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

Total Cost €


EC-Contrib. €






Project "SMART2D" data sheet

The following table provides information about the project.


Organization address
address: Nobels Vag 5
postcode: 17177

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
 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


Take a look of project's partnership.

# participants  country  role  EC contrib. [€] 
1    KAROLINSKA INSTITUTET SE (STOCKHOLM) coordinator 987˙237.00
2    UNIVERSITY OF THE WESTERN CAPE ZA (CAPE TOWN) participant 829˙562.00
3    MAKERERE UNIVERSITY UG (KAMPALA) participant 751˙843.00
4    UPPSALA UNIVERSITET SE (UPPSALA) participant 378˙150.00
6    ABSETZ SIRKKU PILVIKKI FI (HELSINKI) participant 160˙687.00


 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.


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.


year authors and title journal last update
List of publications.
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 Mölsted Alvesson, Thandi Puoane, Claes-Goran Ostenson, Göran 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-Göran Östenson, Stefan Swartling Peterson, Helle Mölsted 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 Gómez-Olivé, 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 Wahlström, 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., Östenson, C. G., Daivadanam, M., Forsberg, B., & Mölsted 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 Mölsted 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 ‘how-to’ 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-Göran Östenson, Helle Mölsted Alvesson
“I Did Not Believe You Could Get Better”—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 Mölsted Alvesson, Peter Delobelle, Roy William Mayega, Claes-Göran Östenson, Barbara Kirunda, Francis Xavier Kasujja, David Guwattude, Thandi Puoane, David Sanders, Stefan Peterson, Göran 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 Mölsted 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:
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:

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