{"title":"Abstracts from ABCD Diabetes Update","authors":"Diabetes Update 2023","doi":"10.15277/bjd.2023.407","DOIUrl":"https://doi.org/10.15277/bjd.2023.407","url":null,"abstract":"","PeriodicalId":93680,"journal":{"name":"The British journal of diabetes","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135260214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elysa Ioannou, Helen Humphreys, Catherine Homer, Alison Purvis
{"title":"systematic review and thematic synthesis of the barriers and facilitators to physical activity for women after gestational diabetes: a socio-ecological approach","authors":"Elysa Ioannou, Helen Humphreys, Catherine Homer, Alison Purvis","doi":"10.15277/bjd.2023.413","DOIUrl":"https://doi.org/10.15277/bjd.2023.413","url":null,"abstract":"Physical activity can reduce risk of type 2 diabetes (T2DM) after gestational diabetes. Understanding barriers and facilitators to physical activity, using a socio-ecological approach, could better direct multi-level interventions. The present review aimed to synthesise barriers and facilitators to physical activity, and to develop an understanding of where, across the socio-ecological model, these factors exist and/or are interrelated. Eligible studies included women with a history of gestational diabetes and a discussion around physical activity. A systematic search of MEDLINE, the Cochrane Library, Web of Science, CINAHL Complete and Scopus was conducted in October 2022. Barriers and facilitators to physical activity were thematically analysed and themes organised according to the socio-ecological model. Twenty-nine studies were included. Barriers pertained to leisure time physical activity, while other types of activity including housework and transport were overlooked, despite being routine. Partner and family support were vital for engagement with activity, whether emotional support or provision of childcare. Most barriers and facilitators at the social and organisational levels were interrelated with those at the individual level. These findings suggest that multi-level physical activity interventions after gestational diabetes could be most effective.","PeriodicalId":93680,"journal":{"name":"The British journal of diabetes","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135260075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tamla S Evans, Rhiannon E Hawkes, Chris Keyworth, Lisa Newson, Duncan Radley, Andrew J Hill, Jamie Matu, Louisa J Ells
{"title":"How is the NHS Low-Calorie Diet Programme expected to produce behavioural change to support diabetes remission: An examination of underpinning theory.","authors":"Tamla S Evans, Rhiannon E Hawkes, Chris Keyworth, Lisa Newson, Duncan Radley, Andrew J Hill, Jamie Matu, Louisa J Ells","doi":"10.15277/bjd.2022.341","DOIUrl":"10.15277/bjd.2022.341","url":null,"abstract":"<p><strong>Background: </strong>In 2020, the National Health Service Low-Calorie Diet Programme (NHS-LCD) was launched, piloting a total diet (TDR) replacement intervention with behaviour change support for people living with Type 2 Diabetes (T2D) and excess weight. Four independent service providers were commissioned to design and deliver theoretically grounded programmes in localities across England.</p><p><strong>Aims: </strong>1) to develop a logic model detailing how the NHS-LCD programme is expected to produce changes in health behaviour, and (2) to analyse and evaluate the use of behaviour change theory in providers' NHS-LCD Programme designs.</p><p><strong>Methods: </strong>A documentary review was conducted. Information was extracted from the NHS-LCD service specification documents on how the programme expected to produce outcomes. The Theory Coding Scheme (TCS) was used to analyse theory use in providers' programme design documents.</p><p><strong>Results: </strong>The NHS-LCD logic model included techniques aimed at enhancing positive outcome expectations of programme participation and beliefs about social approval of behaviour change, to facilitate programme uptake and behaviour change intentions. This was followed by techniques aimed at shaping knowledge and enhancing the ability of participants to self-regulate their health behaviours, alongside a supportive social environment and person-centred approach.Application and type of behaviour change theory within service providers' programme designs varied. One provider explicitly linked theory to programme content; two providers linked 63% and 70% of intervention techniques to theory; and there was limited underpinning theory identified in the programme design documents for one of the providers.</p><p><strong>Conclusion: </strong>The nature and extent of theory use underpinning the NHS-LCD varied greatly amongst service providers, with some but not all intervention techniques explicitly linked to theory. How this relates to outcomes across providers should be evaluated. It is recommended that explicit theory use in programme design and evidence of its implementation becomes a requirement of future NHS commissioning processes.</p>","PeriodicalId":93680,"journal":{"name":"The British journal of diabetes","volume":"22 1","pages":"20-29"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7613468/pdf/EMS151236.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40335485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}