“…Although patient education is considered to be a key component of T2DM care (Funnell et al, 2010), studies show that many patients who have attended a diabetes education program, especially those with low health literacy, still do not know the basics of their disease or self-management skills (Williams, Baker, Parker, & Nurss, 1998). One reason may be that most diabetes self-management education (DSME) programs introduce too much information, present information in a complex manner, and often do not explicitly link education to patient activation (Hill-Briggs & Smith, 2008); thus, little information may be retained or translated into better self-management behaviors. Interventions that explicitly address the challenge that patients across literacy levels face in comprehending, learning, and acting on diabetes self-management concepts are critical to achieving equity in diabetes care (Institute of Medicine, 2009).…”