It has long been accepted within applied psychology that the quality of the client-therapist relationship —termed the working alliance— is of central importance to treatment outcome and may account for a significant degree of the overall treatment effect. This paper examines the role of the working alliance in diabetes care and offers a practical guide to the diabetes healthcare provider in establishing a working alliance with the person with diabetes in managing diabetes. Can-Change member Dr. Michael Vallis contributed to this article.
Étiquette : self-management
Psychosocial Intervention for Diabetes Self-Management
The purpose of this research, which included the contributions of Can-Change member Dr. Michael Vallis, is to develop a brief psychosocial intervention protocol for type 2 diabetes self-management and pilot-test its implementation through a 6-session evidence-based psychosocial intervention protocol focusing on the role of behaviour modification, maintenance of motivation and emotion management in type 2 diabetes self-management. This promising intervention could be developed as a training manual to deliver the intervention and fulfill the Canadian Diabetes Association’s clinical guidelines to provide psychosocial interventions as part of diabetes care.
A Practical Guide for Diabetes Care Providers
Ambivalence is the psychological state in which a person experiences inconsistent drives; both toward and away from the recommended behaviour. In this paper we demonstrate that hypoglycaemia is a fear event and is likely to elicit strong drives to avoid future hypoglycaemia as a fear coping strategy. The purpose of this paper, authored in part by Can-Change member Dr. Michael Vallis, is to review the evidence on the psychological consequences of hypoglycaemia and to outline fear management strategies that can be implemented by diabetes care providers.
Challenges to Self-Management Support in Chronic Diseases
The purpose of this perspective, authored by Can-Change member Dr. Michael Vallis. is to identify a potential limitation in existing self-management support initiatives, namely that true self-management support might require changes by healthcare providers.