LB098 - FEASIBILITY OF THE SMART FAMILY LIFESTYLE COUNSELLING BEST PRACTICE IN GREEK PRIMARY CARE: THEHEALTH4EUKIDS PILOT

LB098

FEASIBILITY OF THE SMART FAMILY LIFESTYLE COUNSELLING BEST PRACTICE IN GREEK PRIMARY CARE: THE

HEALTH4EUKIDS PILOT

E. Magriplis^1,2, I.-I. Desli^3,*, N. Myrintzou¹, E. Papachatzi^2,4, A. Vantarakis²

¹Laboratory of Dietetics and Quality of Life, Department of Food Science and Human Nutrition, Agricultural University of Athens, Athens, ²Laboratory of Public Health, Department of Medicine, University of Patras, Patras, ³ Laboratory of Hygiene, Social & Preventive Medicine and Medical Statistics, Department of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, ⁴Department of Pediatrics, University General Hospital of Patras, Patras, Greece

Rationale: Whether the Smart Family best practice can be delivered by trained healthcare professionals in routine Greek primary care had not been assessed. We assessed its implementation feasibility in Patras, Greece, within the Health4EUKids Joint Action.

Methods: We conducted a single-arm pilot study in two phases: professional training (two voluntary virtual sessions, 3 hours in total) on the Finnish-developed Smart Family methodology, followed by four monthly face-to-face counselling sessions with parent and child dyads (children 2 to 12 years). Feasibility was examined as deliverability, four-session protocol completion, outcome data availability, and professional feedback (implementation motivation questionnaire, given after training and repeated post-intervention). Adherence was supported by open communication with the lead dietitian and Health Region reminders. Child dietary intake (validated 34-item food frequency questionnaire) was secondary (Wilcoxon test, alpha 0.05).

Results: Of 14 professionals who completed training, 8 delivered the intervention. Sixty-three parents consented, 50 dyads enrolled, and all attended all four sessions; 49 were analysed (98.0% completion among enrolled, 79% of consenting), one excluded for missing outcome data. The usual reason for non-completion was parental lack of time. Complete dietary data were available for all analysed dyads. Feedback indicated general acceptance; the main concern was time alongside routine duties. Sweets and desserts showed the largest reduction (-2.35 servings/week, p<0.001); fruit intake did not change.

Conclusion: Smart Family counselling was feasible to deliver through trained professionals in Greek primary care over four months. Workforce time constraints were the main implementation barrier. Dietary findings are exploratory and require confirmation in a controlled trial.

Disclosure of Interest: None declared