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For social identity, the group referred to is the whole of all type 2 diabetes in the United States. Membership in this group, including feelings of belongingness and attachment will be assessed. Support group identity assessed the same feelings, however with respect to the online support group and included more specific measures of self-esteem derived from membership, along with and value, pride and importance of being a member. Goal Setting and Achievement Another aim of this study is to determine the effect of identity on goal setting and goal achievement. Goals imposed by others, self-selected goals, goals set cooperatively and goals assigned with a rationale 88 as to why the goal is desirable and/or achievable. This research examines goals that are self-selected or set in cooperation with a health care provider or peer. Patients with type 2 diabetes have multiple lifestyle behaviors that can be the focus of goal setting. These steps include 1) recognizing the need for change as recognized by undergoing an emotional or affective experience; 2) establishing a goal, by determining goal specificity and difficulty; 3) monitoring goal-related activity, allowing for changes in effort, planning or strategy to achieve the goal; and 4) self-rewarding goal achievement to encourage setting other goals. Many patients with diabetes lack the support they need to identify behavioral goals. Patients receive some support from their health care provider, but many times goals go unaddressed in the office visit because communication is focused on problems and other questions, or if goals are addressed, the patient does not receive enough support in-between visits to successfully 86 achieve their goals. Setting a goal with a health care provider during an office visit with no follow-up until the next office visit does not allow for the patient to receive any feedback from his or her provider, let alone support. Patients in need of support for behavior change goals can receive support from other patients via online support groups. In viewing the struggles and hearing the stories of others, a patient might recognize himself and/or his need to change. Many support groups, such as Diabetes Daily and Daily Strength already have goal setting forums that allow patients with diabetes to execute steps 2 and 3 of the goal setting process Locke and Latham recommend. In addition to monitoring goal-related activity, these sites also provide another crucial step that Locke and Latham do not include, and that is feedback. Other support group members can track the progress one is making toward achieving her goal and provide encouragement, supportive feedback and share their achievements. Once the goal that is set is achieved, the online support group member is encouraged by the moderator or other members to move onward toward setting another goal, which is step 4 of the process. Goal setting can be viewed as one mechanism of behavior change and maintenance strategies which also include skills development and education.

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If your hair is tied in a bun, make sure the strap is positioned in a manner that ensures that the strap will not slide up or down. If any reusable equipment is used, a second biohazardous waste container should be available to hold such equipment. Disinfect your outer gloves with an alcohol-based hand rub and allow your gloves to dry. The observer should use a checklist that remains in the anteroom and watch carefully for any breach in protocol. It is important for the observer to wear a fluid-resistant or impermeable gown, a full-face shield, two pairs of gloves, and impermeable boot coverings. If wearing an apron, break the strap behind your back, and then break the strap that secures the apron around your neck. Pull the apron away from your body, and then roll it inside-out, as shown in the video. Afterward, stand up, step away from the dirty chair, and disinfect your outer gloves. Grasping the exterior of the glove at the wrist, pull the glove off of your hand, with the contaminated exterior folded inside. Gently pull off the glove so that it is now inside-out, forming a bag for the other glove, and discard. Lift it above and away from your head without touching the shield itself, and discard it in the biohazardous waste container. Leaning forward, grasp the hood near the top and carefully pull it off and away from your head. This assistance should be agreed upon by you and the observer before patient care. Remove the inner pair of gloves as described for the outer pair, taking precaution to avoid contaminating your bare hands. To minimize the possibility of contamination, avoid contact with the respirator itself, touching only the straps. Tilt your head forward, grab the strap that is around your neck, and lift it over your head, allowing it to hang freely. Then bring the top strap over your head and use it to remove the respirator from your face. Sit down on the designated clean chair and use disinfectant wipes to clean all external surfaces of your shoes.

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