Evidence map›Paper›PMID 32586299›Full record

ArticleBMC public health2020

Initiation and maintenance of lifestyle changes among participants in a healthy life centre: a qualitative study.

Cille H Sevild, Christopher P Niemiec, Lars Edvin Bru, Sindre M Dyrstad, Anne Marie Lunde Husebø

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Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  16. Elements behind sedentary lifestyles and unhealthy eating habits in individuals with severe obesity.International journal of qualitative studies on health and well-being · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Cille H SevildDepartment of Public Health, University of Stavanger, Stavanger, Norway. cille.sevild@stavanger.kommune.no.ORCID http://orcid.org/0000-0001-5523-3731
Christopher P NiemiecDepartment of Public Health, University of Stavanger, Stavanger, Norway.
Lars Edvin BruCentre for Learning Environment, University of Stavanger, Stavanger, Norway.
Sindre M DyrstadDepartment of Public Health, University of Stavanger, Stavanger, Norway.
Anne Marie Lunde HusebøDepartment of Public Health, University of Stavanger, Stavanger, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSince the early 2000s, Healthy Life Centres have been established in Norway to promote physical and mental health. Yet to date, little is known about the efficacy of Healthy Life Centres in promoting health behaviour change and maintenance or the factors that underlie these processes. Accordingly, the aim of the current study was to examine the factors that participants in a Healthy Life Centre perceive as relevant for the initiation and maintenance of lifestyle changes toward more physical activity and consumption of a healthier diet.

methodParticipants were purposely recruited from among adherers in a 12-month multi-method research project at a Healthy Life Centre. Individual, semi-structured interviews were conducted with 8 women and 6 men who were between the ages of 20 and 61 years old. Data were analysed using Systematic Text Condensation.

resultsThree main themes were derived from this analysis. The first theme focused on the motives behind initiation and maintenance of lifestyle changes along with the importance of a relationally supportive environment to promote perceived competence in pursuing a healthy lifestyle. The second theme focused on strategies for coping with the challenges and potential pitfalls that were associated with various unpleasant experiences and life events. The third theme focused on several specific skills that were helpful to the initiation and maintenance of lifestyle changes.

conclusionThe current study enhanced an understanding of the initiation and maintenance of lifestyle changes, although these processes were not disentangled in participants' experiences. In line with self-determination theory, the results suggested that lifestyle change is more likely to be initiated and maintained when goals are not only achievable but also regulated with autonomous motivation and of intrinsic value. Conversely, lifestyle change is difficult to maintain when motives are external to the self. Further, cognitive and behavioural skills were valuable and necessary in coping with unpleasant emotions. Finally, the critical function of self-regulation skills for making realistic plans and prioritizations in order to balance healthy lifestyle behaviours with the routines of "daily life" while monitoring outcomes was readily apparent. Healthy Life Centres can contribute to these processes in meaningful ways.

Indexed as

ExerciseHealth BehaviorHealthy LifestylePersonal AutonomyAdaptation, PsychologicalAdultAttitude to HealthCardiovascular DiseasesFemaleHumansMaleMiddle AgedMotivationNorwayQualitative ResearchRisk Reduction BehaviorEmotional copingHealthy life centreLifestyle changeMotivationQualitativeSelf-determination theorySelf-regulation skills

Identifiers

PMID32586299
PMCPMC7318496

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.