TY - JOUR

T1 - PREVIEW study - influence of a behavior modification intervention (PREMIT) in over 2300 people with pre-diabetes: intention, self-efficacy and outcome expectancies during the early phase of a lifestyle intervention

AU - Huttunen-Lenz, Maija

AU - Hansen, Sylvia

AU - Christensen, Pia

AU - Larsen, Thomas Meinert

AU - Sandø-Pedersen, Finn

AU - Drummen, Mathijs

AU - Adam, Tanja C

AU - Macdonald, Ian A

AU - Taylor, Moira A

AU - Martinez, J Alfredo

AU - Navas-Carretero, Santiago

AU - Handjiev, Svetoslav

AU - Poppitt, Sally D

AU - Silvestre, Marta P

AU - Fogelholm, Mikael

AU - Pietiläinen, Kirsi H

AU - Brand-Miller, Jennie

AU - Berendsen, Agnes A M

AU - Raben, Anne

AU - Schlicht, Wolfgang

N1 - CURIS 2018 NEXS 310

PY - 2018

Y1 - 2018

N2 - Purpose: Onset of type 2 diabetes (T2D) is often gradual and preceded by impaired glucose homeostasis. Lifestyle interventions including weight loss and physical activity may reduce the risk of developing T2D, but adherence to a lifestyle change is challenging. As part of an international T2D prevention trial (PREVIEW), a behavior change intervention supported participants in achieving a healthier diet and physically active lifestyle. Here, our aim was to explore the influence of this behavioral program (PREMIT) on social-cognitive variables during an 8-week weight loss phase.Methods: PREVIEW consisted of an initial weight loss, Phase I, followed by a weight-maintenance, Phase II, for those achieving the 8-week weight loss target of ≥ 8% from initial bodyweight. Overweight and obese (BMI ≥25 kg/m2) individuals aged 25 to 70 years with confirmed pre-diabetes were enrolled. Uni- and multivariate statistical methods were deployed to explore differences in intentions, self-efficacy, and outcome expectancies between those whoachieved the target weight loss (“achievers”) and those who did not (“non-achievers”).Results: At the beginning of Phase I, no significant differences in intentions, self-efficacy and outcome expectancies between “achievers” (1,857) and “non-achievers” (163) were found. “Non-achievers” tended to be younger, live with child/ren, and attended the PREMIT sessions less frequently. At the end of Phase I, “achievers” reported higher intentions (healthy eating χ2(1)=2.57; P <0.008, exercising χ2(1)=0.66; P <0.008), self-efficacy (F(2; 1970)=10.27, P <0.005),and were more positive about the expected outcomes (F(4; 1968)=11.22, P <0.005).Conclusion: Although statistically significant, effect sizes observed between the two groups were small. Behavior change, however, is multi-determined. Over a period of time, even small differences may make a cumulative effect. Being successful in behavior change requires that the “new” behavior is implemented time after time until it becomes a habit. Therefore, having even slightly higher self-efficacy, positive outcome expectancies and intentions may over time result in considerably improved chances to achieve long-term lifestyle changes.

AB - Purpose: Onset of type 2 diabetes (T2D) is often gradual and preceded by impaired glucose homeostasis. Lifestyle interventions including weight loss and physical activity may reduce the risk of developing T2D, but adherence to a lifestyle change is challenging. As part of an international T2D prevention trial (PREVIEW), a behavior change intervention supported participants in achieving a healthier diet and physically active lifestyle. Here, our aim was to explore the influence of this behavioral program (PREMIT) on social-cognitive variables during an 8-week weight loss phase.Methods: PREVIEW consisted of an initial weight loss, Phase I, followed by a weight-maintenance, Phase II, for those achieving the 8-week weight loss target of ≥ 8% from initial bodyweight. Overweight and obese (BMI ≥25 kg/m2) individuals aged 25 to 70 years with confirmed pre-diabetes were enrolled. Uni- and multivariate statistical methods were deployed to explore differences in intentions, self-efficacy, and outcome expectancies between those whoachieved the target weight loss (“achievers”) and those who did not (“non-achievers”).Results: At the beginning of Phase I, no significant differences in intentions, self-efficacy and outcome expectancies between “achievers” (1,857) and “non-achievers” (163) were found. “Non-achievers” tended to be younger, live with child/ren, and attended the PREMIT sessions less frequently. At the end of Phase I, “achievers” reported higher intentions (healthy eating χ2(1)=2.57; P <0.008, exercising χ2(1)=0.66; P <0.008), self-efficacy (F(2; 1970)=10.27, P <0.005),and were more positive about the expected outcomes (F(4; 1968)=11.22, P <0.005).Conclusion: Although statistically significant, effect sizes observed between the two groups were small. Behavior change, however, is multi-determined. Over a period of time, even small differences may make a cumulative effect. Being successful in behavior change requires that the “new” behavior is implemented time after time until it becomes a habit. Therefore, having even slightly higher self-efficacy, positive outcome expectancies and intentions may over time result in considerably improved chances to achieve long-term lifestyle changes.

KW - Faculty of Science

KW - Diabetes mellitus

KW - Weight loss

KW - Goals

KW - Habits

KW - Cognition

U2 - 10.2147/PRBM.S160355

DO - 10.2147/PRBM.S160355

M3 - Journal article

C2 - 30254498

VL - 11

SP - 383

EP - 394

JO - Psychology Research and Behavior Management

JF - Psychology Research and Behavior Management

SN - 1179-1578

ER -