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SLIMMER: a randomised controlled trial of diabetes prevention in Dutch primary health care: design and methods for process, effect, and economic evaluation.
- Source :
-
BMC Public Health . 2014, Vol. 14 Issue 1, p602-602. 1p. - Publication Year :
- 2014
-
Abstract
- <bold>Background: </bold>Implementation of interventions in real-life settings requires a comprehensive evaluation approach. The aim of this article is to describe the evaluation design of the SLIMMER diabetes prevention intervention in a Dutch real-life setting.<bold>Methods/design: </bold>The SLIMMER study is a randomised, controlled intervention study including subjects aged 40 through 70 years with impaired fasting glucose or high risk of diabetes. The 10-month SLIMMER intervention involves a dietary and physical activity intervention, including case management and a maintenance programme. The control group receives usual health care and written information about a healthy lifestyle. A logic model of change is composed to link intervention activities with intervention outcomes in a logical order. Primary outcome is fasting insulin. Measurements are performed at baseline and after 12 and 18 months and cover quality of life, cardio-metabolic risk factors (e.g. glucose tolerance, serum lipids, body fatness, and blood pressure), eating and physical activity behaviour, and behavioural determinants. A process evaluation gives insight in how the intervention was delivered and received by participants and health care professionals. The economic evaluation consists of a cost-effectiveness analysis and a cost-utility analysis. Costs are assessed from both a societal and health care perspective.<bold>Discussion: </bold>This study is expected to provide insight in the effectiveness, including its cost-effectiveness, and delivery of the SLIMMER diabetes prevention intervention conducted in Dutch primary health care. Results of this study provide valuable information for primary health care professionals, researchers, and policy makers.<bold>Trial Registration: </bold>The SLIMMER study is registered with ClinicalTrials.gov (NCT02094911) since March 19, 2014. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 14712458
- Volume :
- 14
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- BMC Public Health
- Publication Type :
- Academic Journal
- Accession number :
- 109752849
- Full Text :
- https://doi.org/10.1186/1471-2458-14-602