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  • Absetz, PilvikkiCollaborat Care Syst Finland, Helsinki 00270, Finland. (författare)

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

  • Artikel/kapitelEngelska2020

Förlag, utgivningsår, omfång ...

  • 2020-02-03
  • OXFORD UNIV PRESS,2020
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:uu-419053
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-419053URI
  • https://doi.org/10.1093/tbm/ibz188DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:144195426URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Type 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.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Van Olmen, JosefienUniv Antwerp, Dept Primary & Interdisciplinary Care, B-2000 Antwerp, Belgium.;Inst Trop Med, Dept Publ Hlth, B-2000 Antwerp, Belgium. (författare)
  • Guwatudde, DavidMakerere Univ, Dept Epidemiol & Blostat, Sch Publ Hlth, Kampala, Uganda. (författare)
  • Puoane, ThandiUniv Western Cape, Sch Publ Hlth, Fac Community & Hlth Sci, ZA-7535 Bellville, South Africa. (författare)
  • Alvesson, Helle MolstedKarolinska Institutet (författare)
  • Delobelle, PeterUniv Western Cape, Sch Publ Hlth, Fac Community & Hlth Sci, ZA-7535 Bellville, South Africa.;Univ Cape Town, Chron Dis Initiat Africa, Dept Med, Fac Hlth Sci, ZA-7701 Rondebosch, South Africa. (författare)
  • Mayega, RoyMakerere Univ, Dept Epidemiol & Blostat, Sch Publ Hlth, Kampala, Uganda. (författare)
  • Kasujja, FrancisMakerere Univ, Dept Epidemiol & Blostat, Sch Publ Hlth, Kampala, Uganda. (författare)
  • Naggayi, GloriaMakerere Univ, Dept Epidemiol & Blostat, Sch Publ Hlth, Kampala, Uganda. (författare)
  • Timm, LindaKarolinska Institutet (författare)
  • Hassen, MariamUniv Western Cape, Sch Publ Hlth, Fac Community & Hlth Sci, ZA-7535 Bellville, South Africa. (författare)
  • Aweko, JulietKarolinska Inst, Dept Publ Hlth Sci, S-17165 Solna, Sweden. (författare)
  • De Man, JeroenUniv Antwerp, Dept Primary & Interdisciplinary Care, B-2000 Antwerp, Belgium.;Inst Trop Med, Dept Publ Hlth, B-2000 Antwerp, Belgium. (författare)
  • Ahlgren, Jhon AlvarezUppsala universitet,Institutionen för kvinnors och barns hälsa,Karolinska Inst, Dept Publ Hlth Sci, S-17165 Solna, Sweden. (författare)
  • Annerstedt, Kristi SidneyKarolinska Institutet (författare)
  • Daivadanam, MeenaUppsala universitet,Institutionen för kostvetenskap,Internationell barnhälsa och nutrition,Karolinska Inst, Dept Publ Hlth Sci, S-17165 Solna, Sweden.(Swepub:uu)meeda402 (författare)
  • Collaborat Care Syst Finland, Helsinki 00270, Finland.Univ Antwerp, Dept Primary & Interdisciplinary Care, B-2000 Antwerp, Belgium.;Inst Trop Med, Dept Publ Hlth, B-2000 Antwerp, Belgium. (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Translational Behavioral Medicine: OXFORD UNIV PRESS10:1, s. 25-341869-67161613-9860

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