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

IF 3.2 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Diabetic Medicine Pub Date : 2024-06-05 DOI:10.1111/dme.15368

Elias Kourpas, 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, the Feel4Diabetes-study Group

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引用次数: 0

Abstract

Aims

Community- and school-based lifestyle interventions are an efficient method of preventing type 2 diabetes in vulnerable populations. Many participants, however, fail to complete the necessary follow-ups. We investigated factors affecting the continuous participation in follow-up evaluations during the Feel4Diabetes-study, a multilevel intervention programme implemented across Europe.

Methods

Socioeconomic, sociodemographic and clinical factors were assessed for 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 austerity measures, HICAM).

Results

Statistically significant differences were detected with respect to sex, control group, education level, employment status, BMI and blood pressure measurements (systolic and diastolic blood pressure). Post hoc analysis revealed significant differences within socioeconomic regions. Higher levels of education were associated with significantly lower attrition in HIC (p < 0.05) and HICAM (p < 0.001), higher employment status was associated with lower attrition in HICAM (p < 0.001) and being female was associated with lower attrition in LMIC (p < 0.001). Surprisingly, the intervention group exhibited higher-than-expected attrition 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, all sociodemographic and socioeconomic variables along with higher BMI retained their statistical significance, while systolic and diastolic blood pressure failed to remain significant.

Conclusions

Key socioeconomic and sociodemographic factors along with BMI play a significant role in determining continuous participation in follow-up evaluations during school- and community-based intervention programmes.

Abstract Image

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影响持续参与 2 型糖尿病预防生活方式干预计划后续评估的因素：Feel4Diabetes 研究。

目的：基于社区和学校的生活方式干预是预防弱势人群患上 2 型糖尿病的有效方法。然而，许多参与者未能完成必要的随访。我们调查了在 "Feel4Diabetes-研究"（一项在欧洲实施的多层次干预计划）期间影响持续参与后续评估的因素：方法：对六个参与国的 2702 名参与者的社会经济、社会人口和临床因素进行了评估：方法：对六个参与国的 2702 名参与者的社会经济、社会人口和临床因素进行了评估，这六个国家是：保加利亚和匈牙利（中低收入国家，LMIC）、比利时和芬兰（高收入国家，HIC）以及希腊和西班牙（采取紧缩措施的高收入国家，HICAM）：在性别、对照组、教育水平、就业状况、体重指数和血压测量值（收缩压和舒张压）方面发现了具有统计学意义的差异。事后分析显示，各社会经济地区之间存在明显差异。在高收入国家，教育水平越高，自然减员越少（p 结论：在高收入国家，教育水平越高，自然减员越少：主要的社会经济和社会人口因素以及体重指数在决定是否继续参与学校和社区干预项目的随访评估中起着重要作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetic Medicine 医学-内分泌学与代谢

CiteScore

7.20

自引率

5.70%

发文量

229

审稿时长

3-6 weeks

期刊介绍： Diabetic Medicine, the official journal of Diabetes UK, is published monthly simultaneously, in print and online editions. The journal publishes a range of key information on all clinical aspects of diabetes mellitus, ranging from human genetic studies through clinical physiology and trials to diabetes epidemiology. We do not publish original animal or cell culture studies unless they are part of a study of clinical diabetes involving humans. Categories of publication include research articles, reviews, editorials, commentaries, and correspondence. All material is peer-reviewed. We aim to disseminate knowledge about diabetes research with the goal of improving the management of people with diabetes. The journal therefore seeks to provide a forum for the exchange of ideas between clinicians and researchers worldwide. Topics covered are of importance to all healthcare professionals working with people with diabetes, whether in primary care or specialist services. Surplus generated from the sale of Diabetic Medicine is used by Diabetes UK to know diabetes better and fight diabetes more effectively on behalf of all people affected by and at risk of diabetes as well as their families and carers.”