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The article examines the tools developed by the Diabetes Initiative of the Robert Wood Johnson Foundation to assess the partnership characteristics between health care clinics and community organizations when they provide assistance to chronic disease care and management. It states that tools to assess partnership development in the short, intermediate and long-term outcomes have not yet been developed. It was concluded that the tool developed was brief and user-friendly.

The article discusses a study that aims to estimate the cost-effectiveness of diabetes self-management programs in community primary care settings. According to a Markov simulation model, the intervention reduces long-term complications that lead to an increase in remaining life-years and quality-adjusted life-years (QALYs). The study notes that from a health systems perspective, type 2 diabetes self-management programs are considered cost-effective when the cost savings due to reductions in long-term complications are identified.

This article discusses the development and validation of an instrument that was developed to measure individuals' reported access to resources and support for self-management (RSSM) from providers and from nonclinical, social and community sources. The study used cross-sectional analyses of the second wave of a survey of participants in the Robert Wood Johnson Foundation Diabetes Initiative. It concluded that the ecological orientation and link of RSSM to the broad framework of chronic care suggest broader application.

The article features the Diabetes Initiative of the Robert Wood Johnson Foundation. The purpose of the foundation is to demonstrate feasible and sustainable approaches in promoting diabetes self-management. It includes 14 demonstration projects in primary care settings and in community clinical partnerships. The initiative has identified key resources and supports for self-management.

The article discusses the implementation of Resources and Supports for Self Management (RSSM) and strategies of the transtheoretical model (TTM) to produce diabetes programs. Topics discussed include the education of diabetics to change their health behaviors to control the disease. The article concludes that both programs may work positively to enhance self-management behaviors in patients with diabetes.

The article discusses a project to develop and implement a system of care of people with type 2 diabetes in a free clinic setting. Topics discussed include a program built with the support of the Robert Wood Johnson Foundation, the popular education, and self-management support roles. The article concludes that it is possible the creation of successful systems of care for patients with diabetes in free clinics.

The article discusses the self-management projects of the Diabetes Initiative of the Robert Wood Johnson Foundation, in providing ongoing follow-up and support for diabetes self-management. Topics discussed include facilitation of clinical care, and motivational programs. The article concludes that it is important to promote health services and policy initiatives that encourage self-management programs.

The article discusses the process of collaborative goal setting to improve diabetes self-management programs in primary care. Topics discussed include the notions of the The Big Bad Sugar War, disease registry at the Chronic Disease Electronic Management System, and group medical visits. The article concludes that the support helped patients with diabetes to improve their problem-solving skills.

The article discusses the Move More Diabetes (MMD) program, which is used by Lay Health Educators (LHEs) to promote physical activity and improve diabetes self-management among individuals with type 2 diabetes. The conclusion shows that this low-cost program proved to be a great way to address chronic disease in rural communities.

The article discusses the several components of organizational support for self-management in primary care from the Diabetes Initiative’s Advancing Diabetes Self Management (ADSM) projects. Topics discussed include staff training and education, and integration of self-management into primary care. The article concludes that such components provide significant guidance for integrating diabetes self-management services into primary care settings.

The article discusses the ways in which community health workers (CHW) may contribute in community settings to support diabetes self-management. Topics discussed include individualized assessment, collaborative goal setting, skills enhancement, follow-up and support, access to resources in daily life, and continuity of quality clinical care. The article concludes that the CHW-patient interaction proved to be positive.

The article discusses a study on the integration of a promotora-led self-management component into a system of care and assess the influence of this program on indicators of metabolic control over time. Topics discussed include the self-management support for people Hispanic population in Texas with diabetes. The article concludes such programs produce a good impact on the clinical care of patients with diabetes.

The article discusses the findings of the projects of the Diabetes Initiative of the Robert Wood Johnson Foundation. Topics discussed include the self-management programs, community resources, and continuity of quality clinical care for diabetics. The article concludes that such programs have shown efficiency on disadvantaged populations.

Purpose: The purpose of this article is to describe Move More Diabetes (MMD), which is used by Lay Health Educators (LHEs) to promote physical activity and improve diabetes self-management among individuals with type 2 diabetes., Methods: Move More Diabetes used social marketing strategies to choose and segment the target audience, develop messages, and determine message delivery. Based on market research results, MMD chose natural peer support from LHEs as the main intervention strategy., Results: Move More Diabetes built a sustainable volunteer network of 35 LHEs who recorded 1500 contacts with enrollees from 2004 to 2006. Participation improved when the program was not specific for diabetes., Conclusion: The MMD program demonstrated benefits of partnership and natural peer support and the utility of social marketing in planning and implementing a community-based chronic disease self-management and physical activity promotion program. This low-cost program can serve as a model for other rural communities interested in increasing physical activity to address chronic disease.

Purpose: The purpose of this article is to describe the process of collaborative goal setting as a means to improve diabetes self-management in primary care., Methods: The Self-Management Goal Cycle framework illustrates a model of care for patients with diabetes. The Big Bad Sugar War is an approach to patient counseling that includes background, barriers, successes, willingness to change, action plan, and reinforcement., Results: Planned visits occur when a medical assistant performs routine health checks and laboratory tests prior to traditional individual appointments. Mini-group medical visits occur when a provider and medical assistant meet with 3 patients at one time. Open office group visits occur when 7 to 12 patients attend 2-hour sessions staffed by a provider., Discussion: Collaborative goal setting is a valuable tool for improving self-management skills among patients with diabetes. By implementing goal setting techniques, members of the patient care team are better equipped to help patients manage their chronic conditions by making them valued partners of the health care team.