{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T03:33:27Z","timestamp":1793504007127,"version":"4.5.0"},"reference-count":26,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,7,23]],"date-time":"2024-07-23T00:00:00Z","timestamp":1721692800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Australian Medical Research Future Fund Emerging Leadership Fellowship","award":["1193815"],"award-info":[{"award-number":["1193815"]}]},{"name":"Health and Wellbeing Centre for Research Innovation"},{"name":"The University of Queensland and Health and Wellbeing Queensland"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Lifestyle Medicine"],"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore short-term barriers and enablers to maintaining behaviour changes in adults with type 2 diabetes who had completed a lifestyle behaviour change program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Focus groups with 44 participants identified barriers and enablers at the end-of-program (n = 8 groups: anticipated); and, 1-month post-program (n = 6 groups: experienced). Thematic inductive analysis was undertaken independently by two authors, discussed, then deductively grouped according to the Capability (physical, psychological), Opportunity (physical, social), Motivation (automatic, reflective) \u2013 Behaviour (COM-B) model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nine barriers were identified: two anticipated, one experienced, and six common to both timepoints. Key barriers related to physical capability (health ability), physical opportunity (difficulty accessing and using resources), social opportunity (unwillingness to invest in social networks), and reflective motivation (lack of internal drive). Eleven enablers were identified: all across both timepoints. Key enablers related to psychological capability (knowledge), physical opportunity (access and use of program resources), social opportunity (sense of belonging and safety within the program), automatic motivation (beliefs and awareness around perceived risk; monitoring of progress), and reflective motivation (committed to change).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Findings suggest diabetes management programs should enable ongoing access to their resources. Investing in mechanisms to scaffold program graduates into suitable community-based activities may also be beneficial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15598276241262721","type":"journal-article","created":{"date-parts":[[2024,7,23]],"date-time":"2024-07-23T03:36:04Z","timestamp":1721705764000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Barriers and Enablers to Maintaining Behaviour Changes Following a Lifestyle Intervention for Adults With Type 2 Diabetes"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7093-7892","authenticated-orcid":false,"given":"Genevieve N.","family":"Healy","sequence":"first","affiliation":[{"name":"School of Human Movement and Nutrition Sciences, Health and Wellbeing Centre for Research Innovation, The University of Queensland, Brisbane, QLD, Australia (GNH, ADG, LC, SRG)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana D.","family":"Goode","sequence":"additional","affiliation":[{"name":"School of Human Movement and Nutrition Sciences, Health and Wellbeing Centre for Research Innovation, The University of Queensland, Brisbane, QLD, Australia (GNH, ADG, LC, SRG)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2230-9718","authenticated-orcid":false,"given":"Lucy","family":"Campbell","sequence":"additional","affiliation":[{"name":"School of Human Movement and Nutrition Sciences, Health and Wellbeing Centre for Research Innovation, The University of Queensland, Brisbane, QLD, Australia (GNH, ADG, LC, SRG)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Sikder","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia (AS)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denis","family":"Giguere","sequence":"additional","affiliation":[{"name":"UQ Health Care, Logan Healthy Living, Logan, QLD, Australia (DG)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sjaan R.","family":"Gomersall","sequence":"additional","affiliation":[{"name":"School of Human Movement and Nutrition Sciences, Health and Wellbeing Centre for Research Innovation, The University of Queensland, Brisbane, QLD, Australia (GNH, ADG, LC, SRG)"},{"name":"School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia (SRG)"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,7,23]]},"reference":[{"key":"bibr1-15598276241262721","volume-title":"Type 2 Diabetes","author":"Diabetes Australia","year":"2024"},{"key":"bibr2-15598276241262721","doi-asserted-by":"publisher","DOI":"10.2337\/dci23-0041"},{"issue":"1","key":"bibr3-15598276241262721","first-page":"S3","volume":"17","author":"van Dieren S","year":"2010","journal-title":"Eur J Cardiovasc Prev Rehabil"},{"key":"bibr4-15598276241262721","volume-title":"IDF diabetes atlas","author":"International Diabetes Federation"},{"key":"bibr5-15598276241262721","volume-title":"Diabetes: Australian facts","author":"Australian Institute of Health and Welfare","year":"2023"},{"key":"bibr6-15598276241262721","volume-title":"Type 2 diabetes prevalence - 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