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EXTending availability of self-management structured EducatioN programmes for people with type 2 Diabetes in low-to-middle income countries (EXTEND)-a feasibility study in Mozambique and Malawi.

Emer M Bradynull nullCatherine BamuyaDavid BeranJorge César CorreiaAmelia CrampinAlbertino DamascenoMelanie J DaviesMichelle HadjiconstantinouDeirdre M HarringtonKamlesh Khunti F MedSciNaomi LevittAna MagaiaJayna MistryHazel NamadingoAnne RodgersSally SchrederLeopoldo SimangoBernie StriblingCheryl TaylorGhazala Waheed
Published in: BMJ open (2021)
It is feasible to deliver and evaluate the effectiveness of a culturally, contextually and linguistically adapted EXTEND programme in two LMIC. The DSME was acceptable with positive biomedical and psychological outcomes but requires formal testing with cost-effectiveness. Challenges exist in scaling up such an approach in health systems that do not have resources to address the challenge of diabetes.
Keyphrases
  • glycemic control
  • type diabetes
  • randomized controlled trial
  • healthcare
  • cardiovascular disease
  • systematic review
  • study protocol
  • mental health
  • sleep quality
  • metabolic syndrome
  • adipose tissue
  • skeletal muscle