DECIDE for Diabetes Self-Management

The goal of DECIDE is to help people — ranging in age from 18 to 90 years old — learn how to change their behavior so they can better manage their diabetes. In research trials, DECIDE’s clinical and behavioral benefits include:

  • Lowered A1C Levels
  • Lowered Blood Pressure
  • Lowered Cholesterol
  • Improved Medication Adherence
  • Improved Self-Management Behaviors


DECIDE was created by Felicia Hill-Briggs, Ph.D., Senior Director of Population Health Research and Development, Johns Hopkins HealthCare, LLC and a professor of medicine at the Johns Hopkins University School of Medicine. Dr. Hill-Briggs is also the President-Elect of the American Diabetes Association.

What is DECIDE?

DECIDE is a population health solution that guides patients through self-management of diabetes, while facilitating engagement between the patient and their health coach and/or diabetes educator. This unique, interactive program focuses on behavioral change that improves both self-management skills and diabetes health outcomes.

  • Developed by leading experts in diabetes patient self-management
  • Based on Johns Hopkins research and clinically tested
  • Unique training approach based on behavioral change
  • Impactful for those with uncontrolled diabetes
  • Used by the CDC as a prevention initiative for cardiovascular disease
  • Adopted by leading state academic institutions in the US
  • Designated by the Maryland Department of Health and Mental Hygiene as a “model program”.
  • Works in high risk and low risk patients, minority and non-minority populations, and persons spanning 30-90 years of age
Driving Behavior Change

Incorporating the seven core diabetes self-management behaviors, the DECIDE program facilities adherence and maintenance by teaching patients problem-solving as a key skill for behavior change and for incorporating self-management activities into their everyday lives.

Structured Curriculum

Engages patients in a step-by-step process of self-management, planning and activation

Problem-Based Training

Helps patients apply diabetes self-management in the context of their everyday lives

Tools and Resources

Support behavioral change

Training for Providers

Provides a backbone to help coaches support their patients

Key Components
  • Web/mobile interfaces enable two-way, direct contact between patients and clinicians
  • Structured, 9-module online curriculum for on-going, long-term self-management
  • Interfaces to enable clinicians to easily track patient progress and manage patient load
  • Train-the-trainer component enables clinicians to easily work with patients
  • Assessments for patient progress, pre- and post-program tests

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