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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
- Source :
- PUBLIC HEALTH NUTRITION, Public Health Nutrition, Public Health Nutr
- Publication Year :
- 2018
-
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.
- 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
Subjects
Details
- Language :
- English
- ISSN :
- 13689800 and 14752727
- Database :
- OpenAIRE
- Journal :
- PUBLIC HEALTH NUTRITION, Public Health Nutrition, Public Health Nutr
- Accession number :
- edsair.doi.dedup.....0f2e27a56b355803fbe3532e61259baf