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New directions for diabetes prevention and management in behavioral medicine

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Abstract

Accelerating diabetes rates have resulted in a global public health epidemic. Lifestyle change is a cornerstone of care, yet regimen demands may result in adherence difficulties. Distress, depression, and other psychosocial concerns are higher in those with diabetes. While interventions, such as the Diabetes Prevention Program appear to be effective, further research is needed to support the translation of interventions to prevent diabetes. Studies assessing optimal approaches to promoting effective decision making, coping and adherence are needed. More information is needed to evaluate the influence and potential of emerging technologies on intervention delivery and quality of life in children and adults with diabetes. Theoretically informed, interdisciplinary studies that consider ecological models are needed to develop a roadmap for policies and diabetes management recommendations. Reduction of diabetes-related health disparities is a critical area for future studies. Behavioral medicine scientists and practitioners are poised to address these and other proposed future research directions to advance diabetes prevention and management.

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Acknowledgments

The authors wish to thank the Society of Behavioral Medicine Diabetes Special Interest Group for their guidance and suggestions on research recommendations and future direction of behavioral medicine in diabetes prevention and management.

Funding

KM was funded by a pre-doctoral fellowship from the National Institute of Diabetes and Digestive and Kidney Disease/NIH (T32DK097718).

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Correspondence to Barbara Stetson.

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Barbara Stetson, Karl E. Minges, and Caroline R. Richardson declare that they have no conflict of interest.

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All procedures followed were in accordance with ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.

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Stetson, B., Minges, K.E. & Richardson, C.R. New directions for diabetes prevention and management in behavioral medicine. J Behav Med 40, 127–144 (2017). https://doi.org/10.1007/s10865-016-9802-2

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