Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2018 Dec;21(17):3281-3290.
doi: 10.1017/S1368980018002136. Epub 2018 Sep 12.

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  1 , Odysseas Androutsos  1 , Christina-Paulina Lambrinou  1 , Greet Cardon  2 , Jaana Lindstrom  3 , Lieven Annemans  4 , Rocio Mateo-Gallego  5 , Maria Stella de Sabata  6 , Violeta Iotova  7 , Jemina Kivela  3 , Remberto Martinez  8 , Luis A Moreno  9 , Imre Rurik  10 , Peter Schwarz  11 , Tsvetalina Tankova  7 , Stavros Liatis  12 , Konstantinos Makrilakis  12
Affiliations
Randomized Controlled Trial

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 et al. Public Health Nutr. 2018 Dec.

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: Children; Families; Obesity; Type 2 diabetes; Vulnerable.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
The contextual framework of the Feel4Diabetes-study (T2D, type 2 diabetes; EBRB, energy balance-related behaviour)
Fig. 2
Fig. 2
Overview of the Feel4Diabetes-intervention (FINDRISC, Finnish Diabetes Risk Score; SMS, text messaging)
Fig. 3
Fig. 3
Timeline of the Feel4Diabetes-study (T2D, type 2 diabetes; SMS, text messaging)
See this image and copyright information in PMC

References

    1. World Health Organization (2011) Global Status Report on Noncommunicable Diseases 2010. Geneva: WHO.
    1. NCD Risk Factor Collaboration (NCD-RisC) (2016) Worldwide trends in diabetes since 1980: a pooled analysis of 751 population-based studies with 4.4 million participants. Lancet 387, 1513–1530. - PMC - PubMed
    1. International Diabetes Federation (2017) IDF Diabetes Atlas 8th Edition (2017). https://www.idf.org/e-library/epidemiology-research/diabetes-atlas.html (accessed August 2018).
    1. Wandell PE (2005) Quality of life of patients with diabetes mellitus. An overview of research in primary health care in the Nordic countries. Scand J Prim Health Care 23, 68–74. - PubMed
    1. Baird J, Jacob C, Barker M et al.. (2017) Developmental origins of health and disease: a lifecourse approach to the prevention of non-communicable diseases. Healthcare (Basel) 5, E14. - PMC - PubMed

Publication types

MeSH terms