Effective strategies for encouraging behavior change in people with diabetes.

Korey K Hood, Marisa Hilliard, Gretchen Piatt, Carolyn E Ievers-Landis
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Abstract

Behavioral management of diabetes leads to better health outcomes. This paper reviews the available literature on facilitators of behavior change in people with diabetes and highlights approaches and strategies diabetes care providers can utilize. The research and clinical evidence points to the critical nature of considering the content and structure of recommendations, and utilizing problem solving and teamwork approaches. Furthermore, close attention to individual and community factors will optimize behavior change. These factors include health literacy, community infrastructure, support within the family, and whether there are co-occurring eating and mood issues. Recommendations are provided to optimize communication and embed behavior change approaches in clinical and community encounters.

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鼓励糖尿病患者改变行为的有效策略。
糖尿病的行为管理可以带来更好的健康结果。本文回顾了糖尿病患者行为改变促进者的现有文献,并强调了糖尿病护理提供者可以利用的方法和策略。研究和临床证据表明,考虑推荐的内容和结构,以及利用解决问题和团队合作的方法是至关重要的。此外,密切关注个人和社区因素将优化行为改变。这些因素包括卫生知识、社区基础设施、家庭支持以及是否同时存在饮食和情绪问题。建议提供优化沟通和嵌入行为改变方法在临床和社区接触。
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