This project aims to adapt, implement, and evaluate PLA based intervention in urban Karachi, Pakistan for TIIDM prevention and control.
The pivotal components of this approach include adapting, implementing, and evaluating the Participatory Learning and Action (PLA) based intervention for the prevention and control of Type II diabetes (TIIDM). TIIDM is considered the fastest-growing health emergency, affecting 537 million adults worldwide. Global projections for the year 2045 suggest that a 12.2% rise in TIIDM is anticipated with an additional 11.4% rise for intermediate hyperglycemia (IHG). Around 80% of people with TIIDM reside in low-and middle-income countries (LMICs), exhausting the already burdened healthcare system. The intervention, adapted from the "Community groups or mobile phone messaging to prevent and control type 2 diabetes and intermediate hyperglycemia in Bangladesh (DMagic)" trial, has been tested and found effective in the rural context of Bangladesh. However, PLA-based intervention has not been previously tested in urban communities. Considering the distinct sociocultural environment of urban settings, a feasibility trial will be conducted in urban Karachi, Pakistan. The feasibility trial will assess the intervention's adaptability and effectiveness in this new context. It is anticipated that the use of evidence-based approaches, best practices, and meaningful community participation through PLA will enhance the social and behavioral determinants of health and lead to improved health outcomes. This approach aims to control TIIDM and pave the way for managing other non-communicable diseases through similar focused interventions.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
240
An PLA based intervention would be carried out to prepare the Diabetes Mellitus type II patients. The intervention would be carried out for a tentative time of 2 to 3 hours to educate the type II diabetes mellitus. The study participants would be evaluated after completion of 18 months of the intervention. A structured, validated and literature-based assessment checklist will be devised to assess the effectiveness and feasibility of the intervention.
Baqai Institute of Diabetology and Endocrinology (BIDE)
Karachi, Sindh, Pakistan
RECRUITINGPrevalence of Type II Diabetes Mellitus
HbA1c biochemical test
Time frame: 18 months
Two-year cumulative incidence of Type II Diabetes Mellitus
HbA1c biochemical test
Time frame: 18 months
Mean diastolic and systolic blood pressure
Digital blood pressure monitoring
Time frame: 18 months
Prevalence of hypertension
Digital BP monitoring
Time frame: 18 months
Abdominal obesity
Waist-to-hip circumference ratio
Time frame: 18 months
Mean body mass index
Height and weight will be taken
Time frame: 18 months
Health-related quality of life
World Health Organization Quality of Life (WHOQOL) BREF questionnaire
Time frame: 18 months
Frequency of depression
Patient Health Questionnaire (PHQ-9)
Time frame: 18 months
Mean body fat percentage
Using impedance analyzer
Time frame: 18 months
Prevalence of overweight and obesity
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Height and weight will be taken
Time frame: 18 months
Frequency of anxiety
Generalized Anxiety Disorder (GAD-7) Scale
Time frame: 18 months