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Behavior change in a lifestyle intervention for type 2 diabetes prevention in Dutch primary care: opportunities for intervention content

Overview of attention for article published in BMC Primary Care, June 2013
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Title
Behavior change in a lifestyle intervention for type 2 diabetes prevention in Dutch primary care: opportunities for intervention content
Published in
BMC Primary Care, June 2013
DOI 10.1186/1471-2296-14-78
Pubmed ID
Authors

Paulina WA Vermunt, Ivon EJ Milder, Frits Wielaard, Caroline A Baan, Jos DM Schelfhout, Gert P Westert, Hans AM van Oers

Abstract

BACKGROUND: Despite the favorable effects of behavior change interventions on diabetes risk, lifestyle modification is a complicated process. In this study we therefore investigated opportunities for refining a lifestyle intervention for type 2 diabetes prevention, based on participant perceptions of behavior change progress. METHODS: A 30 month intervention was performed in Dutch primary care among high-risk individuals (FINDRISC-score >= 13) and was compared to usual care. Participant perceptions of behavior change progress for losing weight, dietary modification, and increasing physical activity were assessed after18 months with questionnaires. Based on the response, participants were categorized as 'planners', 'initiators' or 'achievers' and frequencies were evaluated in both study groups. Furthermore, participants reported on barriers for lifestyle change. RESULTS: In both groups, around 80% of all participants (intervention: N = 370; usual care: N = 322) planned change. Except for reducing fat intake (p = 0.08), the number of initiators was significantly higher in the intervention group than in usual care. The percentage of achievers was high for the dietary and exercise objectives (intervention: 81--95%; usual care: 83--93%), but was lower for losing weight (intervention: 67%; usual care: 62%). Important motivational barriers were 'I already meet the standards' and 'I'm satisfied with my current behavior'. Temptation to snack, product taste and lack of time were important volitional barriers. CONCLUSIONS: The results suggest that the intervention supports participants to bridge the gap between motivation and action. Several opportunities for intervention refinement are however revealed, including more stringent criteria for participant inclusion, tools for (self)-monitoring of health, emphasis on the 'small-step-approach', and more attention for stimulus control.Trial registrationNetherlands Trial Register: NTR1082.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 245 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Spain 1 <1%
Australia 1 <1%
Unknown 243 99%

Demographic breakdown

Readers by professional status Count As %
Unspecified 46 19%
Student > Master 37 15%
Student > Bachelor 27 11%
Researcher 22 9%
Student > Ph. D. Student 21 9%
Other 39 16%
Unknown 53 22%
Readers by discipline Count As %
Medicine and Dentistry 50 20%
Unspecified 46 19%
Nursing and Health Professions 34 14%
Sports and Recreations 16 7%
Psychology 15 6%
Other 27 11%
Unknown 57 23%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 10 June 2013.
All research outputs
#20,653,708
of 25,371,288 outputs
Outputs from BMC Primary Care
#1,953
of 2,359 outputs
Outputs of similar age
#159,690
of 209,830 outputs
Outputs of similar age from BMC Primary Care
#37
of 44 outputs
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