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Identifying barriers to lifestyle modification through evaluation of a community-based diabetes prevention program

Krancevich, Katie (2016) Identifying barriers to lifestyle modification through evaluation of a community-based diabetes prevention program. Master Essay, University of Pittsburgh.

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Obesity and its associated chronic diseases substantially decrease life expectancy and quality of life. Research such as the Diabetes Prevention Program (DPP), a large national clinical trial, has shown that modification of lifestyle factors, particularly through moderate weight loss, reduced fat and calorie intake, and increased physical activity significantly reduces the risk factors for obesity, type 2 diabetes, and cardiovascular disease. Due to the success of the DPP, a group-based version of the DPP lifestyle intervention, the Group Lifestyle Balance Program (GLB), was developed to administer in community settings. Maintaining the lifestyle goals of the GLB is important for long-term participant success and disease prevention. The purpose of this project was to identify important barriers that inhibit participants from maintaining healthy lifestyle changes following completion of the GLB community intervention. The GLB Program was delivered at two community sites as part of a student learning practicum, which involved twelve weekly group meetings. At the conclusion of the program, participants were asked to complete a survey examining their self-monitoring habits, opinions of the GLB program, and personal barriers to sustaining lifestyle change. Descriptive statistics, including ranking of barrier factors, were used to identity which factors impede long-term participant success. A total of sixteen participants took part in the program and twelve agreed to complete the survey. Most participants reported the completion of daily self-monitoring, of weight and food intake, but less than half reported daily physical activity monitoring. Lack of self-motivation and time were both ranked highest among barriers that prevented participants from reaching and/or maintaining healthy eating and physical activity goals. Personal barriers identified through this survey project, such as lack of self-motivation and time, were consistent with previous literature regarding long-term weight loss maintenance. PUBLIC HEALTH STATEMENT: Future lifestyle intervention studies can use this knowledge of common barriers to improve participant goal achievement and long-term healthy lifestyle maintenance.


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Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Krancevich, Katiekak274@pitt.eduKAK274
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairGlynn, Nancyglynnn@edc.pitt.eduGLYNNNNUNSPECIFIED
Committee MemberKramer, Kayekramerk@edc.pitt.eduKRAMERKUNSPECIFIED
Committee MemberElias, Thistleelias@pitt.eduELIASUNSPECIFIED
Date: 13 April 2016
Date Type: Publication
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Publisher: University of Pittsburgh
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Epidemiology
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Date Deposited: 07 Sep 2016 19:46
Last Modified: 18 Apr 2023 10:55


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