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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

Objective: To describe the design of the Feel4Diabetes-intervention and the baseline characteristics of the study sample.
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.
Setting: Primary schools and municipalities in six European countries.
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).
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.
Conclusions: The Feel4Diabetes-intervention is expected to provide evidencebased 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.

Identiferoai:union.ndltd.org:DRESDEN/oai:qucosa:de:qucosa:70732
Date04 June 2020
CreatorsManios, 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 T, Liatis, Stavros, Makrilakis, Konstantinos
PublisherCambridge University Press
Source SetsHochschulschriftenserver (HSSS) der SLUB Dresden
LanguageEnglish
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, doc-type:article, info:eu-repo/semantics/article, doc-type:Text
Rightsinfo:eu-repo/semantics/openAccess
Relation1368-9800, 1475-2727, 10.1017/S1368980018002136, info:eu-repo/grantAgreement/European Union/Horizon 2020 research and innovation programme/643708/

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