Community-Based Participatory Learning and Action to Prevent and Control Type II Diabetes in Rural Kabul, Afghanistan A Feasibility Trial

What this Trial Is About

Researchers are evaluating a Participatory Learning and Action PLA based intervention aimed at preventing and controlling Type II Diabetes Mellitus TIIDM in rural Kabul, Afghanistan. TIIDM is a growing global health emergency, especially in low- and middle-income countries like Afghanistan, where many cases remain undiagnosed. This study aims to adapt and test a culturally appropriate intervention based on evidence from a successful trial in Bangladesh, focusing on the unique social and health challenges in rural Afghan communities. The study involves two groups one receiving the PLA intervention through group sessions lasting about 2 to 3 hours, designed to engage community members with TIIDM and improve diabetes-related outcomes and a control group receiving usual care and information about the project but no PLA sessions. Participants in the intervention group will be evaluated 10 months after starting the sessions to assess feasibility and outcomes. Participants will be involved in scheduled meetings and assessments before, during, and after the intervention, using structured and validated checklists to measure feasibility, acceptability, and implementation factors of the PLA approach. The study will also monitor the frequency of Type 2 Diabetes and intermediate hyperglycaemia over 12 months. Overall participation may last up to 12 months, with ongoing evaluation of barriers and facilitators to implementing the intervention in the community.

Engagement of coMmunity Through Participatory Learning and Action for cOntrol and preVEntion of Type II Diabetes and Its Risk Factors