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IDAB

Integrated Diabetes intervention in Social Housing Areas

IDAB is a three-year project (2025-2028) with the overall objective of completing and anchoring a model for strengthening the citizen-centered healthcare system in Denmark. The project builds on experiences from IDIT (Integrated Diabetes Intervention in Tingbjerg) and focuses on strengthening the citizen-centered healthcare system through social, health-promoting, preventive and treatment-oriented activities. The project will thus strengthen cross-sectoral cooperation and the cohesion of the healthcare system, as well as promote citizens' opportunities to navigate the healthcare system and take action on their own health.

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During the project period, IDAB will:

develop and implement an implementation strategy that supports the political anchoring of the IDAB model.

1.

test and adapt the IDAB model to public housing areas with different conditions and resources.

2.

strengthen the biomedical data basis for the IDIT initiative and further develop the initiative to include risk factors for chronic diseases in the heart and lung area.

3.

strengthen the link between the Capital Region of Denmark's specialized treatment services and the everyday lives of vulnerable diabetes patients.

4.

IDAB is being implemented in Gladsaxe, Hillerød and the Municipality of Copenhagen in close collaboration between the healthcare sector, housing organizations and civil society to create a sustainable and politically anchored model. By the end of IDAB, the goal is to have fully developed a model that can be implemented in other public housing areas without direct involvement from Steno Diabetes Center Copenhagen (SDCC).

The IDAB model consists of three intervention components: 1) Prevention and health promotion, 2) Early dection of diabetes and 3) Treatment and rehabilitation. These components are interconnected through recruitment, referral and follow-up, and anchored in safe environments, professional hand-held support and social networks (see figure below).

Prevention and health promotion

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IDAB builds on existing local initiatives and arenas in public housing areas to create safe and inclusive settings for citizens with diabetes or at risk of developing the disease. The focus is to integrate health promotion measures into the communities where citizens already live, and to make health a natural part of everyday life. To succeed in this, work is being done to create safe meeting places where citizens can participate on their own terms and receive social support in an environment characterized by trust and community. This will include citizens being able to meet informally in social networks and communities and exchange experiences and participate in citizen-driven activities. Finally, social and health professional support is offered, where professional employees help navigate the health system and manage life with diabetes. This approach ensures that prevention and health promotion are integrated into the everyday life of the residential areas and tailored to the needs and wishes of the residents.

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Early detection of diabetes

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Many citizens in public housing areas are at increased risk of developing diabetes, but earlier detection can prevent serious late consequences. Therefore, IDAB is working purposefully to strengthen early detection by making screening efforts part of local communities. This is done by bringing detection closer to citizens and integrating screening activities into existing social and health-promoting services. Here, risk assessment is offered through the "Test your Risk" questionnaire, which helps identify citizens at risk of diabetes. If citizens are at high risk of diabetes, HbA1c measurements are carried out locally in the residential area, so that citizens in the risk group can quickly have their blood sugar levels assessed in a safe environment. Referral to treatment and rehabilitation is then ensured. By making the detection work part of a holistic initiative, it becomes easier for citizens to take part in screening activities.

 

Treatment and rehabilitation of diabetes

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For citizens diagnosed with diabetes or prediabetes, individual support is offered to access treatment and rehabilitation. Close collaboration is formed with social and health professionals, housing actors and civil society actors to ensure a coherent initiative. This includes hand-held support for the healthcare system, where professional employees help citizens book and attend consultations with their own doctor, health centers and hospitals. At the same time, local rehabilitation is ensured, where citizens are offered support for lifestyle changes through training, dietary guidance and network-based health activities. The goal is to make the treatment process as accessible and safe as possible, so that more citizens receive the necessary support to manage their diabetes and improve their quality of life.

These areas of focus are particularly linked through a local supporting infrastructure that ensures citizens and patients the best possible support in everyday life. The infrastructure consists of the following four components (see figure below):

Citizen involvement in the development and implementation of the initiative's activities. This ensures the local relevance and benefit of the activities.

 

Local association cooperation ensures that activities are relevant and take place in a safe environment. It also allows citizens who are part of health-promoting communities to have access to other associations in the local community.

Health-promoting communities provide citizens with a social community in the local community. Here, people meet in safe surroundings and talk about everything that fills their everyday lives. Health-promoting communities can also be an arena for professional communication and knowledge sharing.

 

A professional support system offers the most vulnerable citizens professional hand-held support to navigate the healthcare system, including their own doctor, health center or hospital. In the long term, it contributes to building citizens' competencies to navigate the healthcare system themselves.

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