Skip to main content

Table 3 Links between components of OK Diabetes intervention and principles of self-management

From: Development of a supported self-management intervention for adults with type 2 diabetes and a learning disability

Behaviour change: the principles of effective interventions [29]
Principle Place in intervention programme (see Additional files 12 and 3)
Helping people to understand the short-, medium- and longer term consequences of health-related behaviour Review with participants—‘Looking after my diabetes’
Helping people to feel positive about the benefits of changing their behaviour Discuss plan for change in general terms—‘I am going to…’
Building the person’s confidence in their ability to make and sustain changes Encourage positive action planning
Recognising how social contexts and relationships may affect a person’s behaviour Review participant’s life—social network, named supporter and helpers
Helping plan changes in terms of easy steps over time Make a weekly plan
Identifying and planning for situations that might undermine the changes people are trying to make (including planning explicit ‘if–then’ coping strategies to prevent relapse) Build ‘if–then’ thinking into action plan
Encouraging people to make a personal commitment to adopt health-enhancing behaviours by setting (and recording) achievable goals in particular contexts, over a specified time Write goals on visible board
Helping people to use self-regulation techniques (such as self-monitoring, progress review, relapse management and goal revision) to encourage learning from experience Identify personal rewards for success
Encouraging people to engage the support of others to help them to maintain their behaviour-change goals Supporter pack and flash cards