Time for a Reframe: Shifting Focus From Continuous Glucose Monitor Uptake to Sustainable Use to Optimize Outcomes

Area of Science:

• Diabetes Management
• Health Behavior
• Medical Technology Adoption

Background:

• Continuous glucose monitors (CGMs) enhance glycemic control and quality of life for individuals with diabetes.
• Current focus is on CGM initiation and uptake, with limited understanding of sustained use.
• The role of individual goals in long-term CGM adherence is under-explored.

Purpose of the Study:

• To apply the Information-Motivation-Behavioral Skills (IMB) model to understand sustained CGM use.
• To propose a person-centered, dynamic perspective on CGM self-management.
• To highlight how predictors of optimal CGM use differ based on individual goals.

Main Methods:

• Utilized the Information-Motivation-Behavioral Skills (IMB) model as a theoretical framework.
• Adopted a person-centered approach to analyze CGM use.
• Examined CGM use as an ongoing self-management behavior.

Main Results:

• The Information-Motivation-Behavioral Skills (IMB) model provides a framework for understanding sustained CGM use.
• Individual goals for using CGMs significantly influence the factors predicting optimal use.
• A dynamic, person-centered perspective is crucial for effective CGM support.

Conclusions:

• Sustaining CGM use is a complex behavior influenced by individual goals.
• Identifying and articulating personal CGM use goals is essential for tailoring education and support.
• Future interventions should focus on person-specific needs to promote long-term CGM adherence and benefits.