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

  • Nelli HankonenEmail author
  • Pilvikki Absetz
  • Ari Haukkala
  • Antti Uutela
Rapid Communication

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.

Keywords

Socioeconomic status Health behavior change Self-efficacy Planning Health promotion 

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Copyright information

© The Society of Behavioral Medicine 2009

Authors and Affiliations

  • Nelli Hankonen
    • 1
    Email author
  • Pilvikki Absetz
    • 1
  • Ari Haukkala
    • 2
  • Antti Uutela
    • 1
  1. 1.Department of Lifestyle and ParticipationNational Institute for Health and WelfareHelsinkiFinland
  2. 2.Department of Social PsychologyUniversity of HelsinkiHelsinkiFinland

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