title: Is sense of coherence a predictor of lifestyle changes in subjects at risk for type 2 diabetes?
abstract: OBJECTIVE
  To determine whether the sense of coherence (SOC) could predict the outcome of an 18-month lifestyle intervention program for subjects at risk of type 2 diabetes.
  
  
  METHODS
  Subjects at high risk of type 2 diabetes mellitus were recruited to a low-intensity lifestyle intervention program by their general practitioners. Weight reduction ≥ 5% and improvement in exercise capacity of ≥ 10% from baseline to follow-up indicated a clinically significant lifestyle change. SOC was measured using the 13-item SOC questionnaire.
  
  
  RESULTS
  The study involved 213 subjects with a mean body mass index of 37 (SD ± 6). Complete follow-up data were obtained for 131 (62%). Twenty-six participants had clinically significant lifestyle changes. There was a 21% increase in the odds of a clinically significant lifestyle change for each point increase in the baseline SOC score (odds ratio = 1.21; confidence interval = 1.11-1.32). The success rate was 14 times higher in the highest SOC score tertile group compared with the lowest.
  
  
  CONCLUSIONS
  High SOC scores were good predictors of successful lifestyle change in subjects at risk of type 2 diabetes. SOC-13 can be used in daily practice to increase clinical awareness on the impact of mastery on the outcome of life-style intervention programs.
authors: Department of Clinical Research, Sorlandet Hospital Kristiansand, Sorlandet Hospital HF, 4604 Kristiansand, Norway. Electronic address: vegard.nilsen@sshf.no.
authors: V
authors: V
authors: Nilsen
authors: Clinical Institute 2, University of Bergen, Norway. Electronic address: per.bakke@med.uib.no.
authors: P S
authors: PS
authors: Bakke
authors: Department of Clinical Research, Sorlandet Hospital Kristiansand, Sorlandet Hospital HF, 4604 Kristiansand, Norway; Faculty of Health and Sport Sciences, University of Agder, Norway. Electronic address: Gudrun.rohde@sshf.no.
authors: G
authors: G
authors: Rohde
authors: Department of Clinical Research, Sorlandet Hospital Kristiansand, Sorlandet Hospital HF, 4604 Kristiansand, Norway. Electronic address: frode.gallefoss@sshf.no.
authors: F
authors: F
authors: Gallefoss
mesh_terms: D000328:Adult; D001521:Behavior Therapy; D003924:Diabetes Mellitus, Type 2 / Q000523:psychology* / Q000628:therapy*; D017079:Exercise Tolerance; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D012306:Risk; D060685:Sense of Coherence; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D015431:Weight Loss
keywords: Lifestyle; Obesity; Prevention; Quality of life; Sense of coherence; Type 2 diabetes mellitus