{
  "abstract": "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. Cluster analysis revealed two distinct self-management profiles: cluster 1 showed significant improvement in only two domains, self-monitoring (d=0.35, p=0.006) and skill acquisition (d=0.30, p=0.020), indicating limited but focused gains. In contrast, cluster 2 suggested significant progress in seven out of eight domains, including large gains in positive engagement in life (d=0.74, p<0.001) and health-directed activity (d=0.61, p<0.001). Emotional distress decreased significantly in cluster 2 (d=-0.27, p=0.009), underscoring its greater responsiveness.Conclusion Distinct self-management profiles among diabetes-risk populations revealed critical heterogeneity that demands tailored, context-specific public health strategies to effectively address diverse needs and optimise prevention efforts.",
  "authors": [
    {
      "affiliations": [
        "Biomedical and Public Health Department, Research Institute of Health Sciences, Ouagadougou, Burkina Faso"
      ],
      "name": "Nacanabo Relwendé"
    },
    {
      "affiliations": [
        "NGO Santé Diabète, Bamako, Mali"
      ],
      "name": "Moise Nguemeni"
    },
    {
      "affiliations": [
        "Burkina Faso delegation of the NGO Santé Diabète, Ouagadougou, Burkina Faso"
      ],
      "name": "Kamouni Patricia"
    },
    {
      "affiliations": [
        "Union of the Comoros delegation of the Santé Diabète NGO, Moroni, Comoros"
      ],
      "name": "Rachmat Attoumane Ben Ali"
    },
    {
      "affiliations": [
        "NGO Santé Diabète, Bamako, Mali",
        "Laboratoire MESuRS (Modélisation, épidémiologie et surveillance des risques sanitaires) au Conservatoire National des Arts et Métiers (Cnam), Paris, France"
      ],
      "name": "Stéphane Besançon"
    },
    {
      "affiliations": [
        "TIMC, CIC-IT, 38000 Grenoble, France, Univ. Grenoble Alpes, CNRS, CHU Grenoble Alpes, Grenoble INP*, * Institute of Engineering Univ. Grenoble Alpes, Grenoble, France",
        "Centre-Hospitalier-Territorail Gaston-Bourret de Nouvelle-Calédonie, Nouméa, New Caledonia",
        "Institute of Global Health, University of Geneva, Geneva, Switzerland"
      ],
      "name": "Pierre Henri Moury"
    }
  ],
  "title": "Assessing self-management responses to educational interventions in at-risk diabetes population: a cluster-based longitudinal analysis",
  "uid": "103703b0-4a58-5940-ad73-a823540df58c"
}