Type 2 & other diabetes

Understanding behaviour change maintenance after attending a self‐management education and support programme for type 2 diabetes: A longitudinal qualitative study

Diabet MedPublished Longitudinal qualitative study

Authors' conclusion

People may experience difficulties in maintaining behavioural changes post-DSMES programmes. Programmes should address the role of emotions, psychological and physical resources and environmental and social influences in behaviour change maintenance and promote the development of skills for longer-term management, including self-regulation, behavioural autonomy, intrinsic motivation and habit formation. As some people may also benefit from longer-term, ongoing support, digitally delivered with occasional sessions involving peers and educators beyond 12 months should be considered. Suggestions for ongoing support include progress monitoring, expert guidance, educational updates, troubleshooting opportunities and encouragement and motivational support.

Study context

Population
Adults with T2D over 15 months after attending a diabetes self-management education and support (DSMES) programme; 67% women, aged 39–7417 completed all interviews
Participants
21 adults
Outcome
Behaviour change maintenance experiences and post-programme support needs
Follow-up
15 months
Methodological detailsfour interviews, experience sampling (written notes and photographs), deductive analysis based on existing framework combined with inductive thematic analysis
  • Four interviews
  • Experience sampling (written notes and photographs)
  • Deductive analysis based on existing framework combined with inductive thematic analysis

Main finding

As reported in the abstract

15 months
  • Refined Supporting Understanding and Strategies for Type 2 Diabetes Maintenance Self-Management (SUSTAIN) framework
  • Theme 1: integrating the changes amidst the constant ebb and flow of life
  • Theme 2: consolidating the changes: moving towards independent maintenance
  • Theme 3: building bridges to self-maintenance: the role of support post-programme

Observational data: associations, not effects.

Original publication

Understanding behaviour change maintenance after attending a self‐management education and support programme for type 2 diabetes: A longitudinal qualitative study. Diabet Med. Published 1 April 2025. doi:10.1111/dme.70032

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