WP03 Lifestyle


Work Package Lead: Prof Jaana Lindström




  • Develop the design, content and protocol for the lifestyle intervention programme (=Lifestyle Intervention Manual).
  • Train the clinical partners to perform the lifestyle intervention.
  • Produce web-based tools to motivate the individuals to achieve and maintain lifestyle changes according to the study protocol.
  • Produce web-based tools to collect information about achievement of the lifestyle intervention goals.
  • Manage and analyse the lifestyle data.


Main tasks:
1. Development of Lifestyle Intervention Manual for the lifestyle intervention to the e-PREDICE study:

  • The Lifestyle Intervention Manual will include information about intervention goals as well as instructions about how these goals will be pursued. The lifestyle goals will be based on IMAGE project consensus, originating from the DPS and other prevention intervention studies with proven efficacy to prevent type 2 diabetes. The general goals of the intervention will be weight loss (>5% of baseline weight or BMI<25); moderate total fat intake (30-35 E%); reduced saturated and trans fat intake (<10 E%) and high fiber intake (>15 g/1000 kcal) and exercise >4h/week. Consumption of vegetables, legumes, fruits and berries, whole-grain cereal, vegetable sources of fat (nuts e.g.), olive or rapeseed oil, and fish will be emphasized.
  • The intervention will be individualized based on the participant’s previous lifestyle, life situation and willingness to make lifestyle changes. The dietary intervention will be culturally adjusted to local conditions and food supply.
  • The intervention contains informative (diet, exercise) as well as behavioural and motivational modules and consists of 2 (+ optional 1) individual counselling sessions including personal goal setting and small-group (up to 10 participants) sessions, repeated every month during the first 6 months and thereafter every 3 months.
  • The physical activity intervention program will be based on group coaching (two sessions per week starting from month 3), will be progressive with gradually increasing intensity and will facilitate access to local gyms and sport clubs. The group couching will be optional and based on each centre feasibility.
  • The Manual will be agreed upon during project meetings.
  • The intervention will be provided by nursing staff that will be trained by expert psychologists, physical activity and nutrition specialists.

2. Development of web-based motivational tool to enhance lifestyle intervention:

  • A web-based platform with motivational information (seasonal recipes e.g.) about healthy lifestyle and personalized features will be developed.
  • The platform will enable monitoring of own behaviour (diet, physical activity) and achievement of the intervention goals. It will give feedback as well as allow communication with the study personnel in-between clinic visits.

3. Development of web-based data collection system for diet and physical activity data (in collaboration with partner 1 and 24):

  • A web-based data collection system will be developed. Content of the system will be agreed upon to facilitate the evaluation of the project. The system will enable timely and reliable collection of data regarding diet and physical activity. Questionnaires about lifestyle will be administered regularly. The questionnaires will be adjusted for local requirements (dietary culture, food selection, physical activity facilities, e.g.).
  • In addition, participants will be asked to monitor and report their body weight and step counts (pedometer).
  • Data about participant satisfaction with the intervention programme will be collected.

4. Producing the diet and physical activity data set for the e-PREDICE study:

  • The web-based data collection system will enable timely collection of relevant lifestyle data to be used in the analyses. The variables will be checked regularly to ensure appropriate measurements.
  • Variables will be labelled so that they are clear and usable for other partners.
  • The final lifestyle data set will be accessible for all partners in the e-PREDICE project.

5. Writing the Lifestyle report of the e-PREDICE study (in collaboration with partner 24):

  • A report where the content and design of the lifestyle intervention is described in detail will be produced, to be disseminated as described in WP10. The report will include a critical chapter about setbacks and problems and how these problems were solved. Furthermore, the report will include basic information about achievement of the lifestyle goals.



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