title: Feasibility and potential impact of the adapted SLIM diabetes prevention intervention in a Dutch real-life setting: the SLIMMER pilot study.
abstract: OBJECTIVE
  Pilot-testing of the adapted Study on Lifestyle intervention and Impaired glucose tolerance Maastricht (SLIM) and to determine its feasibility and likelihood of achieving desired impact.
  
  
  METHODS
  Pilot intervention study (a 10-month combined lifestyle intervention) using a one group pre-test post-test design with on-going process measures (i.e. reach, acceptability, implementation integrity, and applicability) and several health outcomes (e.g. body weight).
  
  
  RESULTS
  In total, 31 subjects participated in the SLIMMER (SLIM iMplementation Experience Region Noord- en Oost-Gelderland) intervention. Participant weight loss was -3.5 kg (p=0.005). Both participants and health care professionals (i.e. practice nurses, dieticians, and physiotherapists) were satisfied with the intervention. The intervention was implemented as planned and appeared to be suitable for application in practice. Refinements have been identified and will be made prior to further implementation and evaluation.
  
  
  CONCLUSIONS
  Implementation of the SLIMMER intervention is feasible in a Dutch real-life setting and it is likely to achieve desired impact. Practising and optimising the intervention creates local support for SLIMMER among stakeholders.
  
  
  CONCLUSIONS
  Performing a pilot study on the basis of a structured approach is a meaningful step in the process of optimising the feasibility and potential impact of an evidence-based intervention in a real-life setting.
authors.affiliation: Wageningen University, Division of Human Nutrition, Academic Collaborative Centre AGORA, Wageningen, The Netherlands. Electronic address: geerke.duijzer@wur.nl.
authors.forename: Geerke
authors.initials: G
authors.lastname: Duijzer
authors.affiliation: Wageningen University, Division of Human Nutrition, Academic Collaborative Centre AGORA, Wageningen, The Netherlands; GGD Noord- en Oost-Gelderland (Community Health Service), Apeldoorn, The Netherlands.
authors.forename: Annemien
authors.initials: A
authors.lastname: Haveman-Nies
authors.affiliation: GGD Noord- en Oost-Gelderland (Community Health Service), Apeldoorn, The Netherlands.
authors.forename: Sophia C
authors.initials: SC
authors.lastname: Jansen
authors.affiliation: GGD Noord- en Oost-Gelderland (Community Health Service), Apeldoorn, The Netherlands.
authors.forename: Josien
authors.initials: J
authors.lastname: ter Beek
authors.affiliation: Wageningen University, Strategic Communication, Sub-department Communication, Philosophy and Technology: Centre for Integrative Development, Social Sciences, Wageningen, The Netherlands.
authors.forename: Gerrit J
authors.initials: GJ
authors.lastname: Hiddink
authors.affiliation: Wageningen University, Division of Human Nutrition, Academic Collaborative Centre AGORA, Wageningen, The Netherlands.
authors.forename: Edith J M
authors.initials: EJ
authors.lastname: Feskens
mesh_terms: D000328:Adult; D000368:Aged; D003924:Diabetes Mellitus, Type 2 / Q000517:prevention & control*; D015444:Exercise / Q000523:psychology; D005240:Feasibility Studies; D005260:Female; D006282:Health Personnel; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009042:Motivation; D009426:Netherlands; D010342:Patient Acceptance of Health Care; D010865:Pilot Projects; D017064:Process Assessment, Health Care; D015397:Program Evaluation; D012959:Socioeconomic Factors
keywords: Implementation; Lifestyle intervention; Pilot study; Prevention; Real-life setting; Type 2 diabetes mellitus