Yannis Manios1, Odysseas Androutsos1, Christina-Paulina Lambrinou1, Greet Cardon2, Jaana Lindstrom3, Lieven Annemans4, Rocio Mateo-Gallego5, Maria Stella de Sabata6, Violeta Iotova7, Jemina Kivela3, Remberto Martinez8, Luis A Moreno9, Imre Rurik10, Peter Schwarz11, Tsvetalina Tankova7, Stavros Liatis12, Konstantinos Makrilakis12. 1. 1Department of Nutrition and Dietetics,Harokopio University,70 El Venizelou Avenue,17671Kallithea,Athens,Greece. 2. 2Department of Movement and Sport Sciences,Ghent University,Ghent,Belgium. 3. 3National Institute for Health and Welfare,Helsinki,Finland. 4. 4Department of Public Health,Ghent University,Ghent,Belgium. 5. 5Instituto Investigacion Sanitaria Aragon (IISA),CIBERCV,Zaragoza,Spain. 6. 6International Diabetes Federation European Region,Brussels,Belgium. 7. 7Department of Pediatrics,Medical University Varna,Varna,Bulgaria. 8. 8Extensive Life Oy,Helsinki,Finland. 9. 9Growth, Exercise, Nutrition and Development Research Group, University of Zaragoza, Zaragoza, Spain; School of Health Science (EUCS), University of Zaragoza,Zaragoza,Spain. 10. 10Department of Family and Occupational Medicine,University of Debrecen,Debrecen,Hungary. 11. 11Department for Prevention & Care of Diabetes, Medical Clinic Unit III, University Clinic Carl Gustav Carus at Technical University Dresden,Dresden,Germany. 12. 12First Department of Propaedeutic Medicine, National and Kapodistrian University of Athens Medical School, Laiko General Hospital,Athens,Greece.
Abstract
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.
RCT Entities:
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.
Entities:
Keywords:
Children; Families; Obesity; Type 2 diabetes; Vulnerable
Authors: Rebecca K Hodder; Kate M O'Brien; Fiona G Stacey; Flora Tzelepis; Rebecca J Wyse; Kate M Bartlem; Rachel Sutherland; Erica L James; Courtney Barnes; Luke Wolfenden Journal: Cochrane Database Syst Rev Date: 2019-11-07
Authors: Julie Latomme; Vicky Van Stappen; Greet Cardon; Philip J Morgan; Mina Lateva; Nevena Chakarova; Jemina Kivelä; Jaana Lindström; Odysseas Androutsos; Esther M González-Gil; Pilar De Miguel-Etayo; Anna Nánási; László R Kolozsvári; Yannis Manios; Marieke De Craemer Journal: Int J Environ Res Public Health Date: 2018-11-21 Impact factor: 3.390
Authors: Itziar Lamiquiz-Moneo; Ana M Bea; Cristian Palacios-Pérez; Pilar De Miguel-Etayo; Esther M González-Gil; Chuan López-Ariño; Fernando Civeira; Luis A Moreno; Rocio Mateo-Gallego Journal: Cells Date: 2020-03-12 Impact factor: 6.600