ArticleGlobal implementation research and applications2026
A Hybrid Effectiveness-Implementation Trial of the 'Power To Prevent Diabetes Program' in Bamako, Mali.
Article in Global implementation research and applications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05260879 (Potential Effectiveness of the Diabetes Prevention Program in the Peri-urban Area of Bamako, Mali), which is not on this map. Not yet cited in PubMed.
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Potential Effectiveness of the Diabetes Prevention Program in the Peri-urban Area of Bamako, Mali
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26 authors.
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Abstract
Community-based diabetes prevention and control programs are effective but limited in West Africa. We assess adoption and effectiveness of a contextually adapted Diabetes Prevention Program "Power to Prevent" (DPP-P2P) in Bamako, Mali. Guided by implementation science principles, we adapted the DPP-P2P to align with Malian culture, integrating dietary and exercise modifications. Local audiovisuals and photo guides were created for healthy food preparation and exercises. Six community health centers with high diabetes rates were randomly assigned to intervention or comparison, and 429 individuals (≥ 25 years old with diabetes, hypertension, or obesity) consented to participate (intervention = 282; control = 147). Diabetes peer educators facilitated 14 bi-weekly sessions over six months. We assessed Hemoglobin A1c (HbA1c) and blood pressure and surveyed 15 key healthy lifestyle behaviors pre-and post-intervention. Retention was 77.1%, and groups especially liked the role plays, African audio-visuals, peer educator success stories, and demonstrations. In the intervention group, individuals wanting to weigh less increased from 31.5 to 58.9% ( Trial Registration: ClinicalTrials.gov #NCT05260879. Registered 6 December 2021-Retrospectively registered (registration link: https://clinicaltrials.gov/study/NCT05260879).
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