Selecting an intervention to prevent ketoacidosis at diabetes diagnosis in children using a behaviour change framework

2022 ◽  
Author(s):  
Maanasa Koripalli ◽  
Mohana Giruparajah ◽  
Celia Laur ◽  
Rayzel Shulman
Keyword(s):  
Behaviour Change ◽  
Diabetes Diagnosis ◽  
Change Framework

scholarly journals Overcoming Barriers to Injectable Therapies: Development of the ORBIT Intervention Within a Behavioural Change Framework

2021 ◽  
Vol 2 ◽  
Author(s):  
Karen McGuigan ◽  
Alyson Hill ◽  
Deirdre McCay ◽  
Maurice O’Kane ◽  
Vivien Coates
Keyword(s):  
Systematic Review ◽  
Focus Groups ◽  
Behaviour Change ◽  
Diabetes Education ◽  
Behavioural Change ◽  
Intervention Development ◽  
Behaviour Change Techniques ◽  
Psychological Barriers ◽  
Change Framework ◽  
Patient Centric

It is estimated among individuals with type 2 diabetes (T2D) requiring injectable therapies to achieve optimal glycaemic control, one-third are reluctant to initiate therapies, with approximately 80% choosing to discontinue or interrupt injectable regimens soon after commencement. Initiation of injectables is a complex issue, with effectiveness of such treatments undermined by non-adherence or poor engagement. Poor engagement and adherence are attributed to psychological aspects such as individuals’ negative perceptions of injectables, depression, anxiety, feelings of shame, distress and perceived lack of control over their condition. The aim of this study was to describe the development of a structured diabetes intervention to address psychological barriers to injectable treatments among a cohort of those with T2D; conducted within a behavioural change framework. An evidence base was developed to inform on key psychological barriers to injectable therapies. A systematic review highlighted the need for theory-based, structured diabetes education focussed on associated psychological constructs to inform effective, patient-centric provisions to improve injectable initiation and persistence. Findings from the focus groups with individuals who had recently commenced injectable therapies, identified patient-centric barriers to initiation and persistence with injectables. Findings from the systematic review and focus groups were translated via Behavioural Change Wheel (BCW) framework to develop an intervention for people with T2D transitioning to injectable therapies: Overcoming and Removing Barriers to Injectable Treatment in T2D (ORBIT). This article describes how psychological barriers informed the intervention with these mapped onto relevant components, intervention functions and selected behaviour change techniques, and finally aligned with behaviour change techniques. This article outlines the systematic approach to intervention development within the BCW framework; guiding readers through the practical application of each stage. The use of the BCW framework has ensured the development of the intervention is theory driven, with the research able to be evaluated and validated through replication due to the clarity around processes and tasks completed at each stage.

scholarly journals The impact of pre-diabetes diagnosis on behaviour change: an integrative literature review

2016 ◽  
Vol 33 (5) ◽  
pp. 171-175 ◽  
Author(s):  
W Youngs ◽  
WP Gillibrand ◽  
S Phillips
Keyword(s):  
Literature Review ◽  
Behaviour Change ◽  
Diabetes Diagnosis ◽  
The Impact

Gedragsveranderend overheidsbeleid

2015 ◽  
Vol 43 (3) ◽  
Author(s):  
Baukje Stinesen ◽  
Reint Jan Renes
Keyword(s):  
Social Norms ◽  
Behaviour Change ◽  
Policy Instruments ◽  
Psychological Processes ◽  
Social Psychological ◽  
Change Policy ◽  
Psychological Influences ◽  
Change Framework ◽  
Societal Problems

Government behaviour change policy: a case study to explore how social psychological influences may mediate effects Government behaviour change policy: a case study to explore how social psychological influences may mediate effects Government behaviour change policies often build on the assumption that citizens make decisions rationally. In practice however many social psychological processes subconsciously influence behaviour. These subconscious influences, which in this study are referred to as ‘intermediary factors’, may mediate the effects of behaviour change policies. A policy and behaviour change framework is introduced, based on which is explored to what extent government behaviour change policies take into account such subconscious influences. Document research and interviews were conducted to identify how policy instruments were used to tackle three specific societal problems (concerning respectively health, mobility and finances), and to gain insight in the way intermediary factors could have affected effectiveness. Two types of such effects were identified: (1) subconscious influences (e.g. social norms) may undermine government practices to change behaviour and (2) government practices to change behaviour themselves may indirectly bring about undesirable subconscious processes (e.g. resistance) that affect behaviour.

Mesophyll conductance: the leaf corridors for photosynthesis

2020 ◽  
Vol 48 (2) ◽  
pp. 429-439 ◽  
Author(s):  
Jorge Gago ◽  
Danilo M. Daloso ◽  
Marc Carriquí ◽  
Miquel Nadal ◽  
Melanie Morales ◽  
...  
Keyword(s):  
Molecular Mechanisms ◽  
Current Knowledge ◽  
Main Role ◽  
Mesophyll Conductance ◽  
Future Studies ◽  
Cell Structures ◽  
Leaf Tissues ◽  
Change Framework ◽  
Chloroplast Stroma

Besides stomata, the photosynthetic CO2 pathway also involves the transport of CO2 from the sub-stomatal air spaces inside to the carboxylation sites in the chloroplast stroma, where Rubisco is located. This pathway is far to be a simple and direct way, formed by series of consecutive barriers that the CO2 should cross to be finally assimilated in photosynthesis, known as the mesophyll conductance (gm). Therefore, the gm reflects the pathway through different air, water and biophysical barriers within the leaf tissues and cell structures. Currently, it is known that gm can impose the same level of limitation (or even higher depending of the conditions) to photosynthesis than the wider known stomata or biochemistry. In this mini-review, we are focused on each of the gm determinants to summarize the current knowledge on the mechanisms driving gm from anatomical to metabolic and biochemical perspectives. Special attention deserve the latest studies demonstrating the importance of the molecular mechanisms driving anatomical traits as cell wall and the chloroplast surface exposed to the mesophyll airspaces (Sc/S) that significantly constrain gm. However, even considering these recent discoveries, still is poorly understood the mechanisms about signaling pathways linking the environment a/biotic stressors with gm responses. Thus, considering the main role of gm as a major driver of the CO2 availability at the carboxylation sites, future studies into these aspects will help us to understand photosynthesis responses in a global change framework.

HbA1c for Diabetes Diagnosis Now Mainstream

2010 ◽  
Vol 43 (5) ◽  
pp. 47
Author(s):  
SHERRY BOSCHERT
Keyword(s):  
Diabetes Diagnosis
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