Engagement of Community Through Participatory Learning and Action for Control and Prevention of Type II Diabetes and Its Risk Factors: Feasibility Trial in Urban Pakistan

What this Trial Is About

Researchers are evaluating a Participatory Learning and Action (PLA) based intervention to prevent and control Type II Diabetes Mellitus (TIIDM) and its risk factors in urban Karachi, Pakistan. This approach is adapted from a successful rural trial in Bangladesh and aims to address the growing health emergency of TIIDM, especially in low- and middle-income countries. The study focuses on community engagement to improve social and behavioral health determinants and manage diabetes more effectively in urban settings. The intervention involves community mobilization through male and female groups who meet monthly over 18 months. These groups identify and prioritize diabetes-related issues, plan strategies to address them, implement these strategies, and evaluate their impact. A control group will not receive the PLA intervention but will receive information about the trial and guidance for managing hyperglycemia. This randomized trial compares outcomes between the intervention and control groups. Participants will be assessed over 18 months with evaluations including diabetes prevalence, incidence, blood pressure, obesity, quality of life, and mental health aspects like depression and anxiety. The study includes questionnaires, physical measurements, and validated checks to monitor effectiveness and feasibility. The trial aims to provide insights into adapting PLA interventions in urban environments and contribute to diabetes prevention efforts.

Feasibility Trial in Urban Pakistan for Community Engagement in Preventing Type II Diabetes and Risk Factors