Table 2.
MAC intervention materials.
Item | Purpose | Content | Mode and frequency of use |
---|---|---|---|
Ready, set, action form | To guide assessment and goal-setting activities. | “Ready” includes assessment of: • Diabetes self-management behaviors (diet, exercise, blood glucose monitoring, medication adherence) via 5 items adapted from the SDSCA [39] • Knowledge of diabetes clinical indicators (1-item created for this study); • Emotional well-being via the 2-item, Diabetes Distress Screener [77]; • Health literacy via the Single-Item Literacy Screener [78]. “Set” is used to explore a participant’s readiness-to- change self-management behaviors that are not currently at target based on the brief assessment. “Act” details the participant’s SMART goal, and potential barriers and strengths/resources that are relevant to achieving the selected goal. |
Used during initial health coaching encounter, as well as during any subsequent (in-clinic or telephone) encounter in which a reassessment is conducted and/ or a new SMART goal is set. |
Educational visuals | To address informational deficits that are identified as barriers to effective diabetes self-management. | Core education in the following diabetes domains: healthful eating, physical activity, medication adherence, blood glucose monitoring, blood pressure monitoring, clinical targets, and emotional well-being. | Used during clinic-based encounters as needed. While primarily used as a conversational tool, one or more pages may be printed and provided to the participant in handout form at the MA Health Coach’s discretion. |
Medication reconciliation form | To assess knowledge, use, and barriers related to medications for diabetes and related chronic conditions. | Structured assessment of: • Knowledge of the medication’s intended purpose. • Understanding of how to take the medication (dosage, timing, frequency). • Actual use of the medication. • Barriers to taking the medication as prescribed (e.g., side effects, insurance coverage). |
Used during in-clinic or telephone encounters when medication adherence challenges are reported or suspected. |
Blood glucose monitoring calendar | To document blood glucose values and increase participants’ awareness of the impact of health behaviors on glucose levels. | Structured in month-at-a-glance format, the calendar includes a red oval on each calendar day where participants are asked to record (fasting or post-prandial) blood glucose values. Each calendar day also includes blank space for participants to transcribe observations of what behaviors might have contributed to the observed value(s). | Provided to the participants during in-clinic encounters, and reviewed during subsequent (in-clink or telephone) health coaching encounters. |
MA - Medical assistant. SDSCA - Summary of diabetes self-care activities.