ArticleDiabetic medicine : a journal of the British Diabetic Association2021
Sustained type 1 diabetes self-management: Specifying the behaviours involved and their influences.
Article in Diabetic medicine : a journal of the British Diabetic Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
28 citing papers in PubMed, 57 citations in OpenAlex.
- Frequency of Key Type 1 Diabetes Self-Care Behaviours Are Associated With Psychological Flexibility, Distress and Glycaemic Outcome.Endocrinology, diabetes & metabolism · 2026Article
- Situational awareness predicts self-management of type I diabetes in adolescents and young adults.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026Article
- Real-Time Type 1 Diabetes Self-Management Decision-Making in Adolescents: Protocol for a Longitudinal Mixed Methods Study Using Text Messaging and Continuous Glucose Monitoring.JMIR research protocols · 2026Article
- Psychosocial Aspects of Caregiving That Influence Stress and Burden Among Parents of Children With Type 1 Diabetes.Nursing open · 2026Article
- Investigating Social Media Use by Young People to Self-Manage Type 1 Diabetes Mellitus: Large-Scale Analysis of Social Media Discussions Using Topic Modeling.Journal of medical Internet research · 2025Article
- Training DAFNEplus facilitators in novel behaviour change approaches: A template for training design and delivery.Diabetic medicine : a journal of the British Diabetic Association · 2025Article
- An Interpretive Phenomenological Inquiry into Type 1 Diabetes and Work.International journal of environmental research and public health · 2025Article
- Stress and Burden Experienced by Parents of Children with Type 1 Diabetes-A Qualitative Content Analysis Interview Study.Children (Basel, Switzerland) · 2025Article
- Co-development of an evidence-informed, theoretically driven exercise programme for people with chronic non-specific neck pain (the EPIC-Neck programme - "Exercise Prescription Improved through Co-design").BMC musculoskeletal disorders · 2025Article
- Understanding behaviour change maintenance after attending a self-management education and support programme for type 2 diabetes: A longitudinal qualitative study.Diabetic medicine : a journal of the British Diabetic Association · 2025Article
- Evaluating the Swedish translation of the type 1 diabetes specific health-related quality of life questionnaire in young adults.Frontiers in clinical diabetes and healthcare · 2025Article
- The collaborative working group method for pre-trial knowledge mobilisation: a qualitative evaluation of a structured process for iteratively refining a complex intervention (DAFNEplus).Pilot and feasibility studies · 2024Article
- Hybrid CNN-GRU Model for Real-Time Blood Glucose Forecasting: Enhancing IoT-Based Diabetes Management with AI.Sensors (Basel, Switzerland) · 2024Article
- Macroergonomic components of the patient work system shaping dyadic care management during adolescence: a case study of type 1 diabetes.Ergonomics · 2024Article
- Simplified integration of optimal self-management behaviors is associated with improved HbA1c in patients with type 1 diabetes.Journal of endocrinological investigation · 2024Observational
- Experiences and Views of Young People and Health Care Professionals of Using Social Media to Self-Manage Type 1 Diabetes Mellitus: Thematic Synthesis of Qualitative Studies.JMIR pediatrics and parenting · 2024Article
- Comparative Analysis of COVID-19 Outcomes in Type 1 and Type 2 Diabetes: A Three-Year Retrospective Study.Medicina (Kaunas, Lithuania) · 2024Article
- Blood Glucose Level Time Series Forecasting: Nested Deep Ensemble Learning Lag Fusion.Bioengineering (Basel, Switzerland) · 2023Article
- Development of an inflammatory bowel disease (IBD) Patient-Reported Experience Measure (PREM): A patient-led consensus work and 'think aloud' study for a quality improvement programme.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- High engagement in mobile peer support is associated with better glycemic control in type 1 diabetes: A real-world study.Journal of diabetes investigation · 2022Article
Corrections and comments
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Authors and funding
13 authors at 6 institutions in 1 country.
Funding
Abstract
aimsSustained engagement in type 1 diabetes self-management behaviours is a critical element in achieving improvements in glycated haemoglobin (HbA1c) and minimising risk of complications. Evaluations of self-management programmes, such as Dose Adjustment for Normal Eating (DAFNE), typically find that initial improvements are rarely sustained beyond 12 months. This study identified behaviours involved in sustained type 1 diabetes self-management, their influences and relationships to each other.
methodsA mixed-methods study was conducted following the first two steps of the Behaviour Change Wheel framework. First, an expert stakeholder consultation identified behaviours involved in self-management of type 1 diabetes. Second, three evidence sources (systematic review, healthcare provider-generated 'red flags' and participant-generated 'frequently asked questions') were analysed to identify and synthesise modifiable barriers and enablers to sustained self-management. These were characterised according to the Capability-Opportunity-Motivation-Behaviour (COM-B) model.
results150 distinct behaviours were identified and organised into three self-regulatory behavioural cycles, reflecting different temporal and situational aspects of diabetes self-management: Routine (e.g. checking blood glucose), Reactive (e.g. treating hypoglycaemia) and Reflective (e.g. reviewing blood glucose data to identify patterns). Thirty-four barriers and five enablers were identified: 10 relating to Capability, 20 to Opportunity and nine to Motivation.
conclusionsMultiple behaviours within three self-management cycles are involved in sustained type 1 diabetes self-management. There are a wide range of barriers and enablers that should be addressed to support self-management behaviours and improve clinical outcomes. The present study provides an evidence base for refining and developing type 1 diabetes self-management programmes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.