TY - JOUR
TI - Effectiveness of a family-, school- And community-based intervention on physical activity and its correlates in Belgian families with an increased risk for type 2 diabetes mellitus- And Feel4Diabetes-study
AU - Huys, N.
AU - Van Stappen, V.
AU - Shadid, S.
AU - De Craemer, M.
AU - Androutsos, O.
AU - Wikström, K.
AU - Makrilakis, K.
AU - Moreno, L.A.
AU - Iotova, V.
AU - Tankova, T.
AU - Nánási, A.
AU - Manios, Y.
AU - Cardon, G.
AU - Manios, Y.
AU - Kontogianni, M.
AU - Androutsos, O.
AU - Moschonis, G.
AU - Tsoutsoulopoulou, K.
AU - Mavrogianni, C.
AU - Katsarou, C.
AU - Karaglani, E.
AU - Efstathopoulou, E.
AU - Kechribari, I.
AU - Maragkopoulou, K.
AU - Argyri, E.
AU - Douligeris, A.
AU - Nikolaou, M.
AU - Vampouli, E.-A.
AU - Kouroupaki, K.
AU - Koutsi, R.
AU - Tzormpatzaki, E.
AU - Manou, E.
AU - Mpinou, P.
AU - Karachaliou, A.
AU - Filippou, C.
AU - Filippou, A.
AU - Lindström, J.
AU - Laatikainen, T.
AU - Wikström, K.
AU - Nelimarkka, K.
AU - Kivelä, J.
AU - Valve, P.
AU - Cardon, G.
AU - Latomme, J.
AU - Van Stappen, V.
AU - Huys, N.
AU - Annemans, L.
AU - Pil, L.
AU - Schwarz, P.
AU - Panchyrz, I.
AU - Holland, M.
AU - Timpel, P.
AU - Makrilakis, K.
AU - Liatis, S.
AU - Dafoulas, G.
AU - Lambrinou, C.-P.
AU - Giannopoulou, A.
AU - Tsirigoti, L.
AU - Fappa, E.
AU - Anastasiou, C.
AU - Zachari, K.
AU - Rabemananjara, L.
AU - Kakoulis, D.
AU - Mandalia, M.
AU - De Sabata, M.S.
AU - Pall, N.
AU - Civeira, F.
AU - Bueno, G.
AU - De Miguel-Etayo, P.
AU - Gonzalez-Gil, E.M.
AU - Mesana, M.I.
AU - Vicente-Rodriguez, G.
AU - Rodriguez, G.
AU - Baila-Rueda, L.
AU - Cenarro, A.
AU - Jarauta, E.
AU - Mateo-Gallego, R.
AU - Iotova, V.
AU - Tankova, T.
AU - Usheva, N.
AU - Tsochev, K.
AU - Chakarova, N.
AU - Galcheva, S.
AU - Dimova, R.
AU - Bocheva, Y.
AU - Radkova, Z.
AU - Marinova, V.
AU - Rurik, I.
AU - Ungvari, T.
AU - Jancsó, Z.
AU - Nánási, A.
AU - Kolozsvári, L.
AU - Martinez, R.
AU - Tong, M.
AU - Joutsenniemi, K.
AU - Wendel-Mitoraj, K.
JO - BMC Public Health
PY - 2020
VL - 20
TODO - 1
SP - null
PB - BioMed Central Ltd.
SN - 1471-2458
TODO - 10.1186/s12889-020-09336-7
TODO - adult;  Belgium;  child;  community care;  controlled study;  exercise;  family;  female;  health promotion;  human;  male;  non insulin dependent diabetes mellitus;  procedures;  program evaluation;  randomized controlled trial;  risk assessment;  school health service, Adult;  Belgium;  Child;  Community Health Services;  Diabetes Mellitus, Type 2;  Exercise;  Family;  Female;  Health Promotion;  Humans;  Male;  Program Evaluation;  Risk Assessment;  School Health Services
TODO - Background: The study aimed to investigate the effectiveness of the European Feel4Diabetes intervention, promoting a healthy lifestyle, on physical activity and its correlates among families at risk for type 2 diabetes mellitus (based on the Finnish Diabetes Risk Score) in Belgium. Methods: The Feel4Diabetes intervention involved three components: family, school and community component, with the family component consisting of 6 counseling sessions for families at risk. Main outcomes were objectively measured physical activity levels and its subjectively measured correlates. The final sample consisted of 454 parents (mean age 39.4 years; 72.0% women) and 444 children (mean age 8.0 years; 50.1% girls). Multilevel repeated measures analyses were performed to assess intervention effectiveness after 1 year. Results: In parents, there was no significant intervention effect. In children, there were only significant negative effects for moderate to vigorous physical activity (p = 0.05; ηp2 = 0.008) and steps (p = 0.03; ηp2 = 0.006%) on weekdays, with physical activity decreasing (more) in the intervention group. Conclusions: The F4D-intervention lacks effectiveness on high-risk families' physical activity and its correlates in Belgium. This could partially be explained by low attendance rates and a large drop-out. To reach vulnerable populations, future interventions should invest in more appropriate recruitment (e.g. more face-to-face contact) and more bottom-up development of the intervention (i.e. co-creation of the intervention with the target group). Trial registration: The Feel4Diabetes-study was prospectively registered at clinicaltrials.gov as NCT02393872 on 20 March 2015. © 2020 The Author(s).
ER -