Objectives To assess the effect of three educational interventions on self-management behaviours among individuals at risk of diabetes in Burkina Faso, Comoros and Mali, using cluster analysis to identify distinct respondent profiles. Design Single-arm before - after longitudinal study with 6-month follow-up.
Setting Community screening initiatives and antenatal clinics in Burkina Faso, Comoros and Mali. Participants 540 adults at risk of diabetes (body mass index ≥25 kg/m² and/or family history of diabetes and/or impaired fasting glucose ≥1.10 g/L; mean age 38.2 years, 69% female) recruited through community screening initiatives and antenatal clinics in Burkina Faso, Comoros and Mali.
Interventions Three educational interventions: (1) social media video broadcasting, (2) peer educator outreach and (3) gestational diabetes education at antenatal clinics. Primary and secondary outcome measures Changes in domain-specific Health Education Impact Questionnaire scores over 6 months assessed using Cohen's d effect sizes.
Results Of the 540 initial participants, 528 responded to the follow-up survey 6 months later.
BMJ Open published a clinical update in Research Highlights on 06 Apr 2026.
The item focuses on Assessing self-management responses to educational interventions in at-risk diabetes population: a cluster-based longitudinal analysis.
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