ArticlePloS one2025
What motivates people with type 2 diabetes to maintain lifestyle changes and what challenges do they experience? A qualitative evidence synthesis.
Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Qualitative and Quantitative Health-Related Quality-of-Life Outcomes From an 8-year Follow-Up After Gastric Bypass Surgery in People With Type 2 Diabetes.Endocrinology, diabetes & metabolism · 2026Observational
- The Patient Persona of the Self-Management Experience of Home-Based Rehabilitation for Spinal Cord Injury Patients: A Qualitative Study.Patient preference and adherence · 2025Article
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Authors and funding
4 authors.
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Abstract
backgroundPeople with type 2 diabetes often find recommended lifestyle changes difficult to achieve and can find it particularly difficult to maintain these changes. It is therefore useful to explore their views and experiences about what influences them when attempting to achieve these goals.
objectivesTo identify, appraise and synthesise qualitative studies that explore what motivates people with type 2 diabetes to maintain lifestyle changes over time and the challenges they experience.
methodsWe included qualitative studies and mixed methods studies with a qualitative component, in any language, of adults who had type 2 diabetes and who had maintained lifestyle changes for a minimum of twelve months. We searched MEDLINE, CINAHL, PsycINFO and EMBASE from inception to 4th November 2024. We extracted data using a pre-designed form and assessed methodological limitations using predefined criteria. We used a thematic synthesis approach to analyse the data. We assessed our confidence in the review findings using the GRADE-CERQual approach. Finally, we used our findings to develop a model using the locus of control theory and to develop implications for practice.
resultsWe included twelve studies from Europe, USA, Canada, South-Africa, Australia and New Zealand. Participants described several factors that motivated them to maintain lifestyle changes, including getting support from others, seeing results from their lifestyle changes, walking as an activity, being physically active with others, fearing the consequences of type 2 diabetes, and taking control. Factors that they viewed as challenging included mental, physical, practical, and social challenges around exercise, and lack of follow-up from healthcare professionals.
conclusionsOur review identified several factors that may influence maintenance of lifestyle changes in type 2 diabetes. Based on these findings, we have developed a series of questions to help people with type 2 diabetes and their healthcare providers think about how best to maintain lifestyle choices over time.
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