Stoeckel Maggie, Duke Danny
Division of Psychology, Child Development and Rehabilitation Center, Oregon Health and Science University, 707 SW Gaines Street, Portland, OR, USA,
Curr Diab Rep. 2015 Jul;15(7):39. doi: 10.1007/s11892-015-0615-4.
Managing diabetes is known to be invasive, pervasive, and unrelenting, making adherence to the treatment regimen difficult to accomplish. Ongoing clinical and research efforts have attempted to address the struggles faced by youth and adults with diabetes. Recent research supports the integration of behavioral interventions into clinical practice to assist patients and families with the goal of improving health outcomes. Empirically supported and well-documented behavioral learning principles, particularly positive reinforcement, are often underutilized in modern diabetes care. We posit that most diabetes care providers are aware of these principles. However, the constraints of today's medical systems have become significant barriers to purposefully and consistently applying them to promote improved diabetes care. We provide a brief overview of basic behavioral principles and common barriers to implementation, discuss relevant interventions, and present several examples of applications in clinical settings. We conclude with recommendations to raise awareness regarding the importance of consistently integrating relevant behavioral learning principles and interventions into diabetes care settings.
众所周知，管理糖尿病具有侵入性、普遍性和持续性，这使得坚持治疗方案变得困难。 ongoing临床和研究工作试图解决糖尿病青少年和成年人所面临的难题。 最近的研究支持将行为干预纳入临床实践，以帮助患者和家庭，目标是改善健康结果。 经验支持且有充分记录的行为学习原则，尤其是正强化，在现代糖尿病护理中常常未得到充分利用。 我们认为，大多数糖尿病护理提供者都了解这些原则。 然而，当今医疗系统的限制已成为有目的地、持续地应用这些原则以促进改善糖尿病护理的重大障碍。 我们简要概述了基本行为原则和实施中的常见障碍，讨论了相关干预措施，并展示了临床环境中的几个应用示例。 我们最后提出建议，以提高人们对将相关行为学习原则和干预措施持续纳入糖尿病护理环境重要性的认识。
