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- Title
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.
- Authors
Manios, Yannis; Androutsos, Odysseas; Lambrinou, Christina-Paulina; Cardon, Greet; Lindstrom, Jaana; Annemans, Lieven; Mateo-Gallego, Rocio; de Sabata, Maria Stella; Iotova, Violeta; Kivela, Jemina; Martinez, Remberto; Moreno, Luis A; Rurik, Imre; Schwarz, Peter; Tankova, Tsvetalina; Liatis, Stavros; Makrilakis, Konstantinos
- Abstract
<bold>Objective: </bold>To describe the design of the Feel4Diabetes-intervention and the baseline characteristics of the study sample.<bold>Design: </bold>School- 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.<bold>Setting: </bold>Primary schools and municipalities in six European countries.<bold>Subjects: </bold>Families (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).<bold>Results: </bold>The 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.<bold>Conclusions: </bold>The 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
LIFESTYLE marketing; TYPE 2 diabetes prevention; CLUSTER randomized controlled trials; COUNSELING; COST effectiveness
- Publication
Public Health Nutrition, 2018, Vol 21, Issue 17, p3281
- ISSN
1368-9800
- Publication type
journal article
- DOI
10.1017/S1368980018002136