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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

Yannis Manios, Odysseas Androutsos, Christina-Paulina Lambrinou, Greet Cardon (UGent) , Jaana Lindstrom, Lieven Annemans (UGent) , Rocio Mateo-Gallego, Maria Stella de Sabata, Violeta Iotova, Jemina Kivela, et al.
(2018) PUBLIC HEALTH NUTRITION. 21(17). p.3281-3290
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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.
Keywords
Obesity, Type 2 diabetes, Vulnerable, Children, Families, BODY-MASS INDEX, CHILDHOOD OBESITY, SOCIOECONOMIC POSITION, INVOLVED INTERVENTION, DIETARY PATTERNS, RISK, MELLITUS, POPULATION, DETERMINANTS, ADHERENCE, physical activity & health

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Citation

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Chicago
Manios, Yannis, Odysseas Androutsos, Christina-Paulina Lambrinou, Greet Cardon, Jaana Lindstrom, Lieven Annemans, Rocio Mateo-Gallego, et al. 2018. “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.” Public Health Nutrition 21 (17): 3281–3290.
APA
Manios, Y., Androutsos, O., Lambrinou, C.-P., Cardon, G., Lindstrom, J., Annemans, L., Mateo-Gallego, R., et al. (2018). 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. PUBLIC HEALTH NUTRITION, 21(17), 3281–3290.
Vancouver
1.
Manios Y, Androutsos O, Lambrinou C-P, Cardon G, Lindstrom J, Annemans L, et al. 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. PUBLIC HEALTH NUTRITION. 2018;21(17):3281–90.
MLA
Manios, Yannis et al. “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.” PUBLIC HEALTH NUTRITION 21.17 (2018): 3281–3290. Print.
@article{8591853,
  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.},
  author       = {Manios, Yannis and Androutsos, Odysseas and Lambrinou, Christina-Paulina and Cardon, Greet and Lindstrom, Jaana and Annemans, Lieven and Mateo-Gallego, Rocio and de Sabata, Maria Stella and Iotova, Violeta and Kivela, Jemina and Martinez, Remberto and Moreno, Luis A and Rurik, Imre and Schwarz, Peter and Tankova, Tsvetalina and Liatis, Stavros and Makrilakis, Konstantinos},
  issn         = {1368-9800},
  journal      = {PUBLIC HEALTH NUTRITION},
  language     = {eng},
  number       = {17},
  pages        = {3281--3290},
  title        = {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},
  url          = {http://dx.doi.org/10.1017/s1368980018002136},
  volume       = {21},
  year         = {2018},
}
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