Barriers and Enablers to Maintaining Behaviour Changes Following a Lifestyle Intervention for Adults With Type 2 Diabetes

IF 1.5 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH American Journal of Lifestyle Medicine Pub Date : 2024-07-23 DOI:10.1177/15598276241262721
Genevieve N. Healy, Ana D. Goode, Lucy Campbell, Amit Sikder, Denis Giguere, Sjaan R. Gomersall
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Abstract

AimTo explore short-term barriers and enablers to maintaining behaviour changes in adults with type 2 diabetes who had completed a lifestyle behaviour change program.MethodsFocus groups with 44 participants identified barriers and enablers at the end-of-program (n = 8 groups: anticipated); and, 1-month post-program (n = 6 groups: experienced). Thematic inductive analysis was undertaken independently by two authors, discussed, then deductively grouped according to the Capability (physical, psychological), Opportunity (physical, social), Motivation (automatic, reflective) – Behaviour (COM-B) model.ResultsNine barriers were identified: two anticipated, one experienced, and six common to both timepoints. Key barriers related to physical capability (health ability), physical opportunity (difficulty accessing and using resources), social opportunity (unwillingness to invest in social networks), and reflective motivation (lack of internal drive). Eleven enablers were identified: all across both timepoints. Key enablers related to psychological capability (knowledge), physical opportunity (access and use of program resources), social opportunity (sense of belonging and safety within the program), automatic motivation (beliefs and awareness around perceived risk; monitoring of progress), and reflective motivation (committed to change).DiscussionFindings suggest diabetes management programs should enable ongoing access to their resources. Investing in mechanisms to scaffold program graduates into suitable community-based activities may also be beneficial.
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成人 2 型糖尿病患者在接受生活方式干预后保持行为改变的障碍和促进因素
目的 探讨已完成生活方式行为改变计划的 2 型糖尿病成人患者在保持行为改变方面的短期障碍和促进因素。方法 44 名参与者参加的焦点小组确定了计划结束时(8 组:预期)和计划结束后 1 个月(6 组:经历)的障碍和促进因素。两位作者独立进行了专题归纳分析、讨论,然后根据能力(身体、心理)、机会(身体、社会)、动机(自动、反思)-行为(COM-B)模型进行演绎分组。主要障碍涉及身体能力(健康能力)、物质机会(难以获得和使用资源)、社会机会(不愿投资于社会网络)和反思动机(缺乏内驱力)。在这两个时间点上共发现了 11 个促进因素。主要的促进因素涉及心理能力(知识)、实际机会(获取和使用项目资源)、社会机会(在项目中的归属感和安全感)、自动动机(关于感知风险的信念和意识;监测进展)和反思动机(致力于改变)。研究结果表明,糖尿病管理项目应能让患者持续获得其资源,投资建立机制以帮助项目毕业生参加合适的社区活动也可能是有益的。
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来源期刊
American Journal of Lifestyle Medicine
American Journal of Lifestyle Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.10
自引率
15.80%
发文量
119
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