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CDE Diabetes

Practice Exam: Self-Management Education and Support (Chapter 7)

You have reviewed the study guide, now it is time to test your mastery of Chapter 7: Self-Management Education and Support.

For the CDE exam, it is easy to underestimate this chapter as “common sense,” but the guidelines are quite specific about the distinction between Self-Management Education (SME) and Self-Management Support (SMS). The exam will test your ability to differentiate between the initial transfer of knowledge (SME) and the ongoing scaffolding required to sustain it (SMS).

What to expect in this quiz: This practice exam focuses on the evidence-based strategies that drive patient behavior change. You will be tested on:

  • Definitions: Distinguishing between SME (a systematic intervention to gain knowledge/skills) and SMS (activities that support the maintenance of behaviors).

  • The “Numbers”: Recognizing the specific A1C reductions associated with different interventions, such as the 0.53% reduction seen with text messaging or the 0.9% reduction with telephone follow-up.

  • Delivery Formats: Knowing when group education is sufficient versus when a combination of group and individual follow-up is superior.

  • Tailoring: Identifying the correct approach for specific populations, such as using peer educators for minority groups or adding literacy-sensitive materials.

Use this quiz to ensure you can apply these educational principles to the clinical scenarios you will face on exam day.

1. What timeframe represents the typical duration after which statistically and clinically significant improvements in A1C are seldom maintained without additional SMS?

2. Case: A diabetes educator is considering using text messaging for patient support. According to the meta-analysis, what was the difference in A1C reported in the intervention compared to usual care?

3. A diabetes educator wants to use cognitive-behavioural interventions. Which of the following is NOT listed as a cognitive-behavioural intervention technique?

4. According to the evidence on expanding the role of diabetes educators to include medication management, what outcomes improved?

5. According to Diabetes Canada guidelines, what is the definition of self-management education (SME)?

6. How many hours of behavioural interventions for type 2 diabetes are associated with a reduction of A1C of at least 0.4%?

7. Case: A diabetes educator is planning family interventions. According to the systematic review, what outcomes are positively impacted when partners are involved in care?

8. A diabetes care team wants to implement group education. According to the evidence, what is the relationship between group vs. individual settings for glycemic control?

9. A diabetes educator is planning an education program for newly diagnosed patients with type 2 diabetes. According to the evidence, which educational approach is most effective in improving glycemic control?

10. A diabetes educator is designing a comprehensive education program. According to the evidence, what combination of interventions is most effective in improving glycemic control?

11. According to the evidence on peer support interventions, which type of intervention provided the greatest A1C reduction

12. According to the evidence on cognitive-behavioural interventions, what is essential for effective behaviour change?

13. According to the evidence, what strategies help maintain engagement with Internet-delivered diabetes education?

14. What is the primary distinction between self-management education (SME) and self-management support (SMS)?

15. According to the large population-based cohort study, attending structured diabetes education was associated with what reduction in all-cause mortality?

16. A diabetes educator is designing a culturally appropriate education program. According to systematic reviews, what is the range of mean A1C reduction with culturally appropriate health education for type 2 diabetes?

17. Which of the following is NOT listed as a basic knowledge and skill component for SME?

18. According to the guidelines, what reduction in first CVD episode was associated with attending structured diabetes education?

19. A clinic is implementing Internet-delivered diabetes education. According to the evidence, what is a common challenge with Internet/web-based programs?

20. Case: A patient with type 2 diabetes prefers technology-based education. According to the meta-analysis by Pal et al., what was the effect of computer-based diabetes self-management interventions on A1C?