Go4it; study design of a randomised controlled trial and economic evaluation of a multidisciplinary group intervention for obese adolescents for prevention of diabetes mellitus type 2.
BACKGROUND
In the Netherlands, the first adolescents with diabetes mellitus type 2 as a result of obesity have recently been diagnosed. Therefore, it is very important that programs aiming at the prevention of type 2 diabetes of obese adolescents are developed and evaluated.


METHODS
Go4it is a multidisciplinary group treatment that focuses on: 1) increasing awareness of the current dietary and physical activity behaviour (i.e. energy balance behaviour), 2) improving diet, 3) decreasing sedentary behaviour, 4) increasing levels of physical activity, and 5) coping with difficult situations. Go4it consists of 7 sessions with an interval of 2-3 weeks.The effectiveness of the multidisciplinary group treatment compared with usual care (i.e. referral to a dietician) was evaluated in a randomised controlled trial. We examined effects on BMI(sds), body composition, energy expenditure, glucose tolerance and insulin resistance (primary outcome measure), as well as dietary and physical activity behaviour and quality of life. An economic evaluation from a societal perspective was conducted alongside the randomised trial to evaluate the cost-effectiveness of the multidisciplinary treatment program vs. usual care.


CONCLUSIONS
In this paper we described a multidisciplinary treatment program (Go4it) for obese adolescents and the design of a randomised controlled trial and economic evaluation to evaluate its effectiveness and cost-effectiveness.


BACKGROUND
Netherlands Trial Register (ISRCTN27626398).
Hofsteenge
Geesje H
GH
Dept, of Nutrition & Dietetics, VU University Medical Center, Amsterdam, The Netherlands. A.Hofsteenge@vumc.nl
Chinapaw
Marijke J M
MJ
Weijs
Peter J M
PJ
van Tulder
Maurits W
MW
Delemarre-van de Waal
Henriette A
HA
D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D001786:Blood Glucose / Q000032:analysis; D015992:Body Mass Index; D003362:Cost-Benefit Analysis; D003924:Diabetes Mellitus, Type 2 / Q000209:etiology / Q000517:prevention & control*; D004734:Energy Metabolism / Q000502:physiology; D005247:Feeding Behavior / Q000502:physiology; D005260:Female; D006801:Humans; D007333:Insulin Resistance / Q000502:physiology; D008297:Male; D009043:Motor Activity / Q000502:physiology; D009426:Netherlands; D009765:Obesity / Q000150:complications / Q000378:metabolism / Q000523:psychology*; D015397:Program Evaluation; D011594:Psychometrics; D011615:Psychotherapy, Group / Q000191:economics; D011788:Quality of Life; D012107:Research Design; D018434:Sickness Impact Profile; D011795:Surveys and Questionnaires
D001786:Blood Glucose