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The model we chose to implement was the Chronic Care Model the purpose of creating  a more informed activated patient and a prepared proactive practice team working together in a partnership to improve functions and clinical outcomes.  This model incorporates the paradigm shift from our current model of heath care delivery that is problem-based designed to handle acute patient problems to a system that is prevention based to avoid long-term problems such as diabetes complications.  This however, is not done in isolation, it takes community resources, self-management support (diabetes education classes), decision support (clinical guidelines), Delivery system support which means designing the medical care environment to support preventive care to accommodate the patients physical, psychological/psychosocial and educational needs (in our project we designed diabetes “mini-clinics” or diabetes days and Clinical information systems, which in our study included chart audits to provide doctors with information as to what their diabetes care was like and also counseling them to use their own data to make changes.  So as you can see, this is a multifaceted approach to behavior change involving many.  Using a multifaceted approach like this in a research study brings about many complexities in study design and interpretation, however testing just one component of the model would not provide an accurate examination of its true effectiveness so…..