Community Research and Development Information Service - CORDIS

H2020

SMART2D Report Summary

Project ID: 643692
Funded under: H2020-EU.3.1.

Periodic Reporting for period 1 - SMART2D (A people-centred approach through Self-Management and Reciprocal learning for the prevention and management of Type-2-Diabetes)

Reporting period: 2015-01-01 to 2016-06-30

Summary of the context and overall objectives of the project

Type 2 diabetes mellitus (T2DM) and pre-diabetes contribute increasingly to the global burden of disease with the health systems struggling to effectively manage prevention and control. This necessitates contextually appropriate, policy relevant solutions with high scale-up potential. The study proposal was built on a consortium experienced in implementation and cross-cultural translation of disease prevention and management. Through the SMART2D project, we aim to strengthen capacity for both T2DM prevention and care through proven strategies delivered via innovative and contextually appropriate platforms that include expansion of care networks through community-based peer support groups. The work is being carried out in three settings representing three different socioeconomic groupings: Uganda (rural under-serviced areas in a low-income setting); South Africa (urban townships in a middle-income setting); and Sweden (vulnerable immigrant groups in a high-income setting).

Work performed from the beginning of the project to the end of the period covered by the report and main results achieved so far

An in-depth formative phase has been conducted in each of the three settings focusing on individuals (with diabetes or pre-diabetes and their families); health care professionals (both providers and managers; and community members and networks (including members employed in relevant public, private or non-governmental organizations). In-depth interviews, focus group discussions and stakeholder workshops have been conducted. A phased, consultative participatory approach has been used to discuss the findings from the formative phase and develop a complex but contextualized framework of interventions for each setting. This includes linked facility and community strategies that together address prevention (for pre-diabetes) and care and management (for T2DM). Currently, the sites are preparing for the pilot phase when an iterative process of modifications and improvements will be made to finalize the intervention framework. Additionally, environment challenges particularly those relating to the food environment will be dealt with in more detail in South Africa and Sweden. The intervention trial is set to start in Jan 2017 with at least two arms, a facility-only vs. a combined facility and community arm.

Progress beyond the state of the art and expected potential impact (including the socio-economic impact and the wider societal implications of the project so far)

The study has a strong social innovations component that is leveraging existing networks and platforms, to empower patients, their families and communities through the self-management approach. It will embed research into policy and practice from the beginning; and enable cross-lessons from other chronic conditions and reciprocal learning between sites. While strengthening existing facility-based care in Uganda and South Africa, it will reintroduce the essential but ‘missing’ community component in Sweden through an integrated community and facility component with the active support and cooperation of relevant stakeholders. This is highly relevant for Europe in tackling T2DM and other chronic conditions.

Related information

Record Number: 191347 / Last updated on: 2016-11-15
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