Behaviour Change To Promote Diabetes Outcomes: Getting More From What We Have Through Dissemination and Scalability

Published:September 02, 2022DOI:
      This paper is only available as a PDF. To read, Please Download here.


      • Behaviour change science has developed and validated a number of effective behaviour change interventions but uptake is poor due to provider attitudes and resource limitations
      • Identification of evidence-based mediators of change (adherence, self-efficacy and intrinsic motivation) supports a flexible and comprehensive approach to behaviour change
      • Scalability of behaviour change interventions can be enhanced by capitalizing on technology and the workplace, expanding behaviour change interventions outside of the health system


      The potential benefits of advanced medical treatments (pharmacotherapies) and technologies (diagnostics, devices, and apps) are unrealized due to lack of sustained behaviour change in individuals living with type 2 diabetes. The lack of scale-up of effective health behaviour change interventions limits health improvement. Identification of mediators of behaviour change (adherence, self-efficacy, intrinsic motivation) can address this limitation by shifting the focus of behaviour change from input (which behaviour change strategy to choose) to output (what can the person adhere to and sustain). Technology and accessing the workplace environment to promote change offer scalable opportunities for facilitating health behaviour change in populations.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Canadian Journal of Diabetes
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect