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.
Highlights
Type 2 diabetes (T2D) is a serious chronic and progressive disease that leads to both microvascular and macrovascular complications [1]
Subsequent to the development of this programme, we developed a T2D risk identification tool that could help identify young people aged 12 to 14 who would potentially be at increased risk of developing T2D in the future and benefit from the lifestyle programme [27]
We present the results of the intervention development process
Summary
Type 2 diabetes (T2D) is a serious chronic and progressive disease that leads to both microvascular and macrovascular complications [1]. A condition of old age, T2D is increasingly being diagnosed in children, adolescents and young adults [5,6,7]. T2D in younger people represents an extreme and aggressive phenotype that magnifies the disease profile observed in older adults and has multiple risk factors and comorbid conditions [9,10,11]. Given the increasing prevalence and severity of T2D in younger populations and that more young people have established risk factors, early interventions to reduce the risk of developing T2D are increasingly called for, bringing together the clinical and community arenas [14,15,16]
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