Evidence map›Paper›PMID 33066239›Full record

ArticleInternational journal of environmental research and public health2020

Motivation and Barriers to Maintaining Lifestyle Changes in Patients with Type 2 Diabetes after an Intensive Lifestyle Intervention (The U-TURN Trial): A Longitudinal Qualitative Study.

Sabrina K Schmidt, Liv Hemmestad, Christopher S MacDonald, Henning Langberg, Laura S Valentiner

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 5 pooled it
7.5field-weighted citation impact, top 2% of its field
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

69 citing papers in PubMed, 5 syntheses or guidelines pooled it, 135 citations in OpenAlex.

  1. Pooled it
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  3. The Effect of Health Literacy Interventions on Self-management in Chronic Diseases: A Systematic Review.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
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  16. Potential and feasibility of preoptimisation in ventral hernia repair- a focus group study.Hernia : the journal of hernias and abdominal wall surgery · 2026
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9 more citing papers are in PubMed but not listed here.

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 at 2 institutions in 2 countries.

Sabrina K SchmidtFaculty of Humanities, Sports and Educational Science, Department of Sport, Physical Education and Outdoor Studies, University of South-Eastern Norway, 3800 Bø in Telemark, Norway.
Liv HemmestadFaculty of Humanities, Sports and Educational Science, Department of Sport, Physical Education and Outdoor Studies, University of South-Eastern Norway, 3800 Bø in Telemark, Norway.
Christopher S MacDonaldThe Centre of Inflammation and Metabolism and the Centre for Physical Activity Research, Rigshospitalet, University of Copenhagen, 2100 Copenhagen, Denmark.
Henning LangbergFaculty of Health, Department of Infectious Diseases, Rigshospitalet, Section of Social Medicine, CopenRehab, University of Copenhagen, 1017 Copenhagen K, Denmark.
Laura S ValentinerFaculty of Health, Department of Infectious Diseases, Rigshospitalet, Section of Social Medicine, CopenRehab, University of Copenhagen, 1017 Copenhagen K, Denmark.
University of Copenhagen · DKUniversity of South-Eastern Norway · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this study was to explore and identify factors that influence motivation for and barriers to adopting and maintaining lifestyle changes in patients with type 2 diabetes, following participation in an intensive multiple-lifestyle intervention. Participants were recruited from the U-TURN trial, a one-year, intensive lifestyle intervention for type 2 diabetes patients. This study was conducted over time; informants were interviewed twice after the trial ended with a six-month interval between interviews. The qualitative data from these individual interviews were analysed using systematic text condensation with an inductive approach. Five themes emerged: Social support and relatedness, Achievement of results, Support from healthcare professionals, Identification with and acceptance of the new lifestyle and Coping with ongoing challenges. These are all important for maintaining lifestyle changes and diabetes self-management. Changing one's lifestyle can be a constant, difficult struggle. For sustainable progress after an intensive intervention, the changes must be adopted and endorsed by patients and co-opted into their social setting. Belonging to an exercise group, confidence in managing the lifestyle adjustments and handling of challenges through continual support and professional diabetes treatment are crucial in maintaining and adhering to the new lifestyle.

Indexed as

Life StyleMotivationSocial SupportAdaptation, PsychologicalDiabetes Mellitus, Type 2FemaleHumansInterviews as TopicLongitudinal StudiesMaleQualitative ResearchSelf Careadherencehealth belief modellifestyle interventionmotivationqualitative researchself-determination theorytype 2 diabetes

Identifiers

PMID33066239
PMCPMC7602059
OpenAlexW3092957632

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.