Projects

Dimini

The Dimini prevention project aims to increase the health literacy of patients with an increased risk of developing DMT2. This way, long-term behavioral preventive changes are to be achieved.

Diabetes mellitus type 2 (DMT2) is one of the most prevalent common illnesses in Germany, with currently more than six million people affected. In addition, an estimated further three to five million people are affected by undetected DMT2 or elevated blood glucose levels. In the long term, DMT2 can lead to serious secondary diseases and result in high costs. It is therefore particularly important to identify relevant risk parameters in a timely manner and to address them early on with adequate preventive measures.

To identify individuals at high risk of DMT2 at an early stage, the project uses the so-called FINDRISK test, which determines the individual risk profile on the basis of eight easy-to-answer questions on, among others, height, weight and dietary habits. Based on this, those affected receive the needs-based Dimini lifestyle intervention over a period of three months. This contains a set of health-related information and a request to keep an analog diet and exercise diary. Optionally, affected individuals can also use an app to access and document all elements of the lifestyle change. General practitioners provide support and accompany the project through interim coaching sessions.

Methods

The effectiveness of the lifestyle intervention will be investigated by a randomized controlled trial. This will involve quantitative evaluations through validated questionnaires and qualitative evaluations through focus group and individual interviews. The primary endpoint is body weight. Additionally, abdominal circumference, HbA1c level, dietary and physical activity behavior as well as quality of life of the study participants will be investigated.

Publications

Püschner, F. , Urbanski-Rini, D., Dubois, C., Schliffke, M., Göhl, M., Petersen, C. (2022) Dimini (Diabetes mellitus? – Ich nicht!): Aktivierung der Gesundheitskompetenz von Versicherten mit erhöhtem Risiko für Diabetes mellitus Typ 2 mittels Coaching in der Vertragsarztpraxis. Diabetologie und Stoffwechsel. https://doi.org/10.1055/a-1733-6666

Bertram, N., Püschner, F., Binder, S., Schliffke, M., Göhl, M., Petersen, C. (2020). Dimini – Diabetes Mellitus? Ich nicht! In: Hahn, U. & Kurscheid, C. (Hrsg.), Intersektorale Versorgung. Best Practices – erfolgreiche Versorgungslösungen mit Zukunftspotenzial (S. 213-231). Berlin: Springer Gabler.

Further information

www.dimini.org