V Nilsen1, P S Bakke2, G Rohde3, F Gallefoss4. 1. Department of Clinical Research, Sorlandet Hospital Kristiansand, Sorlandet Hospital HF, 4604 Kristiansand, Norway. Electronic address: vegard.nilsen@sshf.no. 2. Clinical Institute 2, University of Bergen, Norway. Electronic address: per.bakke@med.uib.no. 3. Department of Clinical Research, Sorlandet Hospital Kristiansand, Sorlandet Hospital HF, 4604 Kristiansand, Norway; Faculty of Health and Sport Sciences, University of Agder, Norway. Electronic address: Gudrun.rohde@sshf.no. 4. Department of Clinical Research, Sorlandet Hospital Kristiansand, Sorlandet Hospital HF, 4604 Kristiansand, Norway. Electronic address: frode.gallefoss@sshf.no.
Abstract
OBJECTIVE: To determine whether the sense of coherence (SOC) could predict the outcome of an 18-month lifestyle intervention program for subjects at risk of type 2 diabetes. METHODS:Subjects at high risk of type 2 diabetes mellitus were recruited to a low-intensity lifestyle intervention program by their general practitioners. Weight reduction ≥ 5% and improvement in exercise capacity of ≥ 10% from baseline to follow-up indicated a clinically significant lifestyle change. SOC was measured using the 13-item SOC questionnaire. RESULTS: The study involved 213 subjects with a mean body mass index of 37 (SD ± 6). Complete follow-up data were obtained for 131 (62%). Twenty-six participants had clinically significant lifestyle changes. There was a 21% increase in the odds of a clinically significant lifestyle change for each point increase in the baseline SOC score (odds ratio = 1.21; confidence interval = 1.11-1.32). The success rate was 14 times higher in the highest SOC score tertile group compared with the lowest. CONCLUSION:High SOC scores were good predictors of successful lifestyle change in subjects at risk of type 2 diabetes. SOC-13 can be used in daily practice to increase clinical awareness on the impact of mastery on the outcome of life-style intervention programs.
RCT Entities:
OBJECTIVE: To determine whether the sense of coherence (SOC) could predict the outcome of an 18-month lifestyle intervention program for subjects at risk of type 2 diabetes. METHODS: Subjects at high risk of type 2 diabetes mellitus were recruited to a low-intensity lifestyle intervention program by their general practitioners. Weight reduction ≥ 5% and improvement in exercise capacity of ≥ 10% from baseline to follow-up indicated a clinically significant lifestyle change. SOC was measured using the 13-item SOC questionnaire. RESULTS: The study involved 213 subjects with a mean body mass index of 37 (SD ± 6). Complete follow-up data were obtained for 131 (62%). Twenty-six participants had clinically significant lifestyle changes. There was a 21% increase in the odds of a clinically significant lifestyle change for each point increase in the baseline SOC score (odds ratio = 1.21; confidence interval = 1.11-1.32). The success rate was 14 times higher in the highest SOC score tertile group compared with the lowest. CONCLUSION: High SOC scores were good predictors of successful lifestyle change in subjects at risk of type 2 diabetes. SOC-13 can be used in daily practice to increase clinical awareness on the impact of mastery on the outcome of life-style intervention programs.
Authors: Ingrid S Følling; Marit Solbjør; Kristian Midthjell; Bård Kulseng; Anne-S Helvik Journal: BMC Public Health Date: 2016-08-25 Impact factor: 3.295