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 WaheedPublished 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.