ArticleFrontiers in public health2025
Influence of social determinants on lifestyle modification adherence in people with prediabetes: a sequential explanatory mixed-methods study protocol.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06488677 (Influence of Social Determinants on Lifestyle Modification Adherence in People With Prediabetes), which is not on this map. Cited by 1 paper.
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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.
Influence of Social Determinants on Lifestyle Modification Adherence in People With Prediabetes: A Sequential Explanatory Mixed-Methods Study
Who cites it
1 citing paper in PubMed.
- Effectiveness of a nurse-led phone intervention on body composition in adults with prediabetes and overweight/obesity: PREDIPHONE secondary analysis.Frontiers in endocrinology · 2026Observational
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Aim: Social determinants (SD) such as age, gender, ethnicity, postal code, or socioeconomic status, as well as health beliefs strongly impact health outcomes. This study aims to analyze the influence of SD on adherence to healthy lifestyle recommendations among individuals with prediabetes. Design: This sequential explanatory mixed-methods study will include an initial cross-sectional analysis of quantitative data, followed by a qualitative ethnomethodological study using critical discourse analysis. Methods: The quantitative analysis will use data from 103 participants with prediabetes included in the intervention arm of the PREDIPHONE trial. The relationship between adherence to the lifestyle modification intervention (diet and physical activity) and sociodemographic characteristics will be explored by multivariable linear regression. The qualitative study will explore how gender, social class, and other factors (such as social and family support, knowledge about one's health condition, health beliefs, and patient-professional relationship) can influence adherence to lifestyle changes in a selected subgroup of individuals. Data generation techniques will include semi-structured interviews, discussion groups, support network mapping, and the researcher's field diary. The rigor strategies that will be applied include triangulation, data saturation, and reflexivity. Discussion: Prediabetes exhibits an uneven distribution, disproportionately affecting individuals from underprivileged social classes, directly impacting on adherence behaviors. Our study can guide the development of health interventions tailored to individuals with prediabetes, focusing on addressing social disparities in lifestyle modification. Patient or public contribution: Participants will contribute through semi-structured interviews and discussion groups, providing insights into their experiences on adherence to lifestyle changes. Clinical trial registration: ClinicalTrials.gov, identifier NCT06488677.
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