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Using the intervention mapping protocol to develop a maintenance programme for the SLIMMER diabetes prevention

Ellen B M Elsman1, Joanne N Leerlooijer, Josien Ter Beek

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Summary

Developing a maintenance program for the SLIMMER lifestyle intervention helps sustain healthy habits after diabetes prevention programs. This systematic approach aims to prevent relapse and maintain long-term health benefits for high-risk individuals.

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Area of Science:

  • Public Health
  • Behavioral Science
  • Diabetes Prevention

Background:

  • Lifestyle interventions effectively reduce type 2 diabetes mellitus risk.
  • Maintaining intervention effects is challenging, with frequent participant relapse post-intervention.
  • The SLIMMER intervention is an established diabetes prevention program for high-risk individuals.

Purpose of the Study:

  • To systematically develop a maintenance program for the SLIMMER intervention.
  • To ensure sustained healthy lifestyle changes in participants.
  • To address relapse challenges in diabetes prevention.

Main Methods:

  • Utilized the Intervention Mapping protocol for systematic program development.
  • Informed by literature reviews, focus groups, and implementer feedback.
  • Designed to target knowledge, attitudes, subjective norms, and perceived behavioral control.

Main Results:

  • Developed a maintenance program with nine practical components, including sports clinics and follow-up sessions.
  • Created implementer manuals with detailed timetables and step-by-step instructions.
  • The program targets sustaining healthy diet and physical activity patterns.

Conclusions:

  • The Intervention Mapping protocol facilitated systematic planning of the SLIMMER maintenance program.
  • Maintenance program development can leverage existing intervention structures.
  • Further research is required to evaluate the program's effectiveness in sustaining long-term participant effects.