The reason might be a lack of awareness of the behavior problem, lack of motivation, or resistance to change the present lifestyle. Rosal et al. (2011) found that Hispanics have a basic knowledge, factors related to poor diabetes management but fails to do anything to improve or prevent diabetes. Hispanic diabetic patients need to be taught and made aware of the negative impact of diabetes through the use of culturally sensitive self-management education. The next stage is contemplation; during this stage an individual is aware of the unhealthy behavior. They are aware of the pros and cons and intend to change behaviors. In this stage, the diabetes self-management education can focus on the advantages of lifestyle changes. The diabetes self-management education can offer the Hispanics with diabetes the necessary tools and knowledge required to prepare for lifestyle changes for the management of the diabetes. The third stage is preparation; an individual intends to change the undesirable behavior in the immediate future. There is a desired plan of action and necessary steps are taking to fulfill this change. The fourth stage is action; during this stage, an individual has made some changes in their lifestyles. During this stage, commitment to the change is very important in order to prevent relapse. The last stage is maintenance; an individual is actively practicing the desired behavior, and steps are taken in order to prevent regression into old habits. At this point, positive behavior continues without any conscious effort (Prochaska,
The reason might be a lack of awareness of the behavior problem, lack of motivation, or resistance to change the present lifestyle. Rosal et al. (2011) found that Hispanics have a basic knowledge, factors related to poor diabetes management but fails to do anything to improve or prevent diabetes. Hispanic diabetic patients need to be taught and made aware of the negative impact of diabetes through the use of culturally sensitive self-management education. The next stage is contemplation; during this stage an individual is aware of the unhealthy behavior. They are aware of the pros and cons and intend to change behaviors. In this stage, the diabetes self-management education can focus on the advantages of lifestyle changes. The diabetes self-management education can offer the Hispanics with diabetes the necessary tools and knowledge required to prepare for lifestyle changes for the management of the diabetes. The third stage is preparation; an individual intends to change the undesirable behavior in the immediate future. There is a desired plan of action and necessary steps are taking to fulfill this change. The fourth stage is action; during this stage, an individual has made some changes in their lifestyles. During this stage, commitment to the change is very important in order to prevent relapse. The last stage is maintenance; an individual is actively practicing the desired behavior, and steps are taken in order to prevent regression into old habits. At this point, positive behavior continues without any conscious effort (Prochaska,