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, Julie I. Willems, M.Sc. 1Department of Public Health, Erasmus MC, P.O. Box 2040, 3000 CA Rotterdam, Netherlands Search for other works by this author on: Oxford Academic Suzie J. Otto, Ph.D. 1Department of Public Health, Erasmus MC, P.O. Box 2040, 3000 CA Rotterdam, Netherlands a+31-10-7043446, +31-10-7038474 , s.otto@erasmusmc.nl Search for other works by this author on: Oxford Academic Bart Klijs, Ph.D. 1Department of Public Health, Erasmus MC, P.O. Box 2040, 3000 CA Rotterdam, Netherlands Search for other works by this author on: Oxford Academic Harry J. de Koning, M.D., PhD. 1Department of Public Health, Erasmus MC, P.O. Box 2040, 3000 CA Rotterdam, Netherlands Search for other works by this author on: Oxford Academic
Annals of Behavioral Medicine, Volume 47, Issue 1, February 2014, Pages 102–110, https://doi.org/10.1007/s12160-013-9525-3
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Julie I. Willems, Suzie J. Otto, Bart Klijs, Harry J. de Koning, Screening for Type 2 Diabetes in a High-Risk Population: Effects of a Negative Screening Test After 4Years Follow-up, Annals of Behavioral Medicine, Volume 47, Issue 1, February 2014, Pages 102–110, https://doi.org/10.1007/s12160-013-9525-3
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Abstract
Background
A negative diabetes screening test may unin tentionally provide reassurance, resulting in reduced incentive to follow a healthy lifestyle.
Purpose
The purpose of this study is to assess negative test result effects on lifestyle and risk perception at 4years follow-up.
Methods
Risk perception and changes in smoking, physical activity, body mass index (BMI), and waist circumference were compared between 706 high-risk participants with a negative test result and 706 high-risk participants not offered screening (controls) in a randomized controlled trial of diabetes screening.
Results
Negative-screened individuals experienced a small but significant increase in BMI and waist circumference, but there was no significant difference with controls. The negative-screened group had significantly higher perception of risk of developing diabetes (p = 0.009) than controls, but no differences were observed in perceived personal control, worry, and optimistic bias.
Conclusion
Screening negative for diabetes did not lead to overt long-term changes in lifestyle, despite a high perception of risk of developing diabetes. (ISRCTN75983009.)
Diabetes, Screening, Lifestyle, Risk perception, Reassurance
© The Society of Behavioral Medicine 2013
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