Division of Human Nutrition, Wageningen University, Wageningen, The Netherlands.
Fam Pract. 2012 Apr;29 Suppl 1:i145-i152. doi: 10.1093/fampra/cmr096.
All over the world, prevalence and incidence rates of type 2 diabetes mellitus are rising rapidly. Several trials have demonstrated that prevention by lifestyle intervention is (cost-) effective. This calls for translation of these trials to primary health care. This article gives an overview of the translation of the SLIM diabetes prevention intervention to a Dutch real-life setting and discusses the role of primary health care in implementing lifestyle intervention programmes. Currently, a 1-year pilot study, consisting of a dietary and physical activity part, performed by three GPs, three practice nurses, three dieticians and four physiotherapists is being conducted. The process of translating the SLIM lifestyle intervention to regular primary health care is measured by means of the process indicators: reach, acceptability, implementation integrity, applicability and key factors for success and failure of the intervention. Data will be derived from programme records, observations, focus groups and interviews. Based on these results, our programme will be adjusted to fit the role conception of the professionals and the organization structure in which they work.
在全球范围内，2 型糖尿病的患病率和发病率正在迅速上升。多项试验已经证明，通过生活方式干预进行预防具有成本效益。这就要求将这些试验转化为初级卫生保健。本文概述了将 SLIM 糖尿病预防干预措施翻译成荷兰现实环境的情况，并讨论了初级卫生保健在实施生活方式干预计划中的作用。目前，由三位全科医生、三位执业护士、三位营养师和四位物理治疗师进行了一项为期一年的试点研究，包括饮食和体育活动部分。通过采用可达性、可接受性、实施完整性、适用性以及干预成功和失败的关键因素等过程指标来衡量将 SLIM 生活方式干预措施转化为常规初级卫生保健的过程。数据将来源于项目记录、观察、焦点小组和访谈。基于这些结果，我们的项目将根据专业人员的角色概念和他们所工作的组织结构进行调整。
