Hood Korey K, Hilliard Marisa, Piatt Gretchen, Ievers-Landis Carolyn E
Departments of Pediatrics, Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Palo Alto, CA, USA.
Psychology Section, Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA.
Diabetes Manag (Lond). 2015;5(6):499-510.
Behavioral management of diabetes leads to better health outcomes. This paper reviews the available literature on facilitators of behavior change in people with diabetes and highlights approaches and strategies diabetes care providers can utilize. The research and clinical evidence points to the critical nature of considering the content and structure of recommendations, and utilizing problem solving and teamwork approaches. Furthermore, close attention to individual and community factors will optimize behavior change. These factors include health literacy, community infrastructure, support within the family, and whether there are co-occurring eating and mood issues. Recommendations are provided to optimize communication and embed behavior change approaches in clinical and community encounters.
糖尿病的行为管理可带来更好的健康结果。本文回顾了关于糖尿病患者行为改变促进因素的现有文献，并强调了糖尿病护理提供者可采用的方法和策略。研究和临床证据表明，考虑建议的内容和结构以及采用解决问题和团队合作方法至关重要。此外，密切关注个人和社区因素将优化行为改变。这些因素包括健康素养、社区基础设施、家庭支持以及是否存在同时出现的饮食和情绪问题。本文提供了相关建议，以优化沟通，并将行为改变方法融入临床和社区接触中。
