Xavier Debussche|Stéphane Besançon|Maryvette Balcou-Debussche|Cyril Ferdynus|Hélène Delisle|Laëtitia Huiart|A.T. Sidibé
Structured peer-led diabetes self-management and support in a low-income country: The ST2EP randomised controlled trial in Mali
Écologie Marine Tropicale des Océans Pacifique et Indien|Peuplement Végétaux et Bio-agresseurs en Milieu Tropical|International Network for Economic, Social and Cultural Rights|Écologie Marine Tropicale des Océans Pacifique et Indien|Université de Montréal|Écologie Marine Tropicale des Océans Pacifique et Indien|Centre Hospitalier Universitaire de La Réunion|Economic & Social Sciences, Health Systems & Medical Informatics|Hôpital Universitaire Dupuytren
objective evaluate effectiveness peerled selfmanagement education improving glycaemic control patients type 2 diabetes lowincome country maliwe conducted openlabel randomised controlled trial total 151 adults 76 women mean age 525 type 2 diabetes hba1c8 treated diabetes consultation units two secondary health centres bamako allocated peerled structured patient education n 76 conventional care alone n 75 intervention group received 1 year culturally tailored structured patient education 3 courses 4 sessions delivered community five trained peer educators groups underwent conventional diabetes monitoring followup primary outcome mean absolute change hba1c baseline 12 months177 education sessions delivered intervention group patient attrition 8 baseline 12 months decrease hba1c levels 105 sd 20 ci95 154056 intervention group compared 015 sd 17 ci95 056 026 control group p 0006 mean bmi change 165 kgm2 sd 25 ci95 225 106 intervention group 005 kgm2 sd 32 ci95 071 081 control group p 00005 mean waist circumference decreased 334 cm sd 93 ci95 556113 intervention group increased 265 cm sd 103 ci95 020 509 control group p 00003peerled structured patient education delivered 1 year patients poorly controlled type 2 diabetes mali yielded substantial improvements glycaemic control anthropometric parameters importance scaling efficient interventions lowresource settings futureclinicaltrialsgov nct01485913