The PREVIEW Study Supporting Behavior Change in an International Intervention Study Among Participants With Pre-Diabetes

Maija Huttunen-Lenz*, Sylvia Hansen, Thomas Meinert Larsen, Pia Christensen, Mathijs Drummen, Tanja Adam, Moira A. Taylor, Elizabeth Simpson, Jose A. Martinez, Santiago Navas-Carretero, Teodora Handjieva-Darlenska, Sally D. Poppitt, Marta P. Silvestre, Mikael Fogelholm, Elli Jalo, Roslyn Muirhead, Shannon Brodie, Anne Raben, Wolfgang Schlicht

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

2 Citations (Web of Science)


Individuals at risk of Type 2 Diabetes are advised to change health habits. This study investigated how the PREMIT behavior modification intervention and its association with socio-economic variables influenced weight maintenance and habit strength in the PREVIEW study. Overweight adults with pre-diabetes were enrolled (n = 2,224) in a multi-center RCT including a 2-month weight-loss phase and a 34-month weight-maintenance phase for those who lost >= 8% body weight. Initial stages of the PREMIT covered the end of weight-loss and the beginning of weight-maintenance phase (18 weeks). Cross-sectional and longitudinal data were explored. Frequent PREMIT sessions attendance, being female, and lower habit strength for poor diet were associated with tower weight re-gain. Being older and not in employment were associated with lower habit strength for physical inactivity. The PREMIT appeared to support weight loss maintenance. Younger participants, males, and those in employment appeared to struggle more with inactivity habit change and weight maintenance.

Original languageEnglish
Pages (from-to)10-20
Number of pages11
JournalEuropean journal of health psychology
Issue number1
Publication statusPublished - May 2019


  • habits
  • behavior therapy
  • prevention
  • type 2 diabetes mellitus
  • weight loss

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