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INNOVATIVE OPERATIONAL MODEL OF TASK SHIFTING TO PROMOTE THE ENAGAGEMENT AND FOOD LITERACY IN THE PREVENTION OF DIABETES MELLITUS AND ITS COMPLICATIONS: THE FOODIA-NET PROTOCOL

BACKGROUND

Diabetes Mellitus (DM) is one of the most widespread chronic diseases in the world and it is expected that people with DM will increase globally from 400 million to 600 million by 2035. Unhealthy lifestyles, particularly as regards regards the diet, they are one of the main risk factors for the onset of DM and its complications. On the contrary, the adoption of a correct diet (generally inspired by the Mediterranean diet) appears to be a protective factor for the onset and course of the DM. The lack of multidisciplinary and intersectoral approaches in the management of the patient with DM and in the planning and delivery of prevention initiatives constitutes a missed opportunity to experiment adequate forms of response to prevent the spread and aggravation of the DM.


The scientific literature and the clinical evidences underline the importance of making a cultural change in healthcare aimed at enhancing the multidisciplinary team and the collaboration among the different professions for a better promotion of the engagement (involvement) of people in their health care pathways and prevention that of managing a disease.

From this point of view, the Task Shifting (understood as the rational redistribution of tasks within a health work group, thanks to which specific technical skills are shifted from health workers to higher formal qualifications to others of lower formal qualification) represents a possible strategy.

AIMS

This project is part of this perspective and is primarily aimed at testing an innovative operational model of task shifting aimed at promoting more effective multi-professional and inter-sectorial management of DM prevention and / or its complications through the implementation of nutrition education initiatives and support for citizen / patient engagement.

The project also aims to contribute to the training, awareness and involvement of different professional and "lay" actors dedicated to the prevention of diabetes mellitus and / or its complications (ie diabetologist, general practitioner, psychologist, pharmacist, podiatrist, pneumologist, ophthalmologist, neurologist, case manager, family or hospital pediatrician, cardiologist, nephrologist, nurse, dietician, health assistant, teachers, citizen / patient / family associations, ...) with respect to the importance of promoting new coordinated and cross-sectoral forms of prevention and to promote citizen / patient engagement and its food literacy, according to the logic of task shifting.

PROJECT COORDINATOR: Elisabetta Grasp

LEAD RESEARCHER: Guendalina Graffigna 

TEAM: Serena Barello, Caterina Bosio

OPERATIVE UNITS:

DURATION: December 2018 / On-going