DOI: 10.2337/db23-33-lb ISSN: 0012-1797

33-LB: A Multidimensional Lifestyle Measure for Self-Assessment

  • Endocrinology, Diabetes and Metabolism
  • Internal Medicine

Lifestyle modification can help people manage many chronic diseases, including diabetes. Primary care practitioners should address patients' lifestyles, based on literature. Limited time per visit makes it challenging. It is person-centered using a lifestyle self-assessment for patients to prepare for clinic visits and if needed, to initiate focused lifestyle discussion. We explored if a multidimensional lifestyle measure can help people gain insight to prepare for their healthcare visits.

We used social media to disseminate this web-based multidimensional lifestyle measure. It has 11 dimensions with one to six items each. Some were positive actions, and some were negative to be avoided. Eleven additional dimension-specific questions asked if participants had gained insight through reflecting on the items. If the lifestyle self-assessment “helped me see the big picture of what I do” and “I could see myself doing a similar lifestyle reflection once a year” were also included. We tested the hypothesis that significant utility would be more than the “early majority” (34%) of participants had gained insight and supported the utility of lifestyle self-assessment.

Twenty-eight women and 10 men with a wide age range completed the online survey. Significantly more than 34% of the respondents indicated that they had gained insight into the following four dimensions: stress management (54.1%, p=.005), social support (47.4%, p=.041), nature connection (51.4%, p=.013), and sense of safety (54.1%, p=.005). About 54.1% (p=.005) agreed that doing lifestyle self-assessments helped them see the big picture of their actions. Twenty respondents could see themselves doing a similar lifestyle reflection once a year, with four more indicating they had done something similar, which summed up to 64.9% (p<.0001) supported this idea.

Periodic multidimensional lifestyle self-assessment appears to have positive utility. Analysis and redesign of the dimension-specific items are needed to enhance the utility of lifestyle self-assessment.


S. Fanchiang: None. M. F. Bouchonville: None.

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