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Participatory Learning - Diabetes Reduced 20.7%

Mon, 08/08/2022 - 08:55

Strategy researched

mHealth and community mobilization (participatory learning and action cycle)

Country of study


Research methodology

Three-arm, cluster-randomised trial


The Lancet Diabetes & Endocrinology; 2019

Journal paper title and link

Community groups or mobile phone messaging to prevent and control type 2 diabetes and intermediate hyperglycaemia in Bangladesh (DMagic): a cluster-randomised controlled trial

Excerpt from Abstract

"There was a large reduction in the combined prevalence of type 2 diabetes and intermediate hyperglycaemia in the PLA [participatory learning and action] group compared with the control group at the end of the study (adjusted [for stratification, clustering, and wealth] odds ratio [aOR] 0·36 [0·27–0·48]), with an absolute reduction of 20·7% (95% CI 14·6–26·7). Among 2470 adults with intermediate hyperglycaemia at baseline, 2100 (85%) were followed-up at 2 years. The 2-year cumulative incidence of diabetes in this cohort was significantly lower in the PLA group compared with control (aOR 0·39, 0·24–0·65), representing an absolute incidence reduction of 8·7% (3·5–14·0)."


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