Psychosocial determinants for adherence to a healthy lifestyle and intervention participation in the FINGER trial : an exploratory analysis of a randomised clinical trial

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Neuvonen , E , Lehtisalo , J , Solomon , A , Antikainen , R , Havulinna , S , Hanninen , T , Laatikainen , T , Lindstrom , J , Rautio , N , Soininen , H , Strandberg , T , Tuomilehto , J , Kivipelto , M & Ngandu , T 2022 , ' Psychosocial determinants for adherence to a healthy lifestyle and intervention participation in the FINGER trial : an exploratory analysis of a randomised clinical trial ' , Aging Clinical and Experimental Research , vol. 34 , no. 8 , pp. 1793-1805 . https://doi.org/10.1007/s40520-022-02088-x

Title: Psychosocial determinants for adherence to a healthy lifestyle and intervention participation in the FINGER trial : an exploratory analysis of a randomised clinical trial
Author: Neuvonen, Elisa; Lehtisalo, Jenni; Solomon, Alina; Antikainen, Riitta; Havulinna, Satu; Hanninen, Tuomo; Laatikainen, Tiina; Lindstrom, Jaana; Rautio, Nina; Soininen, Hilkka; Strandberg, Timo; Tuomilehto, Jaakko; Kivipelto, Miia; Ngandu, Tiia
Contributor organization: HUS Internal Medicine and Rehabilitation
Timo Strandberg / Principal Investigator
Department of Medicine
Clinicum
Department of Public Health
Date: 2022-08
Language: eng
Number of pages: 13
Belongs to series: Aging Clinical and Experimental Research
ISSN: 1594-0667
DOI: https://doi.org/10.1007/s40520-022-02088-x
URI: http://hdl.handle.net/10138/346652
Abstract: Background and aims Psychosocial factors may affect adherence to lifestyle interventions and lifestyle changes. The role of psychosocial factors in dementia prevention needs more research. We aimed at clarify the issue in the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER). Methods The population included 1260 participants aged 60-77 years at risk for cognitive decline, randomised to a multidomain lifestyle intervention or regular health advice for 2 years. Adherence was evaluated as participation in the provided activities and actual lifestyle changes, separately for each domain (diet, exercise, social/cognitive activity, vascular risk management) and combined into multidomain. Psychosocial factors were measured at trial baseline (depressive symptoms; study perception; health-related quality of life, HRQoL) and earlier life (hopelessness; satisfaction with family life, achievements, and financial situation). Results Depressive symptoms, hopelessness, and nonpositive study perception were negatively and HRQoL positively associated with participation in the multidomain intervention. Depressive symptoms, lower HRQoL, hopelessness and dissatisfaction with financial situation were associated with unhealthier lifestyles at baseline. Baseline depressive symptoms and lower HRQoL predicted less improvement in lifestyle, but did not modify the intervention effect on lifestyle change. Discussion and conclusions Several psychosocial factors were associated with participation in lifestyle intervention, while fewer of them contributed to lifestyle changes. Although the intervention was beneficial for lifestyle changes independent of psychosocial factors, those most in need of lifestyle improvement were less likely to be active. Tailoring lifestyle-modifying strategies based on the need for psychosocial support may add efficacy in future trials. Trial Registry ClinicalTrials.gov NCT01041989 2010-01-05
Subject: Adherence
Clinical trial
Dementia prevention
Lifestyle
Older adults
Participation
Psychosocial factors
MULTIDOMAIN INTERVENTION
EXERCISE ADHERENCE
COGNITIVE DECLINE
FOLLOW-UP
DEMENTIA
RISK
POPULATION
PREDICTORS
PREVENTION
DEPRESSION
3121 General medicine, internal medicine and other clinical medicine
Peer reviewed: Yes
Rights: cc_by
Usage restriction: openAccess
Self-archived version: publishedVersion


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