IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v388y2026ics0277953625010615.html

Community and behavior maintenance: the association of community factors with behavior maintenance outcomes in people with type 2 diabetes participating in a group-based walking intervention

Author

Listed:
  • Regeer, Hannah
  • Huizing, Arjan
  • Bilo, Henk J.G.
  • de Koning, Eelco J.P.
  • Huisman, Sasja D.
  • van Empelen, Pepijn

Abstract

Community factors may play a key role in facilitating effective diabetes self-management and sustained behavior change. We investigated whether community factors are related to behavior maintenance outcomes in people with type 2 diabetes participating in a group-based walking intervention. We examined if changes in walking behavior, diabetes self-management and health outcomes are related to perceived social support and diabetes self-efficacy, and if social support is related to behavior maintenance. A longitudinal study was conducted among 528 people with type 2 diabetes participating in a 20-week group-based walking intervention with measurements at baseline, post-intervention, and three months follow-up. Multilevel linear regression and multinomial logistic regression models showed that community factors and social support were positively associated with behavior maintenance outcomes, namely intervention engagement, intention to continue walking after the intervention, and maintenance of physical activity behavior three months following the intervention. Perceived social support and diabetes self-efficacy were positively associated with changes in diabetes self-management and emotional well-being, with those experiencing initial low social support and self-efficacy benefitting most from the intervention. The results emphasize the critical role of integrating community factors and social support components in behavior change interventions in order to promote sustained engagement and behavior maintenance after the intervention.

Suggested Citation

  • Regeer, Hannah & Huizing, Arjan & Bilo, Henk J.G. & de Koning, Eelco J.P. & Huisman, Sasja D. & van Empelen, Pepijn, 2026. "Community and behavior maintenance: the association of community factors with behavior maintenance outcomes in people with type 2 diabetes participating in a group-based walking intervention," Social Science & Medicine, Elsevier, vol. 388(C).
    • Handle: RePEc:eee:socmed:v:388:y:2026:i:c:s0277953625010615
    DOI: 10.1016/j.socscimed.2025.118730
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953625010615
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2025.118730?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to

    for a different version of it.

    References listed on IDEAS

    as
    1. Legh-Jones, Hannah & Moore, Spencer, 2012. "Network social capital, social participation, and physical inactivity in an urban adult population," Social Science & Medicine, Elsevier, vol. 74(9), pages 1362-1367.
    2. Jan Koetsenruijter & Jan van Lieshout & Christos Lionis & Maria Carmen Portillo & Ivo Vassilev & Elka Todorova & Christina Foss & Manuel Serrano Gil & Ingrid Ruud Knutsen & Agapi Angelaki & Agurtzane , 2015. "Social Support and Health in Diabetes Patients: An Observational Study in Six European Countries in an Era of Austerity," PLOS ONE, Public Library of Science, vol. 10(8), pages 1-12, August.
    3. Royston, Patrick & White, Ian R., 2011. "Multiple Imputation by Chained Equations (MICE): Implementation in Stata," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 45(i04).
    4. Ajzen, Icek, 1991. "The theory of planned behavior," Organizational Behavior and Human Decision Processes, Elsevier, vol. 50(2), pages 179-211, December.
    5. Cohen, Deborah A. & Finch, Brian K. & Bower, Aimee & Sastry, Narayan, 2006. "Collective efficacy and obesity: The potential influence of social factors on health," Social Science & Medicine, Elsevier, vol. 62(3), pages 769-778, February.
    6. Wood, Lisa & Frank, Lawrence D. & Giles-Corti, Billie, 2010. "Sense of community and its relationship with walking and neighborhood design," Social Science & Medicine, Elsevier, vol. 70(9), pages 1381-1390, May.
    7. Lindström, Martin & Hanson, Bertil S. & Östergren, Per-Olof, 2001. "Socioeconomic differences in leisure-time physical activity: the role of social participation and social capital in shaping health related behaviour," Social Science & Medicine, Elsevier, vol. 52(3), pages 441-451, February.
    8. repec:plo:pone00:0012135 is not listed on IDEAS
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Egner, Lars Even & Klöckner, Christian A., 2021. "Temporal spillover of private housing energy retrofitting: Distribution of home energy retrofits and implications for subsidy policies," Energy Policy, Elsevier, vol. 157(C).
    2. Poortinga, Wouter, 2006. "Perceptions of the environment, physical activity, and obesity," Social Science & Medicine, Elsevier, vol. 63(11), pages 2835-2846, December.
    3. Maria Andersson & Ola Eriksson & Chris Von Borgstede, 2012. "The Effects of Environmental Management Systems on Source Separation in the Work and Home Settings," Sustainability, MDPI, vol. 4(6), pages 1-17, June.
    4. Tran Huy Phuong & Thanh Trung Hieu, 2015. "Predictors of Entrepreneurial Intentions of Undergraduate Students in Vietnam: An Empirical Study," International Journal of Academic Research in Business and Social Sciences, Human Resource Management Academic Research Society, International Journal of Academic Research in Business and Social Sciences, vol. 5(8), pages 46-55, August.
    5. Clara Cardone-Riportella & María José Casasola-Martinez & Isabel Feito-Ruiz, 2014. "Do Entrepreneurs Come From Venus Or Mars? Impact Of Postgraduate Studies: Gender And Family Business Background," Working Papers 14.04, Universidad Pablo de Olavide, Department of Financial Economics and Accounting (former Department of Business Administration), revised Sep 2014.
    6. Peng Cheng & Zhe Ouyang & Yang Liu, 0. "The effect of information overload on the intention of consumers to adopt electric vehicles," Transportation, Springer, vol. 0, pages 1-20.
    7. Ruijie Zhu & Guojing Zhao & Zehai Long & Yangjie Huang & Zhaoxin Huang, 2022. "Entrepreneurship or Employment? A Survey of College Students’ Sustainable Entrepreneurial Intentions," Sustainability, MDPI, vol. 14(9), pages 1-15, May.
    8. Alsalem, Amani & Fry, Marie-Louise & Thaichon, Park, 2020. "To donate or to waste it: Understanding posthumous organ donation attitude," Australasian marketing journal, Elsevier, vol. 28(3), pages 87-97.
    9. Pan, Jing Yu & Liu, Dahai, 2022. "Mask-wearing intentions on airplanes during COVID-19 – Application of theory of planned behavior model," Transport Policy, Elsevier, vol. 119(C), pages 32-44.
    10. Zhang, Kai & Cheng, Xiaoting, 2025. "Determinants of consumers’ intentions to use smart home devices from the perspective of perceived value: A mixed SEM, NCA, and fsQCA study," Journal of Retailing and Consumer Services, Elsevier, vol. 87(C).
    11. Mohammed Akhmaaj, Asmaeil Ali & Sharif, Mohamed Omar, 2024. "The effects of planned behavior model constructs and technology acceptance model constructs on online purchasing behavior: An empirical study on internet users in the Libya city of Tripoli," Technology in Society, Elsevier, vol. 79(C).
    12. Benoît Lécureux & Adrien Bonnet & Ouassim Manout & Jaâfar Berrada & Louafi Bouzouina, 2022. "Acceptance of Shared Autonomous Vehicles: A Literature Review of stated choice experiments," Working Papers hal-03814947, HAL.
    13. Jacqueline Ruth & Steffen Willwacher & Oliver Korn, 2022. "Acceptance of Digital Sports: A Study Showing the Rising Acceptance of Digital Health Activities Due to the SARS-CoV-19 Pandemic," IJERPH, MDPI, vol. 19(1), pages 1-16, January.
    14. Jariyasunant, Jerald & Carrel, Andre & Ekambaram, Venkatesan & Gaker, David & Sengupta, Raja & Walker, Joan L., 2012. "The Quantified Traveler: Changing transport behavior with personalized travel data feedback," University of California Transportation Center, Working Papers qt3047k0dw, University of California Transportation Center.
    15. Brown, Philip & Roper, Simon, 2017. "Innovation and networks in New Zealand farming," Australian Journal of Agricultural and Resource Economics, Australian Agricultural and Resource Economics Society, vol. 61(3), July.
    16. Teodora Roman, 2009. "Study regarding entrepreneurial intentions among students," THE YEARBOOK OF THE "GH. ZANE" INSTITUTE OF ECONOMIC RESEARCHES, Gheorghe Zane Institute for Economic and Social Research ( from THE ROMANIAN ACADEMY, JASSY BRANCH), vol. 18, pages 87-94.
    17. Messele Kumilachew Aga, 2023. "The mediating role of perceived behavioral control in the relationship between entrepreneurship education and entrepreneurial intentions of university students in Ethiopia," Journal of Innovation and Entrepreneurship, Springer, vol. 12(1), pages 1-18, December.
    18. Kristin Thomas & Evalill Nilsson & Karin Festin & Pontus Henriksson & Mats Lowén & Marie Löf & Margareta Kristenson, 2020. "Associations of Psychosocial Factors with Multiple Health Behaviors: A Population-Based Study of Middle-Aged Men and Women," IJERPH, MDPI, vol. 17(4), pages 1-17, February.
    19. Andreas Falke & Nadine Schröder & Claudia Hofmann, 2022. "The influence of values in sustainable consumption among millennials," Journal of Business Economics, Springer, vol. 92(6), pages 899-928, August.
    20. Kamruzzaman, Md. & Baker, Douglas & Washington, Simon & Turrell, Gavin, 2013. "Residential dissonance and mode choice," Journal of Transport Geography, Elsevier, vol. 33(C), pages 12-28.

    More about this item

    Keywords

    ;
    ;
    ;
    ;
    ;
    ;
    ;

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:388:y:2026:i:c:s0277953625010615. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.