Use of the transtheoretical model to enhance resources and supports for diabetes self management: lessons from the Robert Wood Johnson Foundation Diabetes Initiative.
The purpose of this article is to describe how Resources and Supports for Self Management (RSSM) and strategies of the transtheoretical model (TTM) intersect to produce a comprehensive approach resulting in cutting-edge diabetes programs.



Specific components of RSSM, especially individualized assessment, collaborative goal setting, and enhancing skills, are reviewed in terms of contributions to the TTM.



Specific examples from the Diabetes Initiative of using TTM constructs from 5 projects are shown to illustrate the first 3 RSSM constructs: individualized assessment, collaborative goal setting, and skill building.



Diabetes Initiative grantees have demonstrated that the TTM enhances RSSM and facilitates the adoption of good diabetes self-management behaviors.
Highstein
Gabrielle R
GR
The Division of Health Behavior Research, Washington University School of Medicine, St Louis, Missouri (Dr Highstein, Dr O’Toole, Ms Shetty, Ms Brownson)
O'Toole
Mary L
ML
The Division of Health Behavior Research, Washington University School of Medicine, St Louis, Missouri (Dr Highstein, Dr O’Toole, Ms Shetty, Ms Brownson)
Shetty
Gowri
G
The Division of Health Behavior Research, Washington University School of Medicine, St Louis, Missouri (Dr Highstein, Dr O’Toole, Ms Shetty, Ms Brownson)
Brownson
Carol A
CA
The Division of Health Behavior Research, Washington University School of Medicine, St Louis, Missouri (Dr Highstein, Dr O’Toole, Ms Shetty, Ms Brownson)
Fisher
Edwin B
EB
The Department of Health Behavior and Health Education, School of Public Health, University of North Carolina at Chapel Hill (Dr Fisher)
D001519:Behavior; D003920:Diabetes Mellitus / Q000523:psychology / Q000534:rehabilitation*; D005582:Foundations; D006801:Humans; D008962:Models, Theoretical; D010353:Patient Education as Topic / Q000379:methods; D012109:Research Support as Topic; D012648:Self Care; D014481:United States