Adapting an effective lifestyle intervention towards individuals with low socioeconomic status of different ethnic origins: the design of the MetSLIM study

被引:9
|
作者
Teuscher, Dorit [1 ]
Bukman, Andrea J. [2 ]
Meershoek, Agnes [3 ]
Renes, Reint Jan [4 ]
Feskens, Edith J. M. [2 ]
van Baak, Marleen A. [1 ]
机构
[1] Maastricht Univ, Med Ctr, Dept Human Biol, NUTRIM Sch Nutr Toxicol & Metab, NL-6200 MD Maastricht, Netherlands
[2] Wageningen Univ, Div Human Nutr, NL-6700 FV Wageningen, Netherlands
[3] Maastricht Univ, Med Ctr, Dept Hlth Eth & Soc, CAPHRI, NL-6200 MD Maastricht, Netherlands
[4] Wageningen Univ, Div Strateg Commun, NL-6700 EW Wageningen, Netherlands
来源
BMC PUBLIC HEALTH | 2015年 / 15卷
关键词
Study protocol; Lifestyle intervention; Health promotion; Socioeconomic status; Ethnic groups; TOLERANCE MAASTRICHT SLIM; TO-HEIGHT RATIO; RISK-FACTORS; GLUCOSE-TOLERANCE; CARDIOVASCULAR-DISEASE; PHYSICAL-ACTIVITY; HEALTH-PROMOTION; SCREENING TOOL; PREVALENCE; PREVENTION;
D O I
10.1186/s12889-015-1343-z
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: People with low socioeconomic status (SES) and some ethnic minorities are often underrepresented in lifestyle programmes. Therefore, a lifestyle programme was developed especially targeting these groups. Developing this lifestyle programme and designing an intervention study to test the effectiveness of this programme was an informative process in which several obstacles were encountered and choices had to be made. Study protocols, however, rarely describe these obstacles encountered in the protocol design process, and it is not always clear why researchers made certain choices. Therefore, the aim of this article is to describe both the final MetSLIM study protocol and the considerations and choices made in designing this study protocol. Methods/Design: The developed MetSLIM study has a quasi-experimental design, targeting 30- to 70-year-old adults with an elevated waist circumference, living in deprived neighbourhoods, of Dutch, Turkish or Moroccan descent. The intervention group participates in a 12-month lifestyle programme consisting of individual dietary advice, four group sessions and weekly sports lessons. The control group receives written information about a healthy lifestyle and one group session provided by a dietician. The study contains an elaborate effect, process and economic evaluation. Outcome measures are, among other things, change in waist circumference and the other components of the metabolic syndrome. Discussion: Matching the preferences of the target group, such as their preferred setting, has implications for the entire study protocol. The process evaluation of the MetSLIM study will provide insight into the consequences of the choices made in the MetSLIM study protocol in terms of reach, acceptability and delivery of the programme, and the effect and economic evaluation will provide insight into the (cost) effectiveness of the lifestyle programme in order to reduce waist circumference among individuals with low SES of different ethnic origins.
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页数:10
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