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Annals of Behavioral Medicine
Published in: Annals of Behavioral Medicine 2/2009

01-10-2009 | Rapid Communication

Socioeconomic Status and Psychosocial Mechanisms of Lifestyle Change in a Type 2 Diabetes Prevention Trial

Authors: Nelli Hankonen, M. Soc. Sc., Pilvikki Absetz, D.Psych., Ari Haukkala, Ph.D., Antti Uutela, Ph.D.

Published in: Annals of Behavioral Medicine | Issue 2/2009

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Abstract

Background

Little is known about psychosocial mechanisms that may underlie differences in lifestyle change between socioeconomic groups.

Purpose

The purpose of this study is to examine how educational level influences middle-aged participants’ (N = 385) psychosocial responses to the GOAL Lifestyle Implementation Trial.

Methods

The measurements of self-efficacy and planning for healthy lifestyle were conducted pre-intervention (T1) and post-intervention (T2, 3 months), and measurements of exercise and healthy eating as outcomes at T1 and at 12 months (T3).

Results

Psychosocial determinants at T1 and their T1–T2 changes were mostly similar, irrespective of educational levels. Exercise barriers self-efficacy was enhanced slightly less (p = 0.08) among the low-SES. T2 levels as well as pre–post-intervention changes in exercise self-efficacy predicted 12-month changes in exercise, and T2 diet coping planning predicted changes in dietary fat intake. The associations were similar across all SES groups.

Conclusions

Enhancing self-efficacy and planning is similarly effective among intervention participants regardless of education level.
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Metadata
Title
Socioeconomic Status and Psychosocial Mechanisms of Lifestyle Change in a Type 2 Diabetes Prevention Trial
Authors
Nelli Hankonen, M. Soc. Sc.
Pilvikki Absetz, D.Psych.
Ari Haukkala, Ph.D.
Antti Uutela, Ph.D.
Publication date
01-10-2009
Publisher
Springer-Verlag
Published in
Annals of Behavioral Medicine / Issue 2/2009
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-009-9144-1

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