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
{"title":"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。","authors":"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","doi":"10.1111/dme.15368","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Aim<b>s</b></h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>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).</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>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 (<i>p</i> < 0.05) and HICAM (<i>p</i> < 0.001), higher employment status was associated with lower attrition in HICAM (<i>p</i> < 0.001) and being female was associated with lower attrition in LMIC (<i>p</i> < 0.001). Surprisingly, the intervention group exhibited higher-than-expected attrition in HIC (<i>p</i> < 0.001) and HICAM (<i>p</i> = 0.003), and lower attrition in LMIC (<i>p</i> = 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.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>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.</p>\n </section>\n </div>","PeriodicalId":11251,"journal":{"name":"Diabetic Medicine","volume":null,"pages":null},"PeriodicalIF":3.2000,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dme.15368","citationCount":"0","resultStr":"{\"title\":\"Factors affecting continuous participation in follow-up evaluations during a lifestyle intervention programme for type 2 diabetes prevention: The Feel4Diabetes-study\",\"authors\":\"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\",\"doi\":\"10.1111/dme.15368\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Aim<b>s</b></h3>\\n \\n <p>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. 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Higher levels of education were associated with significantly lower attrition in HIC (<i>p</i> < 0.05) and HICAM (<i>p</i> < 0.001), higher employment status was associated with lower attrition in HICAM (<i>p</i> < 0.001) and being female was associated with lower attrition in LMIC (<i>p</i> < 0.001). Surprisingly, the intervention group exhibited higher-than-expected attrition in HIC (<i>p</i> < 0.001) and HICAM (<i>p</i> = 0.003), and lower attrition in LMIC (<i>p</i> = 0.007). 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Factors affecting continuous participation in follow-up evaluations during a lifestyle intervention programme for type 2 diabetes prevention: The Feel4Diabetes-study
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.
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.”
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