Carvalho-Azevedo Ana, Abbate Manuela, Fresneda Sergio, Arias-Fernández María, Torres-Carballo Marina, Yañez Aina M, Moreno-Mulet Cristina, Bennasar-Veny Miquel
Department of Nursing and Physiotherapy, University of the Balearic Islands (UIB), Palma, Balearic Islands, Spain.
Research Group on Global Health, University of the Balearic Islands (UIB), Palma, Balearic Islands, Spain.
Front Public Health. 2025 Jul 3;13:1591205. doi: 10.3389/fpubh.2025.1591205. eCollection 2025.
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.
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.
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.
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.
Participants will contribute through semi-structured interviews and discussion groups, providing insights into their experiences on adherence to lifestyle changes.
ClinicalTrials.gov, identifier NCT06488677.
年龄、性别、种族、邮政编码或社会经济地位等社会决定因素以及健康观念会对健康结果产生重大影响。本研究旨在分析社会决定因素对糖尿病前期个体坚持健康生活方式建议的影响。
本序贯解释性混合方法研究将首先对定量数据进行横断面分析，随后采用批判性话语分析进行定性民族方法学研究。
定量分析将使用来自PREDIPHONE试验干预组的103名糖尿病前期参与者的数据。将通过多变量线性回归探讨坚持生活方式改变干预（饮食和体育活动）与社会人口学特征之间的关系。定性研究将探讨性别、社会阶层和其他因素（如社会和家庭支持、对自身健康状况的了解、健康观念以及医患关系）如何影响选定亚组个体对生活方式改变的坚持。数据生成技术将包括半结构化访谈、讨论组、支持网络映射以及研究者的实地日记。将应用的严谨策略包括三角验证、数据饱和和反思性。
糖尿病前期呈现出不均衡的分布，对社会经济地位较低阶层的个体影响尤为严重，直接影响坚持行为。我们的研究可为针对糖尿病前期个体的健康干预措施的制定提供指导，重点是解决生活方式改变方面的社会差异。
参与者将通过半结构化访谈和讨论组做出贡献，分享他们在坚持生活方式改变方面的经验。
ClinicalTrials.gov，标识符NCT06488677。
