10 Fakultät Wirtschafts- und Sozialwissenschaften

Permanent URI for this collectionhttps://elib.uni-stuttgart.de/handle/11682/11

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Author: search.filters.author.Schlicht, WolfgangSubject: search.filters.subject.796

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    PREVIEW behavior modification intervention toolbox (PREMIT): a study protocol for a psychological element of a multicenter project
    (2016) Kahlert, Daniela; Unyi-Reicherz, Annelie; Stratton, Gareth; Meinert Larsen, Thomas; Fogelholm, Mikael; Raben, Anne; Schlicht, Wolfgang
    Background: Losing excess body weight and preventing weight regain by changing lifestyle is a challenging but promising task to prevent the incidence of type-2 diabetes. To be successful, it is necessary to use evidence-based and theory-driven interventions, which also contribute to the science of behavior modification by providing a deeper understanding of successful intervention components. Objective: To develop a physical activity and dietary behavior modification intervention toolbox (PREMIT) that fulfills current requirements of being theory-driven and evidence-based, comprehensively described and feasible to evaluate. PREMIT is part of an intervention trial, which aims to prevent the onset of type-2 diabetes in pre-diabetics in eight clinical centers across the world by guiding them in changing their physical activity and dietary behavior through a group counseling approach. Methods: The program development took five progressive steps, in line with the Public Health Action Cycle: (1) Summing-up the intervention goal(s), target group and the setting, (2) uncovering the generative psychological mechanisms, (3) identifying behavior change techniques and tools, (4) preparing for evaluation and (5) implementing the intervention and assuring quality. Results: PREMIT is based on a trans-theoretical approach referring to valid behavior modification theories, models and approaches. A major “product” of PREMIT is a matrix, constructed for use by onsite-instructors. The matrix includes objectives, tasks and activities ordered by periods. PREMIT is constructed to help instructors guide participants' behavior change. To ensure high fidelity and adherence of program-implementation across the eight intervention centers standardized operational procedures were defined and “train-the-trainer” workshops were held. In summary PREMIT is a theory-driven, evidence-based program carefully developed to change physical activity and dietary behaviors in pre-diabetic people.
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    Altern, Fitness, Wohlbefinden und körperliche Aktivität
    (2007) Schlicht, Wolfgang
    Während die meisten Menschen in den Industrienationen lange leben möchten, fürchten sie dennoch zugleich den biologisch bedingten und den mit dem Altern beschleunigten Abbau und Verlust an körperlicher wie geistiger Funktionstüchtigkeit. Die gerontologische und insbesondere die geronto-psychologische Forschung haben in den vergangenen Jahren überzeugende Belege gesammelt, dass das Altern – als ein epigenetisch moduliertes Phänomen – aber auch gelingen kann. Das subjektive Wohlbefinden ist ein Kriterium, das über das Gelingen oder das Misslingen entscheidet.Körperliche und geistige Aktivität sind Verhaltensweisen, die zum Gelingen beitragen.Welches Maß an körperlicher Aktivität ist ausreichend, wie lässt sich Aktivität reliabel,also zuverlässig erfassen, wie aktiv sind ältere Menschen? Das sind einige der Fragen,die der Beitrag beantwortet.
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    Socio-economic factors, mood, primary care utilization, and quality of life as predictors of intervention cessation and chronic stress in a type 2 diabetes prevention intervention (PREVIEW Study)
    (2023) Huttunen-Lenz, Maija; Raben, Anne; Adam, Tanja; Macdonald, Ian; Taylor, Moira A.; Stratton, Gareth; Mackintosh, Kelly; Martinez, J. Alfredo; Handjieva-Darlenska, Teodora; Bogdanov, Georgi Assenov; Poppitt, Sally D.; Silvestre, Marta P.; Fogelholm, Mikael; Jalo, Elli; Brand-Miller, Jennie; Muirhead, Roslyn; Schlicht, Wolfgang
    Background. Sedentary lifestyle and unhealthy diet combined with overweight are risk factors for type 2 diabetes (T2D). Lifestyle interventions with weight-loss are effective in T2D-prevention, but unsuccessful completion and chronic stress may hinder efficacy. Determinants of chronic stress and premature cessation at the start of the 3-year PREVIEW study were examined. Methods. Baseline Quality of Life (QoL), social support, primary care utilization, and mood were examined as predictors of intervention cessation and chronic stress for participants aged 25 to 70 with prediabetes ( n= 2,220). Moderating effects of sex and socio-economic status (SES) and independence of predictor variables of BMI were tested. Results. Participants with children, women, and higher SES quitted intervention earlier than those without children, lower SES, and men. Lower QoL, lack of family support, and primary care utilization were associated with cessation. Lower QoL and higher mood disturbances were associated with chronic stress. Predictor variables were independent ( p ≤ .001) from BMI, but moderated by sex and SES. Conclusions. Policy-based strategy in public health should consider how preventive interventions may better accommodate different individual states and life situations, which could influence intervention completion. Intervention designs should enable in-built flexibility in delivery enabling response to individual needs.