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 Academic Article uri icon

abstract

  • 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.

authors

  • Huys, N
  • Van Stappen, V
  • Shadid, S
  • De Craemer, M
  • Androutsos, O
  • Wikström, K
  • Makrilakis, K
  • Moreno, LA
  • Iotova, V
  • Tankova, T
  • Nánási, A
  • Manios, Y
  • Cardon, G
  • Manios, Y
  • Kontogianni, M
  • Androutsos, O
  • Moschonis, George
  • Tsoutsoulopoulou, K
  • Mavrogianni, C
  • Katsarou, C
  • Karaglani, E
  • Efstathopoulou, E
  • Kechribari, I
  • Maragkopoulou, K
  • Argyri, E
  • Douligeris, A
  • Nikolaou, M
  • Vampouli, EA
  • Kouroupaki, K
  • Koutsi, R
  • Tzormpatzaki, E
  • Manou, E
  • Mpinou, P
  • Karachaliou, A
  • Filippou, C
  • Filippou, A
  • Lindström, J
  • Laatikainen, T
  • Wikström, K
  • Nelimarkka, K
  • Kivelä, J
  • Valve, P
  • Cardon, G
  • Latomme, J
  • Annemans, L
  • Pil, L
  • Schwarz, P
  • Panchyrz, I
  • Holland, M
  • Timpel, P
  • Makrilakis, K
  • Liatis, S
  • Dafoulas, G
  • Lambrinou, CP
  • Giannopoulou, A
  • Tsirigoti, L
  • Fappa, E
  • Anastasiou, C
  • Zachari, K
  • Rabemananjara, L
  • Kakoulis, D
  • Mandalia, M
  • De Sabata, MS
  • Pall, N
  • Moreno, L
  • Civeira, F
  • Bueno, G
  • De Miguel-Etayo, P
  • Gonzalez-Gil, EM
  • Mesana, MI
  • Vicente-Rodriguez, G
  • Rodriguez, G
  • Baila-Rueda, L
  • Cenarro, A
  • Jarauta, E
  • Mateo-Gallego, R
  • Iotova, V
  • Tankova, T
  • Usheva, N
  • Tsochev, K
  • Chakarova, N
  • Galcheva, S
  • Dimova, R
  • Bocheva, Y
  • Radkova, Z
  • Marinova, V
  • Rurik, I
  • Ungvari, T
  • Jancsó, Z
  • Kolozsvári, L
  • Martinez, R
  • Tong, M
  • Joutsenniemi, K
  • Wendel-Mitoraj, K

publication date

  • 2020