为有患2型糖尿病风险的青少年开发互动式生活方式项目：PRE-STARt。

Development of an Interactive Lifestyle Programme for Adolescents at Risk of Developing Type 2 Diabetes: PRE-STARt.

作者信息

Harrington Deirdre M, Brady Emer M, Weihrauch-Bluher Susann, Edwardson Charlotte L, Gray Laura J, Hadjiconstantinou Michelle, Jarvis Janet, Khunti Kamlesh, Vergara Itziar, Erreguerena Irati, Ribeiro Rogério T, Troughton Jacqui, Vazeou Andriani, Davies Melanie J

机构信息

Diabetes Research Centre, University of Leicester, Leicester LE5 4PW, UK.

School of Psychological Sciences and Health, University of Strathclyde, Glasgow G1 1QE, UK.

出版信息

Children (Basel). 2021 Jan 21;8(2):69. doi: 10.3390/children8020069.

DOI:10.3390/children8020069

PMID:33494347

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7912284/

Abstract

BACKGROUND

Type 2 diabetes (T2D) is increasing in young people. Reporting on the processes used when developing prevention interventions is needed. We present the development of a family-based interactive lifestyle intervention for adolescents with risk factors for T2D in the future.

METHOD

A multidisciplinary team in the UK site led the intervention development process with sites in Portugal, Greece, Germany and Spain. Potential programme topics and underpinning theory were gathered from literature and stakeholders. A theoretical framework based on self-efficacy theory and the COM-B (capability, opportunity, motivation, behaviour) model was developed. Sessions and supporting resources were developed and refined via two iterative cycles of session and resource piloting, feedback, reflection and refinement. Decision on delivery and content were made by stakeholders (young people, teachers, parents, paediatricians) and all sites. Materials were translated to local languages. Site-specific adaptations to the language, content and supporting resources were made.

RESULTS

The "PRE-STARt" programme is eight 90-min interactive sessions with supporting curriculum and resources. Iterative development work provided valuable feedback on programme content and delivery.

CONCLUSION

Reporting on the intervention development process, which includes stakeholder input, could yield a flexible approach for use in this emerging 'at risk' groups and their families.

摘要

背景

2型糖尿病（T2D）在年轻人中的发病率正在上升。需要报告在制定预防干预措施时所采用的流程。我们介绍了一种针对未来有T2D风险因素的青少年的家庭互动式生活方式干预措施的开发情况。

方法

英国站点的一个多学科团队牵头开展干预措施开发工作，葡萄牙、希腊、德国和西班牙的站点参与其中。从文献和利益相关者那里收集了潜在的项目主题和基础理论。基于自我效能理论和COM-B（能力、机会、动机、行为）模型开发了一个理论框架。通过两个关于课程和资源试点、反馈、反思及完善的迭代循环，对课程和支持资源进行了开发和完善。由利益相关者（年轻人、教师、家长、儿科医生）和所有站点做出关于实施方式和内容的决策。材料被翻译成当地语言。针对语言、内容和支持资源进行了因地制宜的调整。