Diabetes comorbidities in low- and middle-income countries: An umbrella review.
Anastasia A Lam, Alexander Lepe, Sarah H Wild...
https://pubmed.ncbi.nlm.nih.gov/34386215Actively Recruiting
Phase Not Applicable
Age: 20Years +
All Genders
Healthy Volunteers
ID06561126
Engagement of Community Through Participatory Learning and Action for Control and Prevention of Type II Diabetes and Its Risk Factors EMPOWER-D Cluster Randomized Controlled Trial
Led by Khyber Medical University Peshawar · Updated on 2025-09-02
12744
Participants Needed
1
Research Sites
13 weeks
Total Duration
On this page
Sponsors
K
Khyber Medical University Peshawar
Lead Sponsor
U
University of York
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are evaluating a Participatory Learning and Action (PLA) based approach to prevent and control Type II Diabetes Mellitus (TIIDM) and Intermediate Hyperglycemia (IHG) in rural areas of Peshawar and Swabi, Pakistan. This approach builds on successful trials in Bangladesh and aims to adapt and assess the intervention's effectiveness and cost-effectiveness specifically for these communities. TIIDM is a rapidly growing health issue worldwide, especially in low- and middle-income countries like Pakistan, making this study highly relevant to improving public health outcomes. The study involves forming community groups divided by gender where members meet monthly for 18 months to identify diabetes-related problems and develop strategies using collaborative activities such as discussions, role-play, and photo voice. A total of 64 groups per district will be formed, each including about 20-30 participants randomly selected from the community. A control group will receive usual care and routine awareness without the PLA intervention, allowing comparison of outcomes between groups. Participants will be engaged throughout the study period with regular meetings and interventions lasting 2 to 3 hours. Researchers will measure the prevalence of TIIDM and IHG, along with secondary outcomes like blood pressure, obesity, depression, and quality of life, after 18 months. The trial's total duration includes follow-up to assess the two-year cumulative incidence of TIIDM. This design fosters community empowerment and aims to improve health behaviors and outcomes related to diabetes in these rural settings.
CONDITIONS
Brief Title
Engagement of coMmunity Through Participatory Learning and Action for cOntrol and preVEntion of Type II Diabetes and Its Risk Factors [EMPOWER-D]
Who Can Participate
Age: 20Years +
All Genders
Healthy Volunteers
Eligibility Criteria
You may qualify if you...
- Individuals aged 20 years and above.
- Residents of rural areas in Peshawar and Swabi, Pakistan.
- Willingness to participate and provide informed consent.
- Includes individuals with normal blood sugar, intermediate hyperglycemia, or diabetes.
- Ability to attend scheduled meetings and interventions as per the study protocol.
You will not qualify if you...
- Individuals younger than 20 years.
- Unwillingness to provide consent for participation.
- Severe health conditions that limit active involvement.
- History of non-compliance with medical treatments or research protocols.
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Outpatient Treatment
Duration - 18 months
Participants join community groups that meet monthly to engage in participatory learning and action cycles focused on identifying and addressing diabetes-related health issues.
Monthly visits for 18 months
Follow-up
Duration - At 18 months after intervention start
Participants are assessed to evaluate the effectiveness and feasibility of the intervention, including health outcomes related to type 2 diabetes and its risk factors.
1 visit (in-person)
Trial Site Locations
Total: 1 location
1
Khyber Medical University Peshawar
Peshawar, KPK, Pakistan, 25100
Actively Recruiting
Loading map...
Research Team
P
Prof. Dr Zia Ul Haq, MBBS,MPH,PhD
K
Khalid Rahman, MBBS,MPH,PHD
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
PREVENTION
Number of Arms
2
Similar Trials
Frequently Asked Questions
Have more questions? Get in touch with our team for quick support
Not the Right Trial for You?
Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.
Already have an account? Log in here
Published Research Related To This Trial
Community groups or mobile phone messaging to prevent and control type 2 diabetes and intermediate hyperglycaemia in Bangladesh (DMagic): a cluster-randomised controlled trial.
Edward Fottrell, Naveed Ahmed, Joanna Morrison...
https://pubmed.ncbi.nlm.nih.gov/30733182Intra-cluster correlation coefficients in primary care patients with type 2 diabetes and hypertension.
Yi Lin Lee, Yvonne Mei Fong Lim, Kian Boon Law...
https://pubmed.ncbi.nlm.nih.gov/32546189Intra-cluster and inter-period correlation coefficients for cross-sectional cluster randomised controlled trials for type-2 diabetes in UK primary care.
James Martin, Alan Girling, Krishnarajah Nirantharakumar...
https://pubmed.ncbi.nlm.nih.gov/27524396World Health Organization Quality-of-Life Scale (WHOQOL-BREF): Analyses of Their Item Response Theory Properties Based on the Graded Responses Model.
Shahrum Vahedi
https://pubmed.ncbi.nlm.nih.gov/22952508The PHQ-9: validity of a brief depression severity measure.
K Kroenke, R L Spitzer, J B Williams
https://pubmed.ncbi.nlm.nih.gov/11556941Using Generalized Anxiety Disorder-2 (GAD-2) and GAD-7 in a Primary Care Setting.
Amit Sapra, Priyanka Bhandari, Shivani Sharma...
https://pubmed.ncbi.nlm.nih.gov/32582485Insufficient Physical Activity and Sedentary Behaviors among Medical Students during the COVID-19 Lockdown: Findings from a Cross-Sectional Study in Pakistan.
Irfan Ullah, Md Saiful Islam, Sajjad Ali...
https://pubmed.ncbi.nlm.nih.gov/34639559Validation of a food frequency questionnaire for assessing macronutrient and calcium intake in adult Pakistani population.
Romaina Iqbal, Mohammad Ali Haroon, Farhan Javed Dar...
https://pubmed.ncbi.nlm.nih.gov/24709231Prevalence of diabetes, pre-diabetes and associated risk factors: second National Diabetes Survey of Pakistan (NDSP), 2016-2017.
Abdul Basit, Asher Fawwad, Huma Qureshi...
https://pubmed.ncbi.nlm.nih.gov/30082350