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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 :
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Public health nutrition [Public Health Nutr] 2018 Dec; Vol. 21 (17), pp. 3281-3290. Date of Electronic Publication: 2018 Sep 12. - Publication Year :
- 2018
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Abstract
- Objective: To describe the design of the Feel4Diabetes-intervention and the baseline characteristics of the study sample.<br />Design: 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.<br />Setting: Primary schools and municipalities in six European countries.<br />Subjects: 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).<br />Results: 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.<br />Conclusions: 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 :
- Adult
Child
Counseling
Diabetes Mellitus, Type 2 etiology
Europe
Female
Humans
Income
Male
Middle Aged
Research Design
Residence Characteristics
Risk
Schools
Telemedicine
Young Adult
Diabetes Mellitus, Type 2 prevention & control
Family
Health Behavior
Health Promotion methods
Healthy Lifestyle
Pediatric Obesity complications
Poverty
Subjects
Details
- Language :
- English
- ISSN :
- 1475-2727
- Volume :
- 21
- Issue :
- 17
- Database :
- MEDLINE
- Journal :
- Public health nutrition
- Publication Type :
- Academic Journal
- Accession number :
- 30207513
- Full Text :
- https://doi.org/10.1017/S1368980018002136