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Sociocognitive factors associated with lifestyle intervention attrition after successful weight loss among participants with prediabetes—The PREVIEW study
Author(s) -
HuttunenLenz Maija,
Raben Anne,
MeinertLarsen Thomas,
Drummen Mathijs,
Macdonald Ian,
Martínez José Alfredo,
HandjievaDarlenska Teodora,
Poppitt Sally D.,
Jalo Elli,
Muirhead Roslyn,
Schlicht Wolfgang
Publication year - 2020
Publication title -
public health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.471
H-Index - 55
eISSN - 1525-1446
pISSN - 0737-1209
DOI - 10.1111/phn.12718
Subject(s) - attrition , prediabetes , psychological intervention , ethnic group , gerontology , psychology , cluster (spacecraft) , intervention (counseling) , medicine , clinical psychology , demography , diabetes mellitus , type 2 diabetes , psychiatry , dentistry , sociology , anthropology , computer science , programming language , endocrinology
Abstract Introduction Major risk factors for type 2 diabetes are lifestyle choices such as lack of physical activity (PA) and poor diet. Many individuals either do not take part or struggle to complete interventions supporting lifestyle changes. Demographic and theory‐based sociocognitive factors associated with PREVIEW intervention attrition after successful weight loss were examined. Methods Participants (1,856) who started the weight maintenance phase after completion of low‐energy diet were retrospectively divided into three clusters depending on the point they left the trial. Discriminant analysis examined which demographic and theory‐based sociocognitive variables were associated with cluster membership. Results Most of the participants were women and well‐educated. Two discriminant functions were calculated ( χ 2 (24) = 247.0, p ≥ .05, d = 0.78). The demographic variables, such as age and ethnicity, and the social cognitive variable outcome expectancies on the other side were associated with cluster membership. Older age, Caucasian ethnicity, and fewer expected disadvantages of PA were associated with high success. Discussion The discriminant model gave insight into some factors associated with early attrition. For practitioners planning interventions it underlines the necessity to take extra attention to younger participants and to those being afraid that being physically active causes unpleasant ramifications.