SMART2D—development and contextualization of community strategies to support self-management in prevention and control of type 2 diabetes in Uganda, South Africa, and Sweden

Simple item page
dc.contributor.authorAbsetz, Pilvikki
dc.contributor.authorOlmen, Josefien Van
dc.contributor.authorGuwatudde, David
dc.contributor.authorPuoane, Thandi
dc.contributor.authorAlvesson, Helle Mölsted
dc.contributor.authorDelobelle, Peter
dc.contributor.authorMayega, Roy
dc.contributor.authorKasujja, Francis
dc.contributor.authorNaggayi, Gloria
dc.contributor.authorTimm, Linda
dc.contributor.authorHassen, Mariam
dc.contributor.authorAweko, Juliet
dc.contributor.authorMan, Jeroen De
dc.contributor.authorAhlgren, Jhon Álvarez
dc.contributor.authorAnnerstedt, Kristi Sidney
dc.contributor.authorDaivadanam, Meena
dc.date.accessioned2022-04-30T08:23:11Z
dc.date.available2022-04-30T08:23:11Z
dc.date.issued2020
dc.description.abstractType 2 diabetes (T2D) and its complications are increasing rapidly in low- and middle-income countries, as well as among socioeconomically disadvantaged populations in high-income countries. Support for healthy lifestyle and self-management is paramount but not well implemented in health systems, and there is need for knowledge on how to design and implement interventions that are contextualized and patient centered and address special needs of disadvantaged population groups. The SMART2D project implements and evaluates a lifestyle and self-management intervention for participants recently diagnosed with or being at increased risk for T2D in rural communities in Uganda, an urban township in South Africa, and socioeconomically disadvantaged urban communities in Sweden. Our aim was to develop an intervention with shared key functions and a good fit with the local context, needs, and resources. The intervention program design was conducted in three steps facilitated by a coordinating team: (a) situational analysis based on the SMART2D Self-Management Framework and definition of intervention objectives and core strategies; (b) designing generic tools for the strategies; and (c) contextual translation of the generic tools and their delivery. This article focuses on community strategies to strengthen support from the social and physical environment and to link health care and community support. Situational analyses showed that objectives and key functions addressing mediators from the SMART2D framework could be shared. Generic tools ensured retaining of functions, while content and delivery were highly contextualized. Phased, collaborative approach and theoretical framework ensured that key functions were not lost in contextualization, also allowing for cross-comparison despite flexibility with other aspects of the intervention between the sites.en_US
dc.identifier.citationAbsetz, P., Van Olmen, J., Guwatudde, D., Puoane, T., Alvesson, H. M., Delobelle, P., ... & Daivadanam, M. (2020). SMART2D—development and contextualization of community strategies to support self-management in prevention and control of type 2 diabetes in Uganda, South Africa, and Sweden. Translational Behavioral Medicine, 10(1), 25-34. doi: 10.1093/tbm/ibz188en_US
dc.identifier.other10.1093/tbm/ibz188
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/3032
dc.language.isoenen_US
dc.publisherTranslational Behavioral Medicine,en_US
dc.subjectType 2 diabetesen_US
dc.subjectPreventionen_US
dc.subjectSelf-managementen_US
dc.subjectPeer supporten_US
dc.subjectDisadvantaged settingsen_US
dc.subjectReciprocal learningen_US
dc.titleSMART2D—development and contextualization of community strategies to support self-management in prevention and control of type 2 diabetes in Uganda, South Africa, and Swedenen_US
dc.typeArticleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
SMART2D—development and contextualization of.pdf
Size:
418.28 KB
Format:
Adobe Portable Document Format
Description:
Article
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Medical and Health Sciences