Participation, socioeconomic status and group or individual counselling intervention in individuals at high risk for type 2 diabetes: One-year follow-up study of the FIN-D2D-project

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• 作者：Nina Rautio^a ; ^{nina.rautio@oulu.fi} ; Jari Jokelainen^b ; ^c ; Heikki Oksa^a ; Timo Saaristo^a ; ^d ; Markku Peltonen^e ; Leo Niskanen^f ; ^g ; Juha Saltevo^h ; Eeva Korpi-Hyö ; vä ; ltiⁱ ; Matti Uusitupa^j ; ^k ; Jaakko Tuomilehto^l ; Sirkka Keinä ; nen-Kiukaanniemi^b ; ^m
• 关键词：T2D ; type 2 diabetes ; BMI ; body mass index ; OGTT ; oral glucose tolerance test ; NGT ; normal glucose tolerance ; IFG ; impaired fasting glucose ; IGT ; impaired glucose tolerance
• 刊名：Primary Care Diabetes
• 出版年：2012
• 出版时间：December, 2012
• 年：2012
• 卷：6
• 期：4
• 页码：277-283
• 全文大小：288 K

文摘

Aims

To describe socioeconomic characteristics of participants and their effect on uptake and completion of the implementation project (FIN-D2D) for the National Type 2 Diabetes Prevention Programme. Furthermore, to assess the effectiveness of individual vs. group intervention during one-year follow-up.

Methods

At baseline, 2820 men and 5764 women aged <65 years participated in the non-randomized implementation project in primary health care setting; one-year follow-up was available for 1067 men and 2122 women. Socioeconomic status included education and occupation. Interventions were individual and/or group-based. The changes in cardiovascular risk factors and glucose tolerance were used as measures of the effectiveness of intervention.

Results

68.4 % of the men and 69.8 % of the women participated in some of the intervention modalities offered. Low education and not working were related to active participation in the intervention in men. 88.2 % of men and 76.1 % of women selected the individual instead of group intervention. The effectiveness of individual vs. group interventions did not differ, except for minor changes in systolic blood pressure in women and glucose tolerance in men.

Conclusions

Socioeconomic status modulated participation in interventions. Both types of intervention worked equally well, but participation in group intervention was low.