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Appears in Collections:Psychology Journal Articles
Peer Review Status: Refereed
Title: Motivational and behaviour change approaches for improving diabetes management
Author(s): Swanson, Vivien
Maltinsky, Wendy
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Keywords: diabetes management
motivational approaches
behaviour change techniques
health professionals
Issue Date: Aug-2019
Citation: Swanson V & Maltinsky W (2019) Motivational and behaviour change approaches for improving diabetes management. Practical Diabetes, 36 (4), pp. 121-125.
Abstract: Effective diabetes management requires both good clinical care, and good self‐management by the person with diabetes to achieve optimal health outcomes. Both diabetes‐specific behaviours, and lifestyle behaviours need to be addressed. Self‐management is challenging, due to the characteristics of diabetes, a condition which can be unpredictable, variable over the lifespan, lifelong, and often psychologically demanding, requiring knowledge, confidence, motivation and behaviour change skills to maintain optimal control. Health professionals can support people to self‐manage more effectively if they have psychological skills to promote motivation and to support behaviour change. This review summarises some of the skills needed by people with diabetes and by health professionals to support self‐management, including person‐centred working and ‘MAP’ motivational, action and prompting behaviour change techniques. The review takes a critical look at motivational and behavioural interventions and their outcomes, in the wider context of the process of behaviour change. We look at evidence for effectiveness of motivational approaches – from the perspective of the patient outcomes and health practitioner training required. We also evaluate behaviour change interventions which use ‘action‐based’ approaches, followed by suggestions for longer‐term, sustainable models of training.
DOI Link: 10.1002/pdi.2229
Rights: This item has been embargoed for a period. During the embargo please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study. This is the peer reviewed version of the following article: Swanson, V. and Maltinsky, W. (2019), Motivational and behaviour change approaches for improving diabetes management. Practical Diabetes, 36: 121-125, which has been published in final form at This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for self-archiving.

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