Skip to main content
Original Article

The PREVIEW Study

Supporting Behavior Change in an International Intervention Study Among Participants With Pre-Diabetes

Published Online:https://doi.org/10.1027/2512-8442/a000026

Abstract. Individuals at risk of Type 2 Diabetes are advised to change health habits. This study investigated how the PREMIT behavior modification intervention and its association with socio-economic variables influenced weight maintenance and habit strength in the PREVIEW study. Overweight adults with pre-diabetes were enrolled (n = 2,224) in a multi-center RCT including a 2-month weight-loss phase and a 34-month weight-maintenance phase for those who lost ≥ 8% body weight. Initial stages of the PREMIT covered the end of weight-loss and the beginning of weight-maintenance phase (18 weeks). Cross-sectional and longitudinal data were explored. Frequent PREMIT sessions attendance, being female, and lower habit strength for poor diet were associated with lower weight re-gain. Being older and not in employment were associated with lower habit strength for physical inactivity. The PREMIT appeared to support weight loss maintenance. Younger participants, males, and those in employment appeared to struggle more with inactivity habit change and weight maintenance.

References

  • Alouki, K., Delisle, H., Bermúdez-Tamayo, C., & Johri, M. (2016). Lifestyle interventions to prevent type 2 diabetes: A systematic review of economic evaluation studies. Journal of Diabetes Research, 2016, 2159890. https://doi.org/10.1155/2016/2159890 First citation in articleCrossrefGoogle Scholar

  • American Diabetes Association. (2011). Standards of medical care in diabetes – 2011. Diabetes Care, 34(Supplement 1), S11–S61. https://doi.org/10.2337/dc11-S011 First citation in articleCrossrefGoogle Scholar

  • Bandura, A. (1996). Social cognitive theory of human development. In T. HusenT. N. PostlethwaiteEds., International Encyclopedia of Education (2nd ed., pp. 5513–5518). Oxford, UK: Pergamon Press. First citation in articleGoogle Scholar

  • de Vries, H., Eggers, S. M., Lechner, L., Van Osch, L., & Van Stralen, M. M. (2014). Predicting fruit consumption: The role of habits, previous behavior and mediation effects. BMC Public Health, 14, 730. https://doi.org/10.1186/1471-2458-14-730 First citation in articleCrossrefGoogle Scholar

  • Duclos, M., Dejager, S., Postel-vinay, N., Nicola, S., & Quéré, S. (2015). Physical activity in patients with type 2 diabetes and hypertension – insights into motivations and barriers from the MOBILE study. Vascular Health and Risk Management, 11, 361–371. https://doi.org/10.2147/VHRM.S84832 First citation in articleGoogle Scholar

  • ESS. (2015). European Social Survey (2015) ESS Round 7 (2014/2015). London, UK: ESS (Technical report). Retrieved from https://www.europeansocialsurvey.org/docs/about/annualreports/ESS-ERIC-Annual-Activity-Report-2014-2015.pdf First citation in articleGoogle Scholar

  • Field, A. (2013). Discovering Statistics using IBM SPSS Statistics (4th ed.). New Delhi: SAGE Publications. First citation in articleGoogle Scholar

  • Fishbein, M., Triandis, H. C., Kanfer, F. H., Becker, M., Middlestadt, S. E., & Eichler, A. (2001). Factors influencing behavior and behavior change. In A. BaumT. A. RevensonJ. E. SingerEds., Handbook of health psychology (pp. 3–17). Mahwah, NJ: Erlbaum. First citation in articleGoogle Scholar

  • Fogelholm, M., Larsen, T., Westerterp-Plantenga, M., Macdonald, I., Martinez, J., Boyadjieva, N., … Raben, A. (2017). PREVIEW: Prevention of Diabetes through Lifestyle Intervention and Population Studies in Europe and around the World. Design, methods, and baseline participant description of an adult cohort enrolled into a three-year randomised clinical trial. Nutrients, 9, 632. https://doi.org/10.3390/nu9060632 First citation in articleCrossrefGoogle Scholar

  • Følling, I. S., Solbjør, M., & Helvik, A.-S. (2015). Previous experiences and emotional baggage as barriers to lifestyle change – a qualitative study of Norwegian Healthy Life Centre participants. BMC Family Practice, 16, 73. https://doi.org/10.1186/s12875-015-0292-z First citation in articleCrossrefGoogle Scholar

  • Gardner, B. (2012). Habit as automaticity, not frequency. European Health Psychologist, 14, 32–36. https://doi.org/10.1111/j.1559-1816.2003.tb01951.x First citation in articleGoogle Scholar

  • Gardner, B., Corbridge, S., & McGowan, L. (2015). Do habits always override intentions? Pitting unhealthy snacking habits against snack-avoidance intentions. BMC Psychology, 3, 8. https://doi.org/10.1186/s40359-015-0065-4 First citation in articleCrossrefGoogle Scholar

  • Gardner, B., Lally, P., & Wardle, J. (2012). Making health habitual: the psychology of “habit-formation” and general practice. The British Journal of General Practice, 62, 664–666. https://doi.org/10.3399/bjgp12X659466 First citation in articleCrossrefGoogle Scholar

  • Goode, R. W., Ye, L., Sereika, S. M., Zheng, Y., Mattos, M., Acharya, S. D., … Burke, L. E. (2016). Socio-demographic, anthropometric, and psychosocial predictors of attrition across behavioral weight-loss trials. Eating Behaviors, 20, 27–33. https://doi.org/10.1016/j.eatbeh.2015.11.009 First citation in articleCrossrefGoogle Scholar

  • Guariguata, L., Whiting, D. R., Hambleton, I., Beagley, J., Linnenkamp, U., & Shaw, J. E. (2014). Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Research and Clinical Practice, 103, 137–149. https://doi.org/10.1016/j.diabres.2013.11.002 First citation in articleCrossrefGoogle Scholar

  • Howell, D. C. (1997). Statistical methods for psychology (4th ed.). Stamford, CT: International Thomson Publishing. First citation in articleGoogle Scholar

  • Ji, M., & Wood, W. (2007). Habitual purchase and consumption: Not always what you intend. Journal of Consumer Psychology, 17, 261–276. https://doi.org/10.1016/S1057-7408(07)70037-2 First citation in articleCrossrefGoogle Scholar

  • Kahlert, D., Unyi-Reicherz, A., Stratton, G., Meinert Larsen, T., Fogelholm, M., Raben, A., & Schlicht, W. (2016). PREVIEW Behavior Modification Intervention Toolbox (PREMIT): A Study Protocol for a Psychological Element of a Multicenter Project. Frontiers in Psychology, 7, 1136. https://doi.org/10.3389/fpsyg.2016.01136 First citation in articleCrossrefGoogle Scholar

  • Labrecque, J. S., & Wood, W. (2015). What measures of habit strength to use? Comment on Gardner (2015). Health Psychology Review, 9, 303–310. https://doi.org/10.1080/17437199.2014.992030 First citation in articleCrossrefGoogle Scholar

  • Lally, P., & Gardner, B. (2013). Promoting habit formation. Health Psychology Review, 7(sup1), 137–158. https://doi.org/10.1080/17437199.2011.603640 First citation in articleCrossrefGoogle Scholar

  • Lenhard, W., & Lenhard, A. (2016). Calculation of Effect Sizes. Dettelbach, Germany: Psychometrica. Retrieved from https://www.psychometrica.de/effect_size.html. https://doi.org/10.13140/RG.2.1.3478.4245 First citation in articleGoogle Scholar

  • Marques-Vidal, P., Waeber, G., Vollenweider, P., Bochud, M., Stringhini, S., & Guessous, I. (2015). Sociodemographic and behavioural determinants of a healthy diet in switzerland. Annals of Nutrition and Metabolism, 67, 87–95. https://doi.org/10.1159/000437393 First citation in articleCrossrefGoogle Scholar

  • Mesters, I., Wahl, S., & Van Keulen, H. M. (2014). Socio-demographic, medical and social-cognitive correlates of physical activity behavior among older adults (45–70 years): A cross-sectional study. BMC Public Health, 14, 1–12. https://doi.org/10.1186/1471-2458-14-647 First citation in articleCrossrefGoogle Scholar

  • Michie, S., Johnston, M., Francis, J., Hardeman, W., & Eccles, M. (2008). From theory to intervention: Mapping theoretically derived behavioural determinants to behaviour change techniques. Applied Psychology, 57, 660–680. https://doi.org/10.1111/j.1464-0597.2008.00341.x First citation in articleCrossrefGoogle Scholar

  • Phillips, L. A., & Gardner, B. (2016). Habitual exercise instigation (vs. execution) predicts healthy adults exercise frequency. Health Psychology, 35, 69–77. https://doi.org/10.1037/hea0000249 First citation in articleCrossrefGoogle Scholar

  • Prochaska, J. O., & DiClemente, C. C. (1992). Stages of change in the modification of problem behaviors. In M. HersenR. M. EislerP. MillerEds., Progress on behavior modification (pp. 184–214). Sycamore, IL: Sycamore Press. First citation in articleGoogle Scholar

  • Renner, B., & Schwarzer, R. (2005). Risk and Health Behaviors – Documentation of the Scales of the Research Project: “Risk Appraisal Consequences in Korea” (RACK). Bremen, Berlin: International University Bremen & Freie Universität Berlin. Retrieved from http://www.gesundheitsrisiko.de/docs/RACKEnglish.pdf First citation in articleGoogle Scholar

  • Ryan, R., & Deci, E. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55, 68–78. https://doi.org/10.1037/0003-066X.55.1.68 First citation in articleCrossrefGoogle Scholar

  • Ryan, R. M., Patrick, H., Deci, E. L., & Williams, G. C. (2008). Facilitating health behaviour change and its maintenance: Interventions based on Self-Determination Theory. The European Health Psychologist, 10, 2–5. First citation in articleGoogle Scholar

  • Schwarzer, R. (2001). Social-cognitive factors in changing health-related behaviors. Current Directions in Psychological Science, 10, 47–51. https://doi.org/10.1111/1467-8721.00112 First citation in articleCrossrefGoogle Scholar

  • Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics, international student edition (4th ed.). Boca Raton, FL: Allyn & Bacon. First citation in articleGoogle Scholar

  • Tamayo, T., Rosenbauer, J., Wild, S. H., Spijkerman, A. M. W., Baan, C., Forouhi, N. G., … Rathmann, W. (2014). Diabetes in Europe: An update. Diabetes Research and Clinical Practice, 103, 206–217. https://doi.org/10.1016/j.diabres.2013.11.007 First citation in articleCrossrefGoogle Scholar

  • Verhoeven, A. A. C., Adriaanse, M. A., Evers, C., & De Ridder, D. T. D. (2012). The power of habits: Unhealthy snacking behaviour is primarily predicted by habit strength. British Journal of Health Psychology, 17, 758–770. https://doi.org/10.1111/j.2044-8287.2012.02070.x First citation in articleCrossrefGoogle Scholar

  • Williams, R. L., Wood, L. G., Collins, C. E., & Callister, R. (2015). Effectiveness of weight loss interventions – is there a difference between men and women: A systematic review. Obesity Reviews, 16, 171–186. https://doi.org/10.1111/obr.12241 First citation in articleCrossrefGoogle Scholar

  • Wood, W., Tam, L., & Guerrero Witt, M. (2005). Changing circumstances, disrupting habits. Journal of Personality and Social Psychology, 88, 918–933. https://doi.org/10.1037/0022-3514.88.6.918 First citation in articleCrossrefGoogle Scholar