Lay Summary

Healthy eating can be challenging for type 2 diabetes mellitus (T2DM) patients. The theory of salutogenesis, which focuses on the resources required to organize behavioural changes in everyday life, was used to develop an intervention for healthy eating. The aim was to describe the development, structure and content of this salutogenic intervention. The development consisted of two phases that were based on the operationalization of important key principles of salutogenesis. In Phase 1 (Exploration and synthesis), a systematic review and three qualitative studies were performed to explore important characteristics to enable healthy eating in everyday life. The results were used to develop the draft intervention. In Phase 2 (Validation and adjustment), interviews and workshops were conducted with T2DM patients, healthcare providers and scientists. Based on this, the draft intervention was modified into its final form. The developmental process resulted in a 12-week, group-based intervention that aimed to enable important resources for healthy eating via self-examination, reflection, setting goals and sharing experiences. Attention was also paid to disease information, disease acceptance, food literacy, stress management, self-identity and social support. The group sessions began following an individual intake session, with a booster session held 3 months after the intervention. The researcher’s translation of the stakeholders’ priorities into an intervention was corrected for and approved by the stakeholders concerned. This comprehensive salutogenic intervention was developed based on practical and scientific evidence. Providing transparency in developmental processes and content is important because it determines the scientific integrity and credibility of an intervention.

中文翻译：

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为荷兰 2 型糖尿病患者的健康饮食开发一种有益健康的干预措施

总结

对于 2 型糖尿病 (T2DM) 患者而言，健康饮食可能具有挑战性。健康饮食理论侧重于组织日常生活中的行为变化所需的资源，用于开发健康饮食的干预措施。目的是描述这种有益健康干预的发展、结构和内容。该开发包括两个阶段，这两个阶段是基于对重要的关键原理的操作化的。在第 1 阶段（探索和综合）中，进行了系统评价和三项定性研究，以探索在日常生活中实现健康饮食的重要特征。结果被用来制定干预草案。在第 2 阶段（验证和调整）中，对 T2DM 患者、医疗保健提供者和科学家进行了访谈和研讨会。在此基础上，干预草案被修改为最终形式。发展过程产生了为期 12 周的基于小组的干预，旨在通过自我检查、反思、设定目标和分享经验，为健康饮食提供重要资源。还关注疾病信息、疾病接受度、食物素养、压力管理、自我认同和社会支持。小组会议在个人摄入会议之后开始，在干预后 3 个月举行了加强会议。研究人员将利益相关者的优先事项转化为干预措施得到了相关利益相关者的纠正和批准。这种全面的有益健康干预是根据实际和科学证据开发的。