Socio-economic factors, mood, primary care utilization, and quality of life as predictors of intervention cessation and chronic stress in a type 2 diabetes prevention intervention (PREVIEW Study)
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
Standard
Socio-economic factors, mood, primary care utilization, and quality of life as predictors of intervention cessation and chronic stress in a type 2 diabetes prevention intervention (PREVIEW Study). / Huttunen-Lenz, Maija; Raben, Anne; Adam, Tanja; Macdonald, Ian; Taylor, Moira A.; Stratton, Gareth; Mackintosh, Kelly; Martinez, J. Alfredo; Handjieva-Darlenska, Teodora; Bogdanov, Georgi Assenov; Poppitt, Sally D.; Silvestre, Marta P.; Fogelholm, Mikael; Jalo, Elli; Brand-Miller, Jennie; Muirhead, Roslyn; Schlicht, Wolfgang.
I: BMC Public Health, Bind 23, Nr. 1, 1666, 2023.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - Socio-economic factors, mood, primary care utilization, and quality of life as predictors of intervention cessation and chronic stress in a type 2 diabetes prevention intervention (PREVIEW Study)
AU - Huttunen-Lenz, Maija
AU - Raben, Anne
AU - Adam, Tanja
AU - Macdonald, Ian
AU - Taylor, Moira A.
AU - Stratton, Gareth
AU - Mackintosh, Kelly
AU - Martinez, J. Alfredo
AU - Handjieva-Darlenska, Teodora
AU - Bogdanov, Georgi Assenov
AU - Poppitt, Sally D.
AU - Silvestre, Marta P.
AU - Fogelholm, Mikael
AU - Jalo, Elli
AU - Brand-Miller, Jennie
AU - Muirhead, Roslyn
AU - Schlicht, Wolfgang
N1 - Publisher Copyright: © 2023, BioMed Central Ltd., part of Springer Nature.
PY - 2023
Y1 - 2023
N2 - Background: Sedentary lifestyle and unhealthy diet combined with overweight are risk factors for type 2 diabetes (T2D). Lifestyle interventions with weight-loss are effective in T2D-prevention, but unsuccessful completion and chronic stress may hinder efficacy. Determinants of chronic stress and premature cessation at the start of the 3-year PREVIEW study were examined. Methods: Baseline Quality of Life (QoL), social support, primary care utilization, and mood were examined as predictors of intervention cessation and chronic stress for participants aged 25 to 70 with prediabetes (n = 2,220). Moderating effects of sex and socio-economic status (SES) and independence of predictor variables of BMI were tested. Results: Participants with children, women, and higher SES quitted intervention earlier than those without children, lower SES, and men. Lower QoL, lack of family support, and primary care utilization were associated with cessation. Lower QoL and higher mood disturbances were associated with chronic stress. Predictor variables were independent (p ≤.001) from BMI, but moderated by sex and SES. Conclusions: Policy-based strategy in public health should consider how preventive interventions may better accommodate different individual states and life situations, which could influence intervention completion. Intervention designs should enable in-built flexibility in delivery enabling response to individual needs. Trial registration: ClinicalTrials.gov Identifier: NCT01777893.
AB - Background: Sedentary lifestyle and unhealthy diet combined with overweight are risk factors for type 2 diabetes (T2D). Lifestyle interventions with weight-loss are effective in T2D-prevention, but unsuccessful completion and chronic stress may hinder efficacy. Determinants of chronic stress and premature cessation at the start of the 3-year PREVIEW study were examined. Methods: Baseline Quality of Life (QoL), social support, primary care utilization, and mood were examined as predictors of intervention cessation and chronic stress for participants aged 25 to 70 with prediabetes (n = 2,220). Moderating effects of sex and socio-economic status (SES) and independence of predictor variables of BMI were tested. Results: Participants with children, women, and higher SES quitted intervention earlier than those without children, lower SES, and men. Lower QoL, lack of family support, and primary care utilization were associated with cessation. Lower QoL and higher mood disturbances were associated with chronic stress. Predictor variables were independent (p ≤.001) from BMI, but moderated by sex and SES. Conclusions: Policy-based strategy in public health should consider how preventive interventions may better accommodate different individual states and life situations, which could influence intervention completion. Intervention designs should enable in-built flexibility in delivery enabling response to individual needs. Trial registration: ClinicalTrials.gov Identifier: NCT01777893.
KW - Adherence
KW - Diabetes Mellitus
KW - Drop out
KW - Health Behaviors
KW - Lifestyle
KW - Overweight
KW - Prevention
KW - Quality of Life
KW - Stress
U2 - 10.1186/s12889-023-16569-9
DO - 10.1186/s12889-023-16569-9
M3 - Journal article
C2 - 37649005
AN - SCOPUS:85169230611
VL - 23
JO - BMC Public Health
JF - BMC Public Health
SN - 1471-2458
IS - 1
M1 - 1666
ER -
ID: 389603548