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• W2170336726 abstract "Patients with diabetes are responsible for the vast majority of management requirements of their condition. However, their ability and motivation to engage in required self-management behaviors may be mitigated by multiple intrinsic and extrinsic factors. Intrinsic barriers include attitudes and health beliefs, limited diabetes knowledge and technical skill, reduced functional health literacy, and inadequate self-efficacy to promote positive behavior change. Extrinsic barriers include financial considerations, inadequate family and community support systems, ineffective clinical relationships, and limited access to effective diabetes health care delivery. Diabetes providers have opportunities for enhancing patient engagement with clinical recommendations and diabetes self-management through effective communication, including efforts to contextually assess patients' perceptions of diabetes and how the condition fits within the context of their changing lives. This article provides a conceptual framework for establishing and building an effective clinical alliance with patients with the goal of empowering them to take more control of their diabetes and reduce their risks for poor diabetes outcomes." @default.
• W2170336726 created "2016-06-24" @default.
• W2170336726 creator A5044926036 @default.
• W2170336726 date "2013-02-01" @default.
• W2170336726 modified "2023-09-25" @default.
• W2170336726 title "Intrinsic and Extrinsic Factors Affecting Patient Engagement in Diabetes Self-Management: Perspectives of a Certified Diabetes Educator" @default.
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• W2170336726 doi "https://doi.org/10.1016/j.clinthera.2013.01.002" @default.
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