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SMART2D SIGNED

A people-centred approach through Self-Management and Reciprocal learning for the prevention and management of Type-2-Diabetes

Total Cost €

EC-Contrib. €

Partnership

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Outcomes and
results

SMART2D project word cloud

Explore the words cloud of the SMART2D project. It provides you a very rough idea of what is the project "SMART2D" about.

country urban proven tackling care families empower workers follow evaluation back arms phased middle strengthen settings beginning solutions outcomes facility rural missing actions social form mellitus burden implementing population background uganda dialogue reciprocal struggling communities improvements income formative t2dm immigrant health shifting contextually iterative modifications leverage representing policy translation participatory prevention disease peer groups self embed capacity lessons innovations combined sweden appropriate diabetes chronic learning equity community introduce vulnerable expanding networks patients populations africa vs strategy risk re cultural global south stages intervention platforms strategies countries cross

Project "SMART2D" data sheet

The following table provides information about the project.

Coordinator	KAROLINSKA INSTITUTET Organization address address: Nobels Vag 5 city: STOCKHOLM postcode: 17177 website: www.ki.se contact info title: n.a. name: n.a. surname: n.a. function: n.a. email: n.a. telephone: n.a. fax: n.a.
Coordinator Country	Sweden [SE]
Project website	http://ki.se/en/phs/smart2d
Total cost	3˙344˙981 €
EC max contribution	3˙344˙979 € (100%)
Programme	1. H2020-EU.3.1.3. (Treating and managing disease)
Code Call	H2020-HCO-2014
Funding Scheme	RIA
Starting year	2015
Duration (year-month-day)	from 2015-01-01 to 2019-12-31

Partnership

Take a look of project's partnership.

#	participants	country	role	EC contrib. [€]
1	KAROLINSKA INSTITUTET KAROLINSKA INSTITUTET Organization address address: Nobels Vag 5 city: STOCKHOLM postcode: 17177 website: www.ki.se contact info title: n.a. name: n.a. surname: n.a. function: n.a. email: n.a. telephone: n.a. fax: n.a.	SE (STOCKHOLM)	coordinator	987˙237.00
2	UNIVERSITY OF THE WESTERN CAPE UNIVERSITY OF THE WESTERN CAPE Organization address address: ROBERT SOBUKWE ROAD city: CAPE TOWN postcode: 7535 website: www.uwc.ac.za contact info title: n.a. name: n.a. surname: n.a. function: n.a. email: n.a. telephone: n.a. fax: n.a.	ZA (CAPE TOWN)	participant	829˙562.00
3	MAKERERE UNIVERSITY MAKERERE UNIVERSITY Organization address address: Main Campus city: KAMPALA postcode: 256 website: n.a. contact info title: n.a. name: n.a. surname: n.a. function: n.a. email: n.a. telephone: n.a. fax: n.a.	UG (KAMPALA)	participant	751˙843.00
4	UPPSALA UNIVERSITET UPPSALA UNIVERSITET Organization address address: VON KRAEMERS ALLE 4 city: UPPSALA postcode: 751 05 website: www.uu.se contact info title: n.a. name: n.a. surname: n.a. function: n.a. email: n.a. telephone: n.a. fax: n.a.	SE (UPPSALA)	participant	378˙150.00
5	PRINS LEOPOLD INSTITUUT VOOR TROPISCHE GENEESKUNDE PRINS LEOPOLD INSTITUUT VOOR TROPISCHE GENEESKUNDE Organization address address: Nationalestraat 155 city: ANTWERPEN postcode: 2000 website: www.itg.be contact info title: n.a. name: n.a. surname: n.a. function: n.a. email: n.a. telephone: n.a. fax: n.a.	BE (ANTWERPEN)	participant	237˙500.00
6	ABSETZ SIRKKU PILVIKKI ABSETZ SIRKKU PILVIKKI Organization address address: PACIUKSENKAARI 12 A 15 city: HELSINKI postcode: 270 website: n.a. contact info title: n.a. name: n.a. surname: n.a. function: n.a. email: n.a. telephone: n.a. fax: n.a.	FI (HELSINKI)	participant	160˙687.00

Map

Project objective

Background: 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 is built on a consortium experienced in implementation and cross-cultural translation of disease prevention and management. We aim to strengthen capacity for T2DM care including prevention in high-risk population, through proven strategies like task shifting to community health workers, and expanding care networks through community-based peer support groups.

Methods: A phased, participatory approach with built-in on-going policy dialogue will be used for implementing and testing a complex intervention in three countries representing low-, middle- and high-income settings: rural Uganda, urban South Africa and vulnerable immigrant populations in urban Sweden. These actions will follow an iterative process with modifications and improvements within and between the stages of formative research to implementation and evaluation. The testing will be conducted with a controlled design in two arms, a facility-only strategy vs. a combined facility and community strategy evaluated in terms of health systems, disease-related and equity outcomes.

Outcomes: The study has a strong social innovations component that will leverage 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. It will re-introduce the essential but ‘missing’ community component still existing in low- and middle-income countries back to the health system of a high-income country in a contextually appropriate form, which is relevant for Europe in tackling T2DM and other chronic conditions.

Deliverables

List of deliverables.
Cumulative report: Interactive policy workshops	Documents, reports	2020-02-12 18:04:45
Project website	Websites, patent fillings, videos etc.	2020-02-12 08:25:23

Take a look to the deliverables list in detail: detailed list of SMART2D deliverables.

Publications

List of publications.
year	authors and title	journal	last update
2019	Felix Limbani, Jane Goudge, Rohina Joshi, Marion A. Maar, J. Jaime Miranda, Brian Oldenburg, Gary Parker, Maria Amalia Pesantes, Michaela A. Riddell, Abdul Salam, Kathy Trieu, Amanda G. Thrift, Josefien Van Olmen, Rajesh Vedanthan, Ruth Webster, Karen Yeates, Jacqui Webster Process evaluation in the field: global learnings from seven implementation research hypertension projects in low-and middle-income countries published pages: , ISSN: 1471-2458, DOI: 10.1186/s12889-019-7261-8	BMC Public Health 19/1	2020-03-11
2018	Josefien van Olmen, Peter Delobelle, David Guwatudde, Pilvikki Absetz, David Sanders, Helle MÃ¶lsted Alvesson, Thandi Puoane, Claes-Goran Ostenson, GÃ¶ran Tomson, Roy William Mayega, Carl Johan Sundberg, Stefan Peterson, Meena Daivadanam Using a cross-contextual reciprocal learning approach in a multisite implementation research project to improve self-management for type 2 diabetes published pages: e001068, ISSN: 2059-7908, DOI: 10.1136/bmjgh-2018-001068	BMJ Global Health 3/6	2020-03-11
2018	Juliet Aweko, Jeroen De Man, Pilvikki Absetz, Claes-GÃ¶ran Ã–stenson, Stefan Swartling Peterson, Helle MÃ¶lsted Alvesson, Meena Daivadanam Patient and Provider Dilemmas of Type 2 Diabetes Self-Management: A Qualitative Study in Socioeconomically Disadvantaged Communities in Stockholm published pages: 1810, ISSN: 1660-4601, DOI: 10.3390/ijerph15091810	International Journal of Environmental Research and Public Health 15/9	2020-03-11
2018	John R Hurst, Julia Dickhaus, Pallab K Maulik, J Jaime Miranda, Sonak D Pastakia, Joan B Soriano, Trishul Siddharthan, Rajesh Vedanthan, G Agarwal, CA Aguilar-Salinas, GS Bloomfield, NH Chavannes, M Daivadanam, FX GÃ³mez-OlivÃ©, C Gorre, NS Levitt, LM Lotrean, SA Norris, M Owolabi, G Parker, MJ Postma, A Sheikh, K Siddiqi, V Stratev, AC Trofor, JF van Boven, RM van der Kleij Global Alliance for Chronic Disease researchers\' statement on multimorbidity published pages: e1270-e1271, ISSN: 2214-109X, DOI: 10.1016/s2214-109x(18)30391-7	The Lancet Global Health 6/12	2020-03-11
2018	Meena Daivadanam, Rolf WahlstrÃ¶m, T. K. Sundari Ravindran, P. Sankara Sarma, S. Sivasankaran, K. R. Thankappan Changing household dietary behaviours through community-based networks: A pragmatic cluster randomized controlled trial in rural Kerala, India published pages: e0201877, ISSN: 1932-6203, DOI: 10.1371/journal.pone.0201877	PLOS ONE 13/8	2020-03-11
2018	Timm, L., Lager, A., Ã–stenson, C. G., Daivadanam, M., Forsberg, B., & MÃ¶lsted Alvesson, H. Diabetes risk reversal: Disease in the family as a trigger to change habits over time. European Journal of Public Health published pages: , ISSN: , DOI: 10.1093/eurpub/cky213.560	European Journal of Public Health 28(suppl_4)	2020-03-11
2019	Meena Daivadanam, Maia Ingram, Kristi Sidney Annerstedt, Gary Parker, Kirsty Bobrow, Lisa Dolovich, Gillian Gould, Michaela Riddell, Rajesh Vedanthan, Jacqui Webster, Pilvikki Absetz, Helle MÃ¶lsted Alvesson, Odysseas Androutsos, Niels Chavannes, Briana Cortez, Praveen Devarasetty, Edward Fottrell, Francisco Gonzalez-Salazar, Jane Goudge, Omarys Herasme, Hannah Jennings, Deksha Kapoor, Jemima Kama The role of context in implementation research for non-communicable diseases: Answering the â€˜how-toâ€™ dilemma published pages: e0214454, ISSN: 1932-6203, DOI: 10.1371/journal.pone.0214454	PLOS ONE 14/4	2020-03-11
2019	Spires M, Delobelle P, Berggreen-Clausen A, Daivadanam M, Puoane T, Sanders D Assessment and perception of urban and rural food environments in South Africa published pages: 138-139., ISSN: , DOI:	Transaction of the Royal Society of Tropical Medicine and Hygiene 113 (S1)	2020-03-11
2019	Delobelle P, Onagbiye S, De Man J, Manuga T, Hassen M, Puoane T Abstracts of Oral Presentations published pages: S1-S98, ISSN: 0035-9203, DOI: 10.1093/trstmh/trz094	Transactions of The Royal Society of Tropical Medicine and Hygiene 113/Supplement_1	2020-03-11
2019	Linda Timm, Meena Daivadanam, Anton Lager, Birger Forsberg, Claes-GÃ¶ran Ã–stenson, Helle MÃ¶lsted Alvesson â€œI Did Not Believe You Could Get Betterâ€â€”Reversal of Diabetes Risk Through Dietary Changes in Older Persons with Prediabetes in Region Stockholm published pages: 2658, ISSN: 2072-6643, DOI: 10.3390/nu11112658	Nutrients 11/11	2020-03-11
2016	Spires M, Delobelle P, Sanders D, Puoane T, Hoelzel P, Swart R. Editors Padarath A, King J, Mackie E, Casciola J. Diet-related non-communicable diseases in South Africa: determinants and policy responses published pages: 35-42, ISSN: , DOI:	Health Systems Trust	2020-03-11
2019	Jeroen De Man, Juliet Aweko, Meena Daivadanam, Helle MÃ¶lsted Alvesson, Peter Delobelle, Roy William Mayega, Claes-GÃ¶ran Ã–stenson, Barbara Kirunda, Francis Xavier Kasujja, David Guwattude, Thandi Puoane, David Sanders, Stefan Peterson, GÃ¶ran Tomson, Carl Johan Sundberg, Pilvikki Absetz, Josefien Van Olmen Diabetes self-management in three different income settings: Cross-learning of barriers and opportunities published pages: e0213530, ISSN: 1932-6203, DOI: 10.1371/journal.pone.0213530	PLOS ONE 14/3	2020-03-11
2018	Bonaventure Amandi Egbujie, Peter Arthur Delobelle, Naomi Levitt, Thandi Puoane, David Sanders, Brian van Wyk Role of community health workers in type 2 diabetes mellitus self-management: A scoping review published pages: e0198424, ISSN: 1932-6203, DOI: 10.1371/journal.pone.0198424	PLOS ONE 13/6	2020-03-11
2019	Juliet Kiguli, Helle MÃ¶lsted Alvesson, Roy William Mayega, Francis Xavier Kasujja, Anthony Muyingo, Barbara Kirunda, Elizabeth Ekirapa Kiracho, Christine Kayemba Nalwadda, Gloria Naggayi, Stefan Peterson, Josefien van Olmen, Meena Daivadanam Dietary patterns and practices in rural eastern Uganda: Implications for prevention and management of type 2 diabetes published pages: 104409, ISSN: 0195-6663, DOI: 10.1016/j.appet.2019.104409	Appetite 143	2020-03-11
2019	Mark Spires Community insights into, and an international perspective on the role food environments and diet play in the self-management of type-2 diabetes mellitus in urban and rural South Africa published pages: , ISSN: , DOI:		2020-03-11
2019	Juliet Aweko Self-management of Type 2 diabetes: Processes for setting up a diabetes and pre-diabetes support intervention in socioeconomically disadvantaged communities in Sweden published pages: , ISSN: , DOI:		2020-03-11

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