000095486 001__ 95486 000095486 005__ 20210902121718.0 000095486 0247_ $$2doi$$a10.1186/s12889-020-09336-7 000095486 0248_ $$2sideral$$a119555 000095486 037__ $$aART-2020-119555 000095486 041__ $$aeng 000095486 100__ $$aHuys, N. 000095486 245__ $$aEffectiveness 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: the Feel4Diabetes-study 000095486 260__ $$c2020 000095486 5060_ $$aAccess copy available to the general public$$fUnrestricted 000095486 5203_ $$aBACKGROUND: 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; ¿p2¿=¿0.008) and steps (p¿=¿0.03; ¿p2¿=¿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). 000095486 536__ $$9info:eu-repo/grantAgreement/EC/H2020/643708/EU/Developing and implementing a community-based intervention to create a more supportive social and physical environment for lifestyle changes to prevent diabetes in vulnerable families across Europe/Feel4Diabetes$$9This project has received funding from the European Union’s Horizon 2020 research and innovation program under grant agreement No H2020 643708-Feel4Diabetes 000095486 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/ 000095486 590__ $$a3.295$$b2020 000095486 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b73 / 203 = 0.36$$c2020$$dQ2$$eT2 000095486 592__ $$a1.23$$b2020 000095486 593__ $$aPublic Health, Environmental and Occupational Health$$c2020$$dQ1 000095486 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000095486 700__ $$aVan Stappen, V. 000095486 700__ $$aShadid, S. 000095486 700__ $$aDe Craemer, M. 000095486 700__ $$aAndroutsos, O. 000095486 700__ $$aWikström, K. 000095486 700__ $$aMakrilakis, K. 000095486 700__ $$0(orcid)0000-0003-0454-653X$$aMoreno, L.A.$$uUniversidad de Zaragoza 000095486 700__ $$aIotova, V. 000095486 700__ $$aTankova, T. 000095486 700__ $$aNánási, A. 000095486 700__ $$aManios, Y. 000095486 700__ $$aCardon, G. 000095486 700__ $$aFeel4Diabetes-study, group 000095486 7102_ $$11006$$2255$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Enfermería 000095486 773__ $$g20, 1 (2020), 1231 [12 pp.]$$pBMC Public Health$$tBMC PUBLIC HEALTH$$x1471-2458 000095486 8564_ $$s847472$$uhttps://zaguan.unizar.es/record/95486/files/texto_completo.pdf$$yVersión publicada 000095486 8564_ $$s48553$$uhttps://zaguan.unizar.es/record/95486/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000095486 909CO $$ooai:zaguan.unizar.es:95486$$particulos$$pdriver 000095486 951__ $$a2021-09-02-09:26:06 000095486 980__ $$aARTICLE