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Whereas strong evidence supports the role of lifestyle modification in the prevention and management of T2D, we lack a clear understanding of best strategies for dietary and physical activity behaviour promotion among adults with T2D within primary care.

Current clinical practice guidelines are based on resource laden, one-to-one individual and clinically-based approaches to lifestyle modification, with limited theoretical grounding for recommended health behaviour change.

Furthermore, numerous barriers exist for the primary care physicians to direct counseling for lifestyle modification. Consequently, little guidance is available for practical, sustainable, economically viable solutions, with limited evidence of long-term efficacy and efficiency.

Healthy Eating and Active Living for Diabetes (HEALD)
Economic Evaluation of Population-based Diabetes Prevention Programs
Alberta Retired Teachers Association (ARTA) Diabetes Strategy