Background: Diabetes self-management education (DSME) is generally considered to be a key determinant of the treatment outcomes and related costs of diabetes mellitus. While DSME programmes generally have positive outcomes, their effects may depend on certain factors, such as the type of programmes provided and patients' level of health literacy…

This article reports on the development of a theory-informed assessment instrument for use in evaluating environmental education programs. The instrument involves coding learners' brief reflective writing on five established educational and social psychological constructs that correspond to five important goals of environmental education:…