Evidence map›Paper›PMID 40170298›Full record

ArticleDiabetic medicine : a journal of the British Diabetic Association2025

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

Márcia Carvalho, Eimear Morrissey, Pauline Dunne, Amanda Drury, Molly Byrne, Jenny McSharry

Abstract read
In one paragraph

Article in Diabetic medicine : a journal of the British Diabetic Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Márcia CarvalhoHealth Behaviour Change Research Group, School of Psychology, University of Galway, Galway, Ireland.
Eimear MorrisseyCentre for Health Research Methodology, School of Nursing and Midwifery, University of Galway, Galway, Ireland.
Pauline DunneSchool of Population Health, Royal College of Surgeons (RCSI), Dublin, Ireland.ORCID https://orcid.org/0000-0002-4913-9682
Amanda DrurySchool of Nursing, Psychotherapy and Community Health, Dublin City University, Dublin, Ireland.
Molly ByrneHealth Behaviour Change Research Group, School of Psychology, University of Galway, Galway, Ireland.
Jenny McSharryHealth Behaviour Change Research Group, School of Psychology, University of Galway, Galway, Ireland.

Funding

University of Galway
6 · The paper itself

Abstract

aimsThis study aimed to explore behaviour change maintenance experiences of adults with type 2 diabetes over 15 months following attendance at a diabetes self-management education and support (DSMES) programme and their needs for post-programme support.

methodsA longitudinal qualitative study using four interviews and experience sampling (written notes and photographs) was conducted. Data were analysed through a deductive analysis based on an existing framework combined with an inductive thematic analysis approach.

resultsTwenty-one adults (67% women, aged 39-74) participated; seventeen completed all interviews. Analysis resulted in the refined Supporting Understanding and Strategies for Type 2 Diabetes Maintenance Self-Management (SUSTAIN) framework and three themes capturing key trends and changes over time: (1) integrating the changes amidst the constant ebb and flow of life; (2) consolidating the changes: moving towards independent maintenance; and (3) building bridges to self-maintenance: the role of support post-programme.

conclusionsPeople 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.

Indexed as

Diabetes Mellitus, Type 2Health BehaviorPatient Education as TopicSelf CareSelf-ManagementAdultAgedFemaleHumansLongitudinal StudiesMaleMiddle AgedQualitative ResearchSocial Supportbehaviour change maintenancepatient experiencequalitative researchself‐managementstructured educationtype 2 diabetes

Identifiers

PMID40170298
PMCPMC12080984

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.