Skip to main content
Top
Published in: BMC Public Health 1/2011

Open Access 01-12-2011 | Study protocol

DiAlert: a lifestyle education programme aimed at people with a positive family history of type 2 diabetes and overweight, study protocol of a randomised controlled trial

Authors: Wieke H Heideman, Vera Nierkens, Karien Stronks, Barend JC Middelkoop, Jos WR Twisk, Arnoud P Verhoeff, Maartje de Wit, Frank J Snoek

Published in: BMC Public Health | Issue 1/2011

Login to get access

Abstract

Background

Family history is a known risk factor for type 2 diabetes (T2DM), and more so in the presence of overweight. This study aims to develop and evaluate the effectiveness of a new lifestyle education programme 'DiAlert' targeted at 1st degree relatives of people with T2DM and overweight. In view of the high risk for diabetes and cardiovascular disease in immigrants from Turkish origin living in Western Europe, a culturally appropriate Turkish version of DiAlert will be developed and tested.

Methods/design

In this RCT, 268 (134 Dutch and 134 Turkish) overweight 1st degree relatives of patients with T2DM will be allocated to either the intervention or control group (leaflet). The intervention DiAlert aims to promote intrinsic motivation to change lifestyle, and sustain achieved behaviour changes during follow-up. Primary outcome is weight loss. Secondary outcomes include biological, behavioural and psychological indices, along with process indicators. Measurements will take place at baseline and after 3 and 9 months. Changes in outcomes are tested between intervention and control group at 3 months; effects over time are tested within and between both ethnic groups at 3 and 9 months.

Discussion

The DiAlert intervention is expected to be more effective than the control condition in achieving significant weight loss at 3 months, in both Dutch and Turkish Dutch participants.

Trial registration

Netherlands National Trial Register (NTR): NTR2036
Appendix
Available only for authorised users
Literature
1.
go back to reference Wild S, Roglic G, Green A, Sicree R, King H: Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care. 2004, 27: 1047-1053. 10.2337/diacare.27.5.1047.CrossRefPubMed Wild S, Roglic G, Green A, Sicree R, King H: Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care. 2004, 27: 1047-1053. 10.2337/diacare.27.5.1047.CrossRefPubMed
2.
go back to reference Annis AM, Caulder MS, Cook ML, Duquette D: Family history, diabetes, and other demographic and risk factors among participants of the National Health and Nutrition Examination Survey 1999-2002. Prev Chronic Dis. 2005, 2: A19-PubMedPubMedCentral Annis AM, Caulder MS, Cook ML, Duquette D: Family history, diabetes, and other demographic and risk factors among participants of the National Health and Nutrition Examination Survey 1999-2002. Prev Chronic Dis. 2005, 2: A19-PubMedPubMedCentral
3.
go back to reference Valdez R, Yoon PW, Liu T, Khoury MJ: Family history and prevalence of diabetes in the US population: 6-year results from the National Health and Nutrition Examination Survey (NHANES, 1999 2004). Diabetes. 2007 Valdez R, Yoon PW, Liu T, Khoury MJ: Family history and prevalence of diabetes in the US population: 6-year results from the National Health and Nutrition Examination Survey (NHANES, 1999 2004). Diabetes. 2007
4.
go back to reference Pierce M, Keen H, Bradley C: Risk of diabetes in offspring of parents with non-insulin-dependent diabetes. Diabet Med. 1995, 12: 6-13. 10.1111/j.1464-5491.1995.tb02054.x.CrossRefPubMed Pierce M, Keen H, Bradley C: Risk of diabetes in offspring of parents with non-insulin-dependent diabetes. Diabet Med. 1995, 12: 6-13. 10.1111/j.1464-5491.1995.tb02054.x.CrossRefPubMed
5.
go back to reference Harrison TA, Hindorff LA, Kim H, Wines RC, Bowen DJ, McGrath BB, Edwards KL: Family history of diabetes as a potential public health tool. Am J Prev Med. 2003, 24: 152-159. 10.1016/S0749-3797(02)00588-3.CrossRefPubMed Harrison TA, Hindorff LA, Kim H, Wines RC, Bowen DJ, McGrath BB, Edwards KL: Family history of diabetes as a potential public health tool. Am J Prev Med. 2003, 24: 152-159. 10.1016/S0749-3797(02)00588-3.CrossRefPubMed
6.
go back to reference Claassen L, Henneman L, Janssens ACJW, Wijdenes-Pijl M, Qureshi N, Walter FM, Yoon PW, Timmermans DR: Using family history information to promote healthy lifestyles and prevent diseases; a discussion of the evidence. BMC Public Health. 2010, 10: 248-10.1186/1471-2458-10-248.CrossRefPubMedPubMedCentral Claassen L, Henneman L, Janssens ACJW, Wijdenes-Pijl M, Qureshi N, Walter FM, Yoon PW, Timmermans DR: Using family history information to promote healthy lifestyles and prevent diseases; a discussion of the evidence. BMC Public Health. 2010, 10: 248-10.1186/1471-2458-10-248.CrossRefPubMedPubMedCentral
7.
go back to reference Heideman WH, Middelkoop BJ, Nierkens V, Stronks K, Verhoeff AP, van Esch SC, Snoek FJ: Changing the odds. What do we learn from prevention studies targeted at people with a positive family history of type 2 diabetes?. Prim Care Diabetes. 2011, Heideman WH, Middelkoop BJ, Nierkens V, Stronks K, Verhoeff AP, van Esch SC, Snoek FJ: Changing the odds. What do we learn from prevention studies targeted at people with a positive family history of type 2 diabetes?. Prim Care Diabetes. 2011,
8.
go back to reference Knowler WC, Barrett-Connor E, Fowler SE, Hamman RF, Lachin JM, Walker EA, Nathan DM, Diabetes Prevention Program Research Group: Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002, 346: 393-403.CrossRefPubMed Knowler WC, Barrett-Connor E, Fowler SE, Hamman RF, Lachin JM, Walker EA, Nathan DM, Diabetes Prevention Program Research Group: Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002, 346: 393-403.CrossRefPubMed
9.
go back to reference Tuomilehto J, Lindstrom J, Eriksson JG, Valle TT, Hamalainen H, Ilanne-Parikka P, et al: Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med. 2001, 344: 1343-1350. 10.1056/NEJM200105033441801.CrossRefPubMed Tuomilehto J, Lindstrom J, Eriksson JG, Valle TT, Hamalainen H, Ilanne-Parikka P, et al: Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med. 2001, 344: 1343-1350. 10.1056/NEJM200105033441801.CrossRefPubMed
10.
go back to reference Knowler WC, Fowler SE, Hamman RF, Christophi CA, Hoffman HJ, Brenneman AT, et al: 10-year follow-up of diabetes incidence and weight loss in the Diabetes Prevention Program Outcomes Study. Lancet. 2009, 374: 1677-1686. 10.1016/S0140-6736(09)61457-4.CrossRefPubMed Knowler WC, Fowler SE, Hamman RF, Christophi CA, Hoffman HJ, Brenneman AT, et al: 10-year follow-up of diabetes incidence and weight loss in the Diabetes Prevention Program Outcomes Study. Lancet. 2009, 374: 1677-1686. 10.1016/S0140-6736(09)61457-4.CrossRefPubMed
11.
go back to reference the Diabetes Prevention Program (DPP) Research Group: The Diabetes Prevention Program: baseline characteristics of the randomized cohort. The Diabetes Prevention Program Research Group. Diabetes Care. 2000, 23: 1619-1629.CrossRef the Diabetes Prevention Program (DPP) Research Group: The Diabetes Prevention Program: baseline characteristics of the randomized cohort. The Diabetes Prevention Program Research Group. Diabetes Care. 2000, 23: 1619-1629.CrossRef
12.
go back to reference Uusitupa MI, Stancakova A, Peltonen M, Eriksson JG, Lindstrom J, Aunola S, Ilanne-Parikka P, Keinänen-Kiukaanniemi S, Tuomilehto J, Laakso M: Impact of Positive Family History and Genetic Risk Variants on the Incidence of Diabetes: The Finnish Diabetes Prevention Study. Diabetes Care. 2011, 34: 418-423. 10.2337/dc10-1013.CrossRefPubMedPubMedCentral Uusitupa MI, Stancakova A, Peltonen M, Eriksson JG, Lindstrom J, Aunola S, Ilanne-Parikka P, Keinänen-Kiukaanniemi S, Tuomilehto J, Laakso M: Impact of Positive Family History and Genetic Risk Variants on the Incidence of Diabetes: The Finnish Diabetes Prevention Study. Diabetes Care. 2011, 34: 418-423. 10.2337/dc10-1013.CrossRefPubMedPubMedCentral
13.
go back to reference Ackermann RT, Marrero DG, Hicks KA, Hoerger TJ, Sorensen S, Zhang P, Engelgau MM, Ratner RE, Herman WH: An evaluation of cost sharing to finance a diet and physical activity intervention to prevent diabetes. Diabetes Care. 2006, 29: 1237-1241. 10.2337/dc05-1709.CrossRefPubMed Ackermann RT, Marrero DG, Hicks KA, Hoerger TJ, Sorensen S, Zhang P, Engelgau MM, Ratner RE, Herman WH: An evaluation of cost sharing to finance a diet and physical activity intervention to prevent diabetes. Diabetes Care. 2006, 29: 1237-1241. 10.2337/dc05-1709.CrossRefPubMed
14.
go back to reference Yates T, Davies M, Gorely T, Bull F, Khunti K: Rationale, design and baseline data from the Pre-diabetes Risk Education and Physical Activity Recommendation and Encouragement (PREPARE) programme study: a randomized controlled trial. Patient Educ Couns. 2008, 73: 264-271. 10.1016/j.pec.2008.06.010.CrossRefPubMed Yates T, Davies M, Gorely T, Bull F, Khunti K: Rationale, design and baseline data from the Pre-diabetes Risk Education and Physical Activity Recommendation and Encouragement (PREPARE) programme study: a randomized controlled trial. Patient Educ Couns. 2008, 73: 264-271. 10.1016/j.pec.2008.06.010.CrossRefPubMed
15.
go back to reference Yates T, Davies M, Sehmi S, Gorely T, Khunti K: The Pre-diabetes Risk Education and Physical Activity Recommendation and Encouragement (PREPARE) programme study: are improvements in glucose regulation sustained at 2 years?. Diabet Med. 2011, Yates T, Davies M, Sehmi S, Gorely T, Khunti K: The Pre-diabetes Risk Education and Physical Activity Recommendation and Encouragement (PREPARE) programme study: are improvements in glucose regulation sustained at 2 years?. Diabet Med. 2011,
17.
go back to reference Ujcic-Voortman JK, Schram MT, Jacobs-van der Bruggen MA, Verhoeff AP, Baan CA: Diabetes prevalence and risk factors among ethnic minorities. Eur J Public Health. 2009, 19: 511-515. 10.1093/eurpub/ckp096.CrossRefPubMed Ujcic-Voortman JK, Schram MT, Jacobs-van der Bruggen MA, Verhoeff AP, Baan CA: Diabetes prevalence and risk factors among ethnic minorities. Eur J Public Health. 2009, 19: 511-515. 10.1093/eurpub/ckp096.CrossRefPubMed
18.
go back to reference Lynch JW, Kaplan GA, Salonen JT: Why do poor people behave poorly? Variation in adult health behaviours and psychosocial characteristics by stages of the socioeconomic lifecourse. Soc Sci Med. 1997, 44: 809-819. 10.1016/S0277-9536(96)00191-8.CrossRefPubMed Lynch JW, Kaplan GA, Salonen JT: Why do poor people behave poorly? Variation in adult health behaviours and psychosocial characteristics by stages of the socioeconomic lifecourse. Soc Sci Med. 1997, 44: 809-819. 10.1016/S0277-9536(96)00191-8.CrossRefPubMed
19.
go back to reference Stronks K, van de Mheen HD, Looman CW, Mackenbach JP: Cultural, material, and psychosocial correlates of the socioeconomic gradient in smoking behavior among adults. Prev Med. 1997, 26: 754-766. 10.1006/pmed.1997.0174.CrossRefPubMed Stronks K, van de Mheen HD, Looman CW, Mackenbach JP: Cultural, material, and psychosocial correlates of the socioeconomic gradient in smoking behavior among adults. Prev Med. 1997, 26: 754-766. 10.1006/pmed.1997.0174.CrossRefPubMed
20.
go back to reference Uitewaal PJ, Manna DR, Bruijnzeels MA, Hoes AW, Thomas S: Prevalence of type 2 diabetes mellitus, other cardiovascular risk factors, and cardiovascular disease in Turkish and Moroccan immigrants in North West Europe: a systematic review. Prev Med. 2004, 39: 1068-1076. 10.1016/j.ypmed.2004.04.009.CrossRefPubMed Uitewaal PJ, Manna DR, Bruijnzeels MA, Hoes AW, Thomas S: Prevalence of type 2 diabetes mellitus, other cardiovascular risk factors, and cardiovascular disease in Turkish and Moroccan immigrants in North West Europe: a systematic review. Prev Med. 2004, 39: 1068-1076. 10.1016/j.ypmed.2004.04.009.CrossRefPubMed
21.
go back to reference El Fakiri F, Hoes AW, Uitewaal PJ, Frenken RA, Bruijnzeels MA: Process evaluation of an intensified preventive intervention to reduce cardiovascular risk in general practices in deprived neighbourhoods. Eur J Cardiovasc Nurs. 2008, 7: 296-302. 10.1016/j.ejcnurse.2008.01.002.CrossRefPubMed El Fakiri F, Hoes AW, Uitewaal PJ, Frenken RA, Bruijnzeels MA: Process evaluation of an intensified preventive intervention to reduce cardiovascular risk in general practices in deprived neighbourhoods. Eur J Cardiovasc Nurs. 2008, 7: 296-302. 10.1016/j.ejcnurse.2008.01.002.CrossRefPubMed
22.
go back to reference Uitewaal PJ, Voorham AJ, Bruijnzeels MA, Berghout A, Bernsen RM, Trienekens PH, et al: No clear effect of diabetes education on glycaemic control for Turkish type 2 diabetes patients: a controlled experiment in general practice. Neth J Med. 2005, 63: 428-434.PubMed Uitewaal PJ, Voorham AJ, Bruijnzeels MA, Berghout A, Bernsen RM, Trienekens PH, et al: No clear effect of diabetes education on glycaemic control for Turkish type 2 diabetes patients: a controlled experiment in general practice. Neth J Med. 2005, 63: 428-434.PubMed
23.
go back to reference Leibbrandt AJ, Kiefte-de Jong JC, Hogenelst MH, Snoek FJ, Weijs PJ: Effects of the PRo-active Interdisciplinary Self-MAnagement (PRISMA, Dutch DESMOND) program on dietary intake in type 2 diabetes outpatients: a pilot study. Clin Nutr. 2010, 29: 199-205. 10.1016/j.clnu.2009.08.009.CrossRefPubMed Leibbrandt AJ, Kiefte-de Jong JC, Hogenelst MH, Snoek FJ, Weijs PJ: Effects of the PRo-active Interdisciplinary Self-MAnagement (PRISMA, Dutch DESMOND) program on dietary intake in type 2 diabetes outpatients: a pilot study. Clin Nutr. 2010, 29: 199-205. 10.1016/j.clnu.2009.08.009.CrossRefPubMed
24.
go back to reference Davies MJ, Heller S, Skinner TC, Campbell MJ, Carey ME, Cradock S, Dallosso HM, Daly H, Doherty Y, Eaton S, Fox C, Oliver L, Rantell K, Rayman G, Khunti K, Diabetes Education and Self Management for Ongoing and Newly Diagnosed Collaborative: Effectiveness of the diabetes education and self management for ongoing and newly diagnosed (DESMOND) programme for people with newly diagnosed type 2 diabetes: cluster randomised controlled trial. BMJ. 2008, 336: 491-495. 10.1136/bmj.39474.922025.BE.CrossRefPubMedPubMedCentral Davies MJ, Heller S, Skinner TC, Campbell MJ, Carey ME, Cradock S, Dallosso HM, Daly H, Doherty Y, Eaton S, Fox C, Oliver L, Rantell K, Rayman G, Khunti K, Diabetes Education and Self Management for Ongoing and Newly Diagnosed Collaborative: Effectiveness of the diabetes education and self management for ongoing and newly diagnosed (DESMOND) programme for people with newly diagnosed type 2 diabetes: cluster randomised controlled trial. BMJ. 2008, 336: 491-495. 10.1136/bmj.39474.922025.BE.CrossRefPubMedPubMedCentral
25.
go back to reference Schwarzer R: Health behaviour change: how to predict and modify adoption and maintenance of health behavours. Applied Psychology. 2008, 57: 1-29. Schwarzer R: Health behaviour change: how to predict and modify adoption and maintenance of health behavours. Applied Psychology. 2008, 57: 1-29.
26.
go back to reference Leventhal H, Meyer D, Nerenz D: The common-sense representation of illness danger. Contributions to medical psychology. 1980, New York: Pergamon, 2 Leventhal H, Meyer D, Nerenz D: The common-sense representation of illness danger. Contributions to medical psychology. 1980, New York: Pergamon, 2
27.
go back to reference Craig P, Dieppe P, Macintyre S, Mitchie S, Nazareth I, Petticrew M: Developing and evaluating complex interventions: the new Medical Research Council guidance. British Medical Journal. 2008, 337: Craig P, Dieppe P, Macintyre S, Mitchie S, Nazareth I, Petticrew M: Developing and evaluating complex interventions: the new Medical Research Council guidance. British Medical Journal. 2008, 337:
28.
go back to reference Kline MV: Planning Health Promotion and Disease Prevention Programs in Multicultural Populations. Health promotion in multicultural populations. A handbook for practitioners an students. 2007, SAGE publications Kline MV: Planning Health Promotion and Disease Prevention Programs in Multicultural Populations. Health promotion in multicultural populations. A handbook for practitioners an students. 2007, SAGE publications
29.
go back to reference Resnicow K, Soler R, Braithwaite RL, Ahluwalia JS, Butler J: Cultural sensitivity in substance use prevention. Journal of Community Psychology. 2000, 28: 271-290. 10.1002/(SICI)1520-6629(200005)28:3<271::AID-JCOP4>3.0.CO;2-I.CrossRef Resnicow K, Soler R, Braithwaite RL, Ahluwalia JS, Butler J: Cultural sensitivity in substance use prevention. Journal of Community Psychology. 2000, 28: 271-290. 10.1002/(SICI)1520-6629(200005)28:3<271::AID-JCOP4>3.0.CO;2-I.CrossRef
31.
go back to reference Matthews DR, Hosker JP, Rudenski AS, Naylor BA, Treacher DF, Turner RC: Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia. 1985, 28: 412-419. 10.1007/BF00280883.CrossRefPubMed Matthews DR, Hosker JP, Rudenski AS, Naylor BA, Treacher DF, Turner RC: Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia. 1985, 28: 412-419. 10.1007/BF00280883.CrossRefPubMed
32.
go back to reference Bogers RP, van Assema P, Kester ADM, Westerterp KR, Dagnelie PC: Reproducibility, validity, and responsiveness to change of a short questionnaire for measuring fruit and vegetable intake. American Journal of Epidemiology. 2004, 159: 900-909. 10.1093/aje/kwh123.CrossRefPubMed Bogers RP, van Assema P, Kester ADM, Westerterp KR, Dagnelie PC: Reproducibility, validity, and responsiveness to change of a short questionnaire for measuring fruit and vegetable intake. American Journal of Epidemiology. 2004, 159: 900-909. 10.1093/aje/kwh123.CrossRefPubMed
33.
go back to reference Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF, Oja P: International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003, 35: 1381-1395. 10.1249/01.MSS.0000078924.61453.FB.CrossRefPubMed Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF, Oja P: International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003, 35: 1381-1395. 10.1249/01.MSS.0000078924.61453.FB.CrossRefPubMed
34.
go back to reference The EuroQol Group: EuroQol--a new facility for the measurement of health-related quality of life. The EuroQol Group. Health Policy. 1990, 16: 199-208.CrossRef The EuroQol Group: EuroQol--a new facility for the measurement of health-related quality of life. The EuroQol Group. Health Policy. 1990, 16: 199-208.CrossRef
35.
go back to reference Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand SL, Walters EE, Zaslavsky AM: Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med. 2002, 32: 959-976. 10.1017/S0033291702006074.CrossRefPubMed Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand SL, Walters EE, Zaslavsky AM: Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med. 2002, 32: 959-976. 10.1017/S0033291702006074.CrossRefPubMed
36.
go back to reference Donker T, Comijs H, Cuijpers P, Terluin B, Nolen W, Zitman F, Penninx B: The validity of the Dutch K10 and extended K10 screening scales for depressive and anxiety disorders. Psychiatry Res. 2010, 176: 45-50. 10.1016/j.psychres.2009.01.012.CrossRefPubMed Donker T, Comijs H, Cuijpers P, Terluin B, Nolen W, Zitman F, Penninx B: The validity of the Dutch K10 and extended K10 screening scales for depressive and anxiety disorders. Psychiatry Res. 2010, 176: 45-50. 10.1016/j.psychres.2009.01.012.CrossRefPubMed
37.
go back to reference Moss-Morris R, Weinman J, Petrie KJ, Horne R, Cameron LD, Buick D: The revised Illness Perception Questionnaire (IPQ-R). Psychology & Health. 2002, 17: 1-16.CrossRef Moss-Morris R, Weinman J, Petrie KJ, Horne R, Cameron LD, Buick D: The revised Illness Perception Questionnaire (IPQ-R). Psychology & Health. 2002, 17: 1-16.CrossRef
38.
go back to reference Claassen L, Henneman L, Kindt I, Marteau TM, Timmermans DR: Perceived risk and representations of cardiovascular disease and preventive behaviour in people diagnosed with familial hypercholesterolemia: a cross-sectional questionnaire study. J Health Psychol. 2010, 15: 33-43. 10.1177/1359105309345170.CrossRefPubMed Claassen L, Henneman L, Kindt I, Marteau TM, Timmermans DR: Perceived risk and representations of cardiovascular disease and preventive behaviour in people diagnosed with familial hypercholesterolemia: a cross-sectional questionnaire study. J Health Psychol. 2010, 15: 33-43. 10.1177/1359105309345170.CrossRefPubMed
41.
go back to reference Saunders RP, Evans MH, Joshi P: Developing a process-evaluation plan for assessing health promotion program implementation: a how-to guide. Health Promot Pract. 2005, 6: 134-147. 10.1177/1524839904273387.CrossRefPubMed Saunders RP, Evans MH, Joshi P: Developing a process-evaluation plan for assessing health promotion program implementation: a how-to guide. Health Promot Pract. 2005, 6: 134-147. 10.1177/1524839904273387.CrossRefPubMed
42.
go back to reference Klein Woolthuis EP, de Grauw WJ, van Gerwen WH, van den Hoogen HJ, van de Lisdonk EH, Metsemakers JF, van Weel C: Identifying people at risk for undiagnosed type 2 diabetes using the GP's electronic medical record. Fam Pract. 2007, 24: 230-236. 10.1093/fampra/cmm018.CrossRefPubMed Klein Woolthuis EP, de Grauw WJ, van Gerwen WH, van den Hoogen HJ, van de Lisdonk EH, Metsemakers JF, van Weel C: Identifying people at risk for undiagnosed type 2 diabetes using the GP's electronic medical record. Fam Pract. 2007, 24: 230-236. 10.1093/fampra/cmm018.CrossRefPubMed
43.
go back to reference Absetz P, Valve R, Oldenburg B, Heinonen H, Nissinen A, Fogelholm M, Ilvesmäki V, Talja M, Uutela A: Type 2 diabetes prevention in the "real world": one-year results of the GOAL Implementation Trial. Diabetes Care. 2007, 30: 2465-2470. 10.2337/dc07-0171.CrossRefPubMed Absetz P, Valve R, Oldenburg B, Heinonen H, Nissinen A, Fogelholm M, Ilvesmäki V, Talja M, Uutela A: Type 2 diabetes prevention in the "real world": one-year results of the GOAL Implementation Trial. Diabetes Care. 2007, 30: 2465-2470. 10.2337/dc07-0171.CrossRefPubMed
Metadata
Title
DiAlert: a lifestyle education programme aimed at people with a positive family history of type 2 diabetes and overweight, study protocol of a randomised controlled trial
Authors
Wieke H Heideman
Vera Nierkens
Karien Stronks
Barend JC Middelkoop
Jos WR Twisk
Arnoud P Verhoeff
Maartje de Wit
Frank J Snoek
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2011
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-11-751

Other articles of this Issue 1/2011

BMC Public Health 1/2011 Go to the issue