continuum had been well defined and could be taught, [14][15][16][17][18][19][20][21][22][23][24]35,36 but specific, operationally defined skills for engaging patients in problem solving had not. Defining those skills was accomplished via a systematic process of literature review, solicitation of advice from experts who had published research articles about problem solving in diabetes, and statistical analysis of professional judgments about the skills (The process will be described in detail elsewhere.)…”

Training adolescents with type 1 diabetes to carbohydrate counting without parents' help

“…Its treatment includes intensive insulin therapy (multiple insulin doses), meal planning, and physical activity, which has been shown to improve glycemic control It is important to know which situations hinder adherence to dietary treatment of type 1 diabetes 3 . The literature shows that a strict diet can be difficult to follow in the long term 4 .…”