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7 As model - what is it and how does it work?

The 7 As model

A key feature of the guide is a practical 7 As model. This dynamic model describes a seven-step process that can be applied in clinical practice as part of a person-centred approach.

This model is adapted from the 5 As model.

The original model included: ‘Ask’, ‘Assess’, ‘Advise’, ‘Assist’ and ‘Arrange’. The Australian originator’s additions to the model have also been adopted. These are, ‘be Aware’ and ‘Assign’ and reflect the need for vigilance about emotional distress and the potential need for referrals to specialists.

The model is designed to be flexible and dynamic. When applying the model in clinical practice, health professionals need to take into account their own characteristics (e.g. their role, qualifications, and skills) and the context (e.g. the needs and preferences of the person with diabetes, the severity of the problem, the setting, and resources).

The arrows around the perimeter of the circle show the path that a health professional can follow if they are the appropriate person to undertake all seven steps themselves.

The dotted arrows through the middle of the circle show places where the health professional may diverge from the main path, for example by ASSIGNing to another health professional because they do not have the necessary skills (or confidence) to undertake all of the step themselves.

7 As standard

How can I support a person who experiences diabetes distress?


How can I identify diabetes distress?

  • Be AWARE
  • ASK


See Diabetes and emotional health PDF (3MB) for our full list of references

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