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Factors affecting continuous participation in follow‐up evaluations during a lifestyle intervention programme for type 2 diabetes prevention : the Feel4Diabetes‐study

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Project
  • Feel4Diabetes (Developing and implementing a community-based intervention to create a more supportive social and physical environment for lifestyle changes to prevent diabetes in vulnerable families across Europe)
Abstract
Aims: Community- and school-based lifestyle interventions are an efficientmethod of preventing type 2 diabetes in vulnerable populations. Many partici-pants, however, fail to complete the necessary follow-ups. We investigated fac-tors affecting the continuous participation in follow-up evaluations during theFeel4Diabetes- study, a multilevel intervention programme implemented acrossEurope.Methods: Socioeconomic, sociodemographic and clinical factors were assessedfor 2702 participants within six participating countries: Bulgaria and Hungary(low-to- middle-income countries, LMIC), Belgium and Finland (high-income countries, HIC) and Greece and Spain (high-income countries under austeritymeasures, HICAM).Results: Statistically significant differences were detected with respect to sex,control group, education level, employment status, BMI and blood pressuremeasurements (systolic and diastolic blood pressure). Post hoc analysis revealedsignificant differences within socioeconomic regions. Higher levels of educationwere associated with significantly lower attrition in HIC (p < 0.05) and HICAM(p < 0.001), higher employment status was associated with lower attrition inHICAM (p < 0.001) and being female was associated with lower attrition in LMIC(p < 0.001). Surprisingly, the intervention group exhibited higher-than-expectedattrition in HIC (p < 0.001) and HICAM (p = 0.003), and lower attrition in LMIC(p = 0.007). When tested together in the same multivariable predictive model, allsociodemographic and socioeconomic variables along with higher BMI retainedtheir statistical significance, while systolic and diastolic blood pressure failed toremain significant.Conclusions: Key socioeconomic and sociodemographic factors along with BMIplay a significant role in determining continuous participation in follow-up eval-uations during school- and community-based intervention programmes.
Keywords
attrition, continuous participation, diabetes type 2, intervention, socioeconomic regions,socioeconomic/sociodemographic factors

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Citation

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MLA
Kourpas, Elias, et al. “Factors Affecting Continuous Participation in Follow‐up Evaluations during a Lifestyle Intervention Programme for Type 2 Diabetes Prevention : The Feel4Diabetes‐study.” DIABETIC MEDICINE, vol. 41, no. 8, 2024, doi:10.1111/dme.15368.
APA
Kourpas, E., Makrilakis, K., Dafoulas, G., Iotova, V., Tsochev, K., Dimova, R., … the Feel4Diabetes‐study Group, [missing]. (2024). Factors affecting continuous participation in follow‐up evaluations during a lifestyle intervention programme for type 2 diabetes prevention : the Feel4Diabetes‐study. DIABETIC MEDICINE, 41(8). https://doi.org/10.1111/dme.15368
Chicago author-date
Kourpas, Elias, Konstantinos Makrilakis, George Dafoulas, Violeta Iotova, Kaloyan Tsochev, Roumyana Dimova, Greet Cardon, et al. 2024. “Factors Affecting Continuous Participation in Follow‐up Evaluations during a Lifestyle Intervention Programme for Type 2 Diabetes Prevention : The Feel4Diabetes‐study.” DIABETIC MEDICINE 41 (8). https://doi.org/10.1111/dme.15368.
Chicago author-date (all authors)
Kourpas, Elias, Konstantinos Makrilakis, George Dafoulas, Violeta Iotova, Kaloyan Tsochev, Roumyana Dimova, Greet Cardon, Esther M. González‐Gil, Luis Moreno, Jemina Kivelä, Jaana Lindström, Imre Rurik, Emese Antal, Patrick Timpel, Peter Schwartz, Christina Mavrogianni, Yannis Manios, Stavros Liatis, and [missing] the Feel4Diabetes‐study Group. 2024. “Factors Affecting Continuous Participation in Follow‐up Evaluations during a Lifestyle Intervention Programme for Type 2 Diabetes Prevention : The Feel4Diabetes‐study.” DIABETIC MEDICINE 41 (8). doi:10.1111/dme.15368.
Vancouver
1.
Kourpas E, Makrilakis K, Dafoulas G, Iotova V, Tsochev K, Dimova R, et al. Factors affecting continuous participation in follow‐up evaluations during a lifestyle intervention programme for type 2 diabetes prevention : the Feel4Diabetes‐study. DIABETIC MEDICINE. 2024;41(8).
IEEE
[1]
E. Kourpas et al., “Factors affecting continuous participation in follow‐up evaluations during a lifestyle intervention programme for type 2 diabetes prevention : the Feel4Diabetes‐study,” DIABETIC MEDICINE, vol. 41, no. 8, 2024.
@article{01HZRTSTJMTH51CS2SKGWNT5HV,
  abstract     = {{Aims: Community- and school-based lifestyle interventions are an efficientmethod of preventing type 2 diabetes in vulnerable populations. Many partici-pants, however, fail to complete the necessary follow-ups. We investigated fac-tors affecting the continuous participation in follow-up evaluations during theFeel4Diabetes- study, a multilevel intervention programme implemented acrossEurope.Methods: Socioeconomic, sociodemographic and clinical factors were assessedfor 2702 participants within six participating countries: Bulgaria and Hungary(low-to- middle-income countries, LMIC), Belgium and Finland (high-income countries, HIC) and Greece and Spain (high-income countries under austeritymeasures, HICAM).Results: Statistically significant differences were detected with respect to sex,control group, education level, employment status, BMI and blood pressuremeasurements (systolic and diastolic blood pressure). Post hoc analysis revealedsignificant differences within socioeconomic regions. Higher levels of educationwere associated with significantly lower attrition in HIC (p < 0.05) and HICAM(p < 0.001), higher employment status was associated with lower attrition inHICAM (p < 0.001) and being female was associated with lower attrition in LMIC(p < 0.001). Surprisingly, the intervention group exhibited higher-than-expectedattrition in HIC (p < 0.001) and HICAM (p = 0.003), and lower attrition in LMIC(p = 0.007). When tested together in the same multivariable predictive model, allsociodemographic and socioeconomic variables along with higher BMI retainedtheir statistical significance, while systolic and diastolic blood pressure failed toremain significant.Conclusions: Key socioeconomic and sociodemographic factors along with BMIplay a significant role in determining continuous participation in follow-up eval-uations during school- and community-based intervention programmes.}},
  articleno    = {{e15368}},
  author       = {{Kourpas, Elias and Makrilakis, Konstantinos and Dafoulas, George and Iotova, Violeta and Tsochev, Kaloyan and Dimova, Roumyana and Cardon, Greet and González‐Gil, Esther M. and Moreno, Luis and Kivelä, Jemina and Lindström, Jaana and Rurik, Imre and Antal, Emese and Timpel, Patrick and Schwartz, Peter and Mavrogianni, Christina and Manios, Yannis and Liatis, Stavros and the Feel4Diabetes‐study Group, [missing]}},
  issn         = {{0742-3071}},
  journal      = {{DIABETIC MEDICINE}},
  keywords     = {{attrition, continuous participation, diabetes type 2, intervention, socioeconomic regions,socioeconomic/sociodemographic factors}},
  language     = {{eng}},
  number       = {{8}},
  pages        = {{14}},
  title        = {{Factors affecting continuous participation in follow‐up evaluations during a lifestyle intervention programme for type 2 diabetes prevention : the Feel4Diabetes‐study}},
  url          = {{http://doi.org/10.1111/dme.15368}},
  volume       = {{41}},
  year         = {{2024}},
}

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