1. A school- and community-based intervention to promote healthy lifestyle and prevent type 2 diabetes in vulnerable families across Europe : design and implementation of the Feel4Diabetes-study
- Author
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Greet Cardon, Christina-Paulina Lambrinou, Maria Stella de Sabata, Lieven Annemans, Stavros Liatis, Jaana Lindström, Violeta Iotova, Yannis Manios, Tsvetalina Tankova, Remberto Martinez, Imre Rurik, Rocio Mateo-Gallego, Luis A. Moreno, Jemina Kivela, Peter Eh Schwarz, Odysseas Androutsos, and Konstantinos Makrilakis
- Subjects
Counseling ,Male ,Pediatric Obesity ,Health Behavior ,Psychological intervention ,Medicine (miscellaneous) ,Type 2 diabetes ,DETERMINANTS ,Obesity, Type 2 diabetes, Vulnerable, Children, Families ,Families ,MELLITUS ,0302 clinical medicine ,Residence Characteristics ,Medicine and Health Sciences ,030212 general & internal medicine ,Child ,Children ,POPULATION ,RISK ,education.field_of_study ,Schools ,Nutrition and Dietetics ,Grandparent ,Middle Aged ,Telemedicine ,3. Good health ,Europe ,DIETARY PATTERNS ,Research Design ,Income ,Female ,CHILDHOOD OBESITY ,Research Paper ,Adult ,Risk ,medicine.medical_specialty ,Population ,030209 endocrinology & metabolism ,Health Promotion ,Childhood obesity ,Young Adult ,03 medical and health sciences ,ADHERENCE ,Intervention (counseling) ,medicine ,Humans ,Family ,Vulnerable ,Healthy Lifestyle ,ddc:610 ,Obesity ,INVOLVED INTERVENTION ,education ,Poverty ,physical activity & health ,business.industry ,Public Health, Environmental and Occupational Health ,Adipositas, Typ-2-Diabetes, Gefährdet, Kinder, Familien ,medicine.disease ,BODY-MASS INDEX ,Diabetes Mellitus, Type 2 ,Family medicine ,business ,Body mass index ,SOCIOECONOMIC POSITION - Abstract
ObjectiveTo describe the design of the Feel4Diabetes-intervention and the baseline characteristics of the study sample.DesignSchool- and community-based intervention with cluster-randomized design, aiming to promote healthy lifestyle and tackle obesity and obesity-related metabolic risk factors for the prevention of type 2 diabetes among families from vulnerable population groups. The intervention was implemented in 2016–2018 and included: (i) the ‘all-families’ component, provided to all children and their families via a school- and community-based intervention; and (ii) an additional component, the ‘high-risk families’ component, provided to high-risk families for diabetes as identified with a discrete manner by the FINDRISC questionnaire, which comprised seven counselling sessions (2016–2017) and a text-messaging intervention (2017–2018) delivered by trained health professionals in out-of-school settings. Although the intervention was adjusted to local needs and contextual circumstances, standardized protocols and procedures were used across all countries for the process, impact, outcome and cost-effectiveness evaluation of the intervention.SettingPrimary schools and municipalities in six European countries.SubjectsFamilies (primary-school children, their parents and grandparents) were recruited from the overall population in low/middle-income countries (Bulgaria, Hungary), from low socio-economic areas in high-income countries (Belgium, Finland) and from countries under austerity measures (Greece, Spain).ResultsThe Feel4Diabetes-intervention reached 30 309 families from 236 primary schools. In total, 20 442 families were screened and 12 193 ‘all families’ and 2230 ‘high-risk families’ were measured at baseline.ConclusionsThe Feel4Diabetes-intervention is expected to provide evidence-based results and key learnings that could guide the design and scaling-up of affordable and potentially cost-effective population-based interventions for the prevention of type 2 diabetes.
- Published
- 2018