ArticlePrevention science : the official journal of the Society for Prevention Research2012
Latent class analysis of stages of change for multiple health behaviors: results from the Special Diabetes Program for Indians Diabetes Prevention Program.
Article in Prevention science : the official journal of the Society for Prevention Research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.
- A Systematic Review of Interventions to Increase Physical Activity Among American Indian and Alaska Native Older Adults.The Gerontologist · 2022Pooled it
- Work Disability among Employees with Diabetes: Latent Class Analysis of Risk Factors in Three Prospective Cohort Studies.PloS one · 2015Pooled it
- Advancing Diabetes Prevention and Control in American Indians and Alaska Natives.Annual review of public health · 2022Review
- Physical Disorders are Associated with Health Risk Behaviors in Chinese Adolescents: A Latent Class Analysis.International journal of environmental research and public health · 2020Article
- Inverse Propensity Score Weighting with a Latent Class Exposure: Estimating the Causal Effect of Reported Reasons for Alcohol Use on Problem Alcohol Use 16 Years Later.Prevention science : the official journal of the Society for Prevention Research · 2019Article
- Risk factors for pre-diabetes and diabetes in adolescence and their variability by race and ethnicity.Preventive medicine · 2018Article
- Clinical Trajectories, Healthcare Resource Use, and Costs of Diabetic Nephropathy Among Patients with Type 2 Diabetes: A Latent Class Analysis.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2018Article
- Self-efficacy and diabetes prevention in overweight South Asians with pre-diabetes.BMJ open diabetes research & care · 2018Article
- Diabetes prevention among American Indians: the role of self-efficacy, risk perception, numeracy and cultural identity.BMC public health · 2017Article
- Longitudinal Patterns of Stages of Change for Exercise and Lifestyle Intervention Outcomes: An Application of Latent Class Analysis with Distal Outcomes.Prevention science : the official journal of the Society for Prevention Research · 2016Article
- Translating Findings from Lifestyle Intervention Trials of Cardiovascular Disease and Diabetes to the Primary Care Setting.Current nutrition reports · 2012Article
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study sought to identify latent subgroups among American Indian and Alaska Native (AI/AN) patients with pre-diabetes based on their stages of change for multiple health behaviors. We analyzed baseline data from participants of the Special Diabetes Program for Indians Diabetes Prevention (SDPI-DP) Program, a lifestyle intervention program to prevent diabetes among AI/ANs. A total of 3,135 participants completed baseline questionnaires assessing stages of change for multiple health behaviors, specifically exercise, healthy eating, and weight loss. Latent class analysis was used to identify subgroups of people based on their answers to stages of change questions. Covariates were added to the latent class analyses to investigate how class membership was related to sociodemographic, behavioral, and psychosocial factors. Three classes were identified based on the distributions of the stages of change variables: Contemplation, Preparation, and Action/Maintenance classes. Male and retired participants were more likely to be in more advanced stages. Those who exercised more, ate healthier diets, and weighed less were significantly more likely to be in the Action/Maintenance class. Further, the participants who had higher self-efficacy, stronger family support, and better health-related quality of life had higher odds of being in the Action/Maintenance class. In conclusion, we found that stages of change for multiple behaviors can be summarized by a three-class model in this sample. Investigating the relationships between latent classes and intervention outcomes represents important next steps to extend the findings of the current study.
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