Influence of social determinants on lifestyle modification adherence in people with prediabetes: a sequential explanatory mixed-methods study protocol Article Swipe
Ana Carvalho-Azevedo
,
Manuela Abbate
,
Sergio Fresneda
,
María Arias-Fernández
,
Marina Torres-Carballo
,
Aina M. Yáñez
,
Cristina Moreno
,
Miquel Bennasar‐Veny
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3389/fpubh.2025.1591205
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3389/fpubh.2025.1591205
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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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3389/fpubh.2025.1591205
- https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2025.1591205/pdf
- OA Status
- gold
- Cited By
- 1
- References
- 34
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4411970283
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4411970283Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3389/fpubh.2025.1591205Digital Object Identifier
- Title
-
Influence of social determinants on lifestyle modification adherence in people with prediabetes: a sequential explanatory mixed-methods study protocolWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-07-03Full publication date if available
- Authors
-
Ana Carvalho-Azevedo, Manuela Abbate, Sergio Fresneda, María Arias-Fernández, Marina Torres-Carballo, Aina M. Yáñez, Cristina Moreno, Miquel Bennasar‐VenyList of authors in order
- Landing page
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https://doi.org/10.3389/fpubh.2025.1591205Publisher landing page
- PDF URL
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https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2025.1591205/pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2025.1591205/pdfDirect OA link when available
- Concepts
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Prediabetes, Social determinants of health, Psychological intervention, Medicine, Public health, Gerontology, Socioeconomic status, Social support, Psychology, Clinical psychology, Population, Social psychology, Environmental health, Type 2 diabetes, Nursing, Diabetes mellitus, EndocrinologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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1Total citation count in OpenAlex
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2025: 1Per-year citation counts (last 5 years)
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34Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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