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

Published:September 02, 2022DOI:https://doi.org/10.1016/j.jcjd.2022.08.008
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      Highlights

      • 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

      Abstract

      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.

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