Setting
Diabetes
DIABETES
Conkal, located 17.2 km (10.7 miles) from Merida, has undergone partial absorption and encroachment by the surrounding urban areas. In contrast, Komchen, located 24 km (14.9 miles) north of Merida, maintains stronger Mayan cultural ties, less rural urbanization, and tighter social bonds than Conkal. Differences in demographic characteristics in Komchen and Conkal.
Based on the findings from our previous study in Komchen, we determined the required sample size for conducting two-group comparisons in Conkal (e.g., the proportion of subjects who experienced improved HbThe primary outcome was changes in HbDiabetes self-care behaviors were assessed using the Summary of Diabetes Self-Care Activities questionnaire (Data was collected at baseline and every four months throughout the two-year intervention. Due to the challenges related to literacy conditions within the community, trained personnel conducted in-person questionnaire administration instead of self-administration.