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Power to Prevent - National Diabetes Education Program - National ...

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Session Questionnaire Intent<br />

1 Pre-session Find out about goals, expectations, baseline knowledge, attitudes,<br />

behaviors, self-confdence<br />

1 Pre-program questionnaire for people<br />

with diabetes (OPTIONAL)<br />

1 Pre-program questionnaire—<br />

demographics (OPTIONAL)<br />

Optional questions for organizations working with people with diabetes<br />

that wish <strong>to</strong> measure impact of program<br />

Optional questions for organizations that wish <strong>to</strong> gather demographic<br />

data on program participants<br />

3 Pre- and post- session Measure whether knowledge, attitudes, reported behavior, intent, and<br />

self-confdence concerning healthy eating changed during the session<br />

4 Pre- and post-session Measure whether knowledge, attitudes, reported behavior, intent, and<br />

self-confdence concerning physical activity changed during the session<br />

5 Mid-program<br />

(OPTIONAL)<br />

To be given at end of Session 5 <strong>to</strong> gauge changes in knowledge,<br />

attitudes, reported behaviors, and self-confdence at the program’s midpoint;<br />

<strong>to</strong> be used for guiding content and choosing activities during the<br />

remaining sessions<br />

6 Pre- and post- session Gauge baseline knowledge of diabetes control and prevention of<br />

complications<br />

11 Pre- and post-session Measure changes in self-reported understanding of coping with stress<br />

and measure problem-solving abilities in dealing with negative emotions<br />

12 Post-program Measure changes in goals, knowledge, attitudes, behaviors, and selfconfdence<br />

compared with baseline in Session 1<br />

NDEP <strong>Power</strong> <strong>to</strong> <strong>Prevent</strong> Appendices 36

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