Village health workers take on diabetes with app support

NCT ID NCT05743387

First seen Jun 27, 2026 ยท Last updated Jun 27, 2026

Summary

This trial tests whether trained village health workers, using a smartphone app, can provide effective type 2 diabetes care in rural Lesotho. 252 adults with diabetes will either receive community-based care (lifestyle advice, metformin, statins) or be referred to a clinic. The goal is to see if community care can control blood sugar as well as or better than standard clinic visits.

What this could mean

Our plain-language read of the trial. This is informational only โ€” not medical advice or a prediction.

Active substance
Type 2 diabetes care package (lifestyle advice, metformin, statins) delivered by lay village health workers with eHealth app support
What this could lead to
If successful, this could show that trained village health workers can safely manage uncomplicated type 2 diabetes in remote areas, improving access to care.
What could go wrong
This is a relatively small trial in one rural setting, so results may not apply elsewhere. The intervention relies on app guidance and lay workers, which may not work as well as clinic-based care.

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Conditions

The condition(s) this trial relates to.

Noncommunicable Diseases type 2 diabetes mellitus

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • SolidarMed Lesotho

    Maseru, Lesotho

  • University of Basel, Division of Clinical Epidemiology

    Basel, 4051, Switzerland

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