Characteristics of behavior change techniques in theory-based self-management education and support interventions for adults with type 2 diabetes using digital technology: A scoping review - Report - MDSpire

Characteristics of behavior change techniques in theory-based self-management education and support interventions for adults with type 2 diabetes using digital technology: A scoping review

  • By

  • EunSeok Cha

  • Meihua Ji

  • Colleen Dawkins

  • Xiaoyan Qi

  • Hyesun Jang

  • Melissa Spezia Faulkner

  • May 30, 2026

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Clinical Report: Exploring Behavior Change Techniques in Digital Self-Management Education

Overview

This scoping review identifies behavioral techniques used in digital diabetes self-management education and support (DSME/S) interventions for adults with type 2 diabetes (T2D). It highlights the importance of integrating theory-driven approaches to enhance engagement and effectiveness in diabetes care.

Background

Diabetes is a significant global health concern, with self-management education being crucial for improving health outcomes in individuals with T2D. Digital DSME/S programs are increasingly popular due to their potential to enhance accessibility and convenience. However, patient engagement in these programs remains a challenge, necessitating a focus on behavioral strategies to improve participation and outcomes.

Data Highlights

No numerical data was provided in the source material.

Key Findings

  • Digital DSME/S interventions can improve diabetes knowledge and glycemic control.
  • Behavioral interventions should address both individual and societal determinants of health.
  • Emotional responses and context-driven decision-making are critical in shaping health behaviors.
  • There is a need for person-centered digital interventions tailored to specific populations.
  • Few studies have provided detailed guidance on designing effective digital DSME/S interventions.

Clinical Implications

Clinicians should consider integrating digital technologies into DSME/S programs while ensuring they are tailored to the needs of diverse patient populations. Understanding the behavioral and psychosocial factors influencing patient engagement can enhance the effectiveness of these interventions.

Conclusion

The review underscores the necessity of employing theory-driven behavioral strategies in digital DSME/S interventions to improve engagement and health outcomes for individuals with T2D.

Related Resources & Content

  1. Journal of Medical Internet Research, 2026 -- A Stepped Care Approach to Promoting Engagement in a Digital Health Intervention: Secondary Analysis of a Randomized Controlled Trial
  2. Frontiers in Medicine, 2026 -- When behavior does not predict glycemic control in older adults with type 2 diabetes: evidence from Lao PDR
  3. DIGITAL HEALTH, 2026 -- Developing an expanded version of My Diabetes Care in English and Spanish: A design and formative usability study
  4. BMC Endocrine Disorders, 2026 -- Effects of digital and remote exercise interventions on HbA1c in type 2 diabetes: a systematic review and network meta-analysis
  5. Clinical efficacy and cost-effectiveness analysis of mobile health interventions in diabetes care: a systematic review and meta-analysis | Scientific Reports, 2026
  6. ADA Standards of Care in Diabetes—2026
  7. Clinical efficacy and cost-effectiveness analysis of mobile health interventions in diabetes care: a systematic review and meta-analysis | Scientific Reports
  8. Journal of Medical Internet Research - A Digital Diabetes Self-Management Education and Support Program Integrated With Continuous Glucose Monitoring for Type 2 Diabetes: Randomized Controlled Trial

Original Source(s)

Characteristics of behavior change techniques in theory-based self-management education and support interventions for adults with type 2 diabetes using digital technology: A scoping review

  • by EunSeok Cha, Meihua Ji, Colleen Dawkins, Xiaoyan Qi, Hyesun Jang, Melissa Spezia Faulkner

  • May 30, 2026

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