Evidence map›Paper›PMID 35562735›Full record

ArticleBMC public health2022

Non-participation in a targeted prevention program aimed at lifestyle-related diseases: a questionnaire-based assessment of patient-reported reasons.

Christian Leick, Lars Bruun Larsen, Anders Larrabee Sonderlund, Nanna Herning Svensson, Jens Sondergaard, Trine Thilsing

Registry-linked trialAbstract read
In one paragraph

Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02797392 (Early Detection and Prevention of Lifestyle Related Diseases - a Pilot Study), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

NCT02797392 nacompletednot on this map

Early Detection and Prevention of Lifestyle Related Diseases - a Pilot Study

TypeinterventionalSponsorUniversity of Southern DenmarkRan2016 to 2017Enrolled9,400ConditionsType-2 Diabetes, Cardiovascular Diseases, Chronic Obstructive Pulmonary Disease (COPD)ArmsLifestyle intervention
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. A Multilevel Prevention Program for Depressive and Anxious Symptoms: Factors That Influence Decisions to Participate and Efficacy.Health education & behavior : the official publication of the Society for Public Health Education · 2026
    Article
  3. Patients' perspectives on adherence to cardiovascular screening consultation and lifestyle changes.Archives of public health = Archives belges de sante publique · 2024
    Article
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

6 authors.

Christian LeickDepartment of Public Health, Research Unit of General Practice, University of Southern Denmark, J.B. Winsløws Vej 9A, 5000, Odense C, Denmark. chlei17@student.sdu.dk.
Lars Bruun LarsenDepartment of Public Health, Research Unit of General Practice, University of Southern Denmark, J.B. Winsløws Vej 9A, 5000, Odense C, Denmark.
Anders Larrabee SonderlundDepartment of Public Health, Research Unit of General Practice, University of Southern Denmark, J.B. Winsløws Vej 9A, 5000, Odense C, Denmark.
Nanna Herning SvenssonDepartment of Public Health, Research Unit of General Practice, University of Southern Denmark, J.B. Winsløws Vej 9A, 5000, Odense C, Denmark.
Jens SondergaardDepartment of Public Health, Research Unit of General Practice, University of Southern Denmark, J.B. Winsløws Vej 9A, 5000, Odense C, Denmark.
Trine ThilsingDepartment of Public Health, Research Unit of General Practice, University of Southern Denmark, J.B. Winsløws Vej 9A, 5000, Odense C, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHaving an unhealthy lifestyle is associated with a higher risk of developing lifestyle-related diseases. Current evidence suggests that interventions targeting health-risk behaviors can help people improve their lifestyles and prevent lifestyle-related diseases. However, preventive programs are often challenged by low participation rates. Reasons for non-participation include lack of time and/or interest, and/or no perceived need for lifestyle intervention. This study explores causes for non-participation in a sample of people who chose not to take up a targeted preventive program (TOF pilot2 study). Patient-reported reasons as well as sociodemographic characteristics and lifestyle factors are in focus.

methodsA total of 4633 patients from four Danish GP clinics received an invitation to take part in the TOF pilot2 study. Patients who chose not to participate in the TOF pilot2 study were asked to fill in a questionnaire concerning reasons for non-participation, lifestyle, BMI and self-rated health. Descriptive analyses were used to summarize the results.

resultsA total of 2462 patients (53.1%) chose not to participate in the TOF pilot2 study. Among these, 84 (3.4%) answered the full questionnaire on reasons for not participating, lifestyle, BMI and self-rated health. The most common reasons for non-participation were lack of time, having an already healthy lifestyle, and feeling healthy. Based on their self-reported lifestyle 45 (53.6%) of the non-participants had one or more health-risk behaviors including smoking, unhealthy diet, BMI ≥ 35 and/or sedentary lifestyle and were therefore eligible to receive the targeted intervention at the GP or the MHC in the original TOF pilot2 study.

conclusionWhen planning future preventive programs it is important to know the main reasons for patients to not participate. This study provides rare insight into why people opt out of health interventions and advances the evidence base in this area. Our results may inform efforts to better involve these patients in preventive health programs.

trial registrationTrial registration number: NCT02797392 .

Indexed as

Life StylePreventive Health ServicesHealth Risk BehaviorsHumansPatient Reported Outcome MeasuresSurveys and QuestionnairesDisease preventionHealth check interventionLifestyleLifestyle-related diseasesNon-participationNon-responsePreventive programPrimary careRisk perception

Identifiers

PMID35562735
PMCPMC9107116

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Registered trials

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.