In addition, individual
learning needs for and barriers to diabetes selfmanagement
may not be completely addressed in the
group self-management education phase due to time limitations,
different learning styles and speeds. Participants
could seek further self-management support (more information,
knowledge and advice on the issues discussed in
the group self-management education phase) during the
60-minute one-on-one visits with health care providers at
the end of each group visit session (see Table 1). In this
study, about one-fourth of participants eventually
received this additional self-management support individually
in each group visit session.