Skip to main content

Table 2 Top-three barriers for planning or achieving behavior change of participants in both study groups for five lifestyle objectives

From: Behavior change in a lifestyle intervention for type 2 diabetes prevention in Dutch primary care: opportunities for intervention content

Motivational barriers ‡

Intervention group

N (%) *

Usual care group

N (%) *

Weight loss

1. Weight is healthy

29 (40)

1. Weight is healthy

24 (35)

 

2. Satisfied with weight

19 (26)

2. Satisfied with weight

24 (35)

 

3. Achieved my goals

5 (7)

3. Achieved my goals

3 (4)

Increase dietary fibre intake

1. Eat enough dietary fibre

59 (60)

1. Eat enough dietary fibre

49 (54)

 

2. Satisfied with what I eat

10 (10)

2. Satisfied with what I eat

9 (10)

 

3. Already took dietary fibre into account in diet

5 (5)

3. Already took dietary fibre into account in diet

8 (9)

Reduce fat intake

1. Diet does not contain too much fat

44 (56)

1. Diet does not contain too much fat

29 (48)

 

2. Already took fat intake into account in diet

12 (15)

2. Already took fat intake into account in diet

14 (23)

 

3. Satisfied with what I eat

4 (5)

3. Satisfied with health

6 (10)

Reduce saturated fat intake

1. Diet does not contain too much saturated fat

23 (37)

1. Already took saturated fat into account in diet

16 (28)

 

2. Already took saturated fat into account in diet

14 (23)

2. Diet does not contain too much saturated fat

9 (16)

 

3. Satisfied with what I eat

6 (10)

3. Lack of knowledge

8 (14)

Increase physical exercise

1. Have enough exercise

55 (66)

1.Have enough exercise

68 (69)

 

2. Physical inabilities

16 (19)

2. Physical inabilities

18 (18)

 

3. Not enough time

3 (4)

3. Not enough time

3 (3)

Volitional barriers ‡

Intervention group

N (%)

Usual care group

N (%)

Weight loss

1. Temptation to snack

51 (26)

1. Temptation to snack

36 (21)

 

2. Continuity, relapse **

26 (13)

2. Continuity, relapse **

23 (14)

 

3. Special occassions

21 (11)

3. Special occassions

21 (12)

Increase dietary fibre intake

1. No difficulties

84 (52)

1. No difficulties

77 (67)

 

2. Taste of products

23 (14)

2. Taste of products

9 (8)

 

3. Product knowledge

11 (7)

3. Product knowledge

6 (5)

Reduce fat intake

1. Temptation to snack

69 (32)

1. No difficulties

62 (33)

 

2. No difficulties

64 (29)

2. Temptation to snack

54 (28)

 

3. Taste of products

34 (16)

3. Taste of products

28 (15)

Reduce saturated fat intake

1. No difficulties

75 (33)

1. No difficulties

64 (38)

 

2. Temptation to snack

44 (19)

2. Temptation to snack

31 (18)

 

3. Taste of products

31 (14)

3. Taste of products

23 (14)

Increase physical exercise

1. No difficulties

45 (22)

1. Not enough time

39 (23)

 

2. Not enough time

35 (17)

2. No difficulties

30 (18)

 

3. Continuity, relapse **

26 (12)

3. Continuity, relapse **

23 (14)

  1. ‡ Motivational barriers were collected from non-planners; volitional barriers from initiators and achievers.
  2. * Drop-outs and individuals diagnosed with type 2 diabetes during follow-up were left out of analysis.
  3. ** ‘Continuity’ is defined as ‘maintaining a new healthy habit on the longer term’.