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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

Bibliographic Data

ID15095650
AuthorsYannis Μanios (0000-0001-6486-114X, Harokopio University of Athens, corresponding author), Odysseas Androutsos (0000-0002-2849-1994, Harokopio University of Athens), Christina-Paulina Lambrinou, Christina‐Paulina Lambrinou (Harokopio University of Athens), Greet Cardon (0000-0003-4983-6557, Ghent University), Jaana Lindström (0000-0001-9255-020X, Finnish Institute for Health and Welfare), Lieven Annemans (0000-0001-8305-7210, Ghent University), Rocío Mateo-Gallego, Rocío Mateo‐Gállego (0000-0003-0120-5772, Instituto de Investigación Sanitaria Aragón), Maria Stella de Sabata (International Diabetes Federation), Violeta Iotova (0000-0003-4160-1200, Medical University of Varna), Jemina Kivelä (0000-0002-0605-8778, Finnish Institute for Health and Welfare), Remberto Martínez, Luis Alberto Moreno Aznar (0000-0003-0454-653X, Universidad de Zaragoza), Luis A Moreno (0009-0004-2393-8568), Imre Rurik (0000-0003-2818-8714, University of Debrecen), Peter Schwarz (0000-0002-0483-8594), Peter E H Schwarz (0000-0001-6317-7880, University Hospital Carl Gustav Carus), Tsvetalina Tankova (0000-0002-7572-1131, Medical University of Varna), Stavros Liatis (0000-0001-8991-2935, National and Kapodistrian University of Athens), Konstantinos Makrilakis (0000-0002-4160-0577, National and Kapodistrian University of Athens)
Year2018
Volume21
Issue17
Pages3281-3290
Publication date2018-11-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980018002136
PMID30207513
OpenAlexW2891976836
LanguageEN
Citations received15
References cited30

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 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

Developmental psychology · Environmental health · Family medicine · Grandparent · Intervention (counseling · Obesity · Population · Public health · Chronic Disease Management Strategies · Diabetes Management and Education · Medicine · Nursing · Obesity, Physical Activity, Diet · Psychology · Gerontology

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Unique citing works15
Citations per year1,88
Citation span2018 - 2024 (7)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 15

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