From DSME to DSMS: Developing Empowerment-Based Diabetes Self-Management Support

Authors:
  • MFMartha Mitchell Funnell
    Martha Mitchell Funnell
  • TTTricia S. Tang
    Tricia S. Tang
  • RARobert M. Anderson
    Robert M. Anderson

Abstract
In BriefDiabetes education has changed a great deal in recent years. Diabetes self-management education (DSME) programs have become more patient-centered and theoretically based, and there is a greater emphasis on providing ongoing support to sustain the self-management gains made by patients as a result of education. Based on the frameworks of self-determination and autonomy support,empowerment has served as the philosophical basis for diabetes self-management education for more than 15 years. This article describes the evolution of empowerment-based programs from DSME to ongoing diabetes self-management support and provides practical strategies for educators to use in the development of these programs.

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