You are working in a health care setting. You are referred a patient, Thomas, for noncompliance with medical recommendations. You read the medical chart and find out that Thomas is a 59-year-old patient with Type II diabetes.

You are working in a health care setting. You are referred a patient, Thomas, for noncompliance with medical recommendations. You read the medical chart and find out that Thomas is a 59-year-old patient with Type II diabetes.
Thomas is overweight, eats mostly high fat processed foods, and never exercises (all risk factors for type II diabetes by the way). His blood sugar levels are dangerously high and have stayed that way in spite of the doctor’s repeated attempts to get them down. Thomas is married and has 3 grown children.
He works as a janitor at a nearby office building. Thomas’ doctor complains that his patient does not do a good job checking his insulin level and taking the right doses of insulin. He also complains that Thomas makes no attempt to lose weight, eat a low fat no sugar diet, or maintain a regular exercise program. You are asked to design an intervention to help Thomas comply with medical recommendations.

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