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Behaviour change during dietary type 2 diabetes remission: A longitudinal qualitative evaluation of an intervention using a very low energy diet

Diabetic Medicine Jul 12, 2019

Rehackova L, et al. - Researchers conducted this longitudinal qualitative study to understand the process of behavior change through the experiences of individuals with type 2 diabetes involved in an 8-month diabetes remission intervention, including a 2-month weight loss phase using a very low energy diet, and a 6-month structured weight maintenance phase. To analyze participants' narratives and identify change over time, longitudinal inductive thematic analysis was used. The following themes of change have been identified in their narratives: building behavioral autonomy as a process of growing confidence to engage in health behaviors that are independent of those of other peoples; behavioral contagion describing how one's new health behaviors tend to affect those of other people; from rigid to flexible restraint, reflecting the changes in attitudes and behaviors required for a successful adaptation to the weight maintenance regimen; and shift in identity, representing the changes in the participants' perceptions of themselves. The themes identified potential areas where individuals can be supported in achieving remission of dietary diabetes and long-term weight loss maintenance.

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