title: Exploring lifestyle and risk in preventing type 2 diabetes-a nested qualitative study of older participants in a lifestyle intervention program (VEND-RISK).
abstract: Lifestyle intervention may reduce the development of type 2 diabetes among high-risk individuals. The aim of this study was to explore how older adults perceived their own lifestyle and being at increased risk for type 2 diabetes while they participated in a lifestyle intervention programme.
  
  
  
  A nested qualitative study was performed with 26 participants (mean age 68 years) in the VEND-RISK Study. Participants had previously participated in the HUNT3 Study and the HUNT DE-PLAN Study, where their risk for developing type 2 diabetes (FIND-RISC ≥ 15) had been identified. The data were analysed using systematic text condensation.
  
  
  
  Two main themes were identified. The first theme was having resources available for an active lifestyle, which included having a family and being part of a social network, having a positive attitude toward life, and maintaining established habits from childhood to the present. The second theme was being at increased risk for type 2 diabetes, which included varied reactions to the information on increased risk, how lifestyle intervention raised awareness about risk behaviour, and health-related worries and ambitions as type 2 diabetes prevention.
  
  
  
  Assessing a participant's resources could improve the outcomes of lifestyle intervention programmes. Both family history and risk perception could be used in preventive strategies to enhance changes in lifestyle.
  
  
  
  The VEND-RISK Study was registered in ClinicalTrials.gov on April 26, 2010, with the registration number NCT01135901 .
authors.affiliation: Department of Health Sciences, Nord University, Røstad, N-7600, Levanger, Norway. ingfoll@gmail.com.|Department of Public Health and General Practice, Faculty of Medicine, Norwegian University of Science and Technology, Postboks 8905, MTFS, 7491, Trondheim, Norway. ingfoll@gmail.com.
authors.forename: Ingrid S
authors.initials: IS
authors.lastname: Følling
authors.affiliation: St. Olavs University Hospital, Trondheim, Norway.|Department of Social Work and Health Science, Faculty of Social Sciences and Technology Management, Norwegian University of Science and Technology, 7491, Trondheim, Norway.
authors.forename: Marit
authors.initials: M
authors.lastname: Solbjør
authors.affiliation: Department of Community Health and General Practice, HUNT Research Centre, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway.
authors.forename: Kristian
authors.initials: K
authors.lastname: Midthjell
authors.affiliation: Obesity Research Centre, St. Olavs University Hospital, Forsyningssenteret, 7006, Trondheim, Norway.|Department of Cancer Research and Molecular Medicine, Faculty of Medicine, Norwegian University of Science and Technology, Postboks 8905, N-7491, Trondheim, Norway.
authors.forename: Bård
authors.initials: B
authors.lastname: Kulseng
authors.affiliation: Department of Public Health and General Practice, Faculty of Medicine, Norwegian University of Science and Technology, Postboks 8905, MTFS, 7491, Trondheim, Norway.|St. Olavs University Hospital, Trondheim, Norway.|Norwegian National Advisory Unit for Aging and Health, Vestfold Health Trust, Tønsberg, 3103, Norway.
authors.forename: Anne-S
authors.initials: AS
authors.lastname: Helvik
mesh_terms: D000368:Aged; D001521:Behavior Therapy / Q000379:methods; D003376:Counseling / Q000379:methods*; D003924:Diabetes Mellitus, Type 2 / Q000517:prevention & control*; D005260:Female; D006184:Habits; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D011315:Preventive Medicine / Q000379:methods; D036301:Qualitative Research; D040242:Risk Reduction Behavior
keywords: Lifestyle; Lifestyle intervention; Qualitative research; Salutogenesis; Semi-structured interviews; The HUNT study; Type 2 diabetes risk