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Objective:Design:Setting:Subjects:Outcome measures:Results:Conclusions:The aim of this study was to explore how participants and physicians experienced a plant-based dietary approach to type 2 diabetes mellitus (T2DM) in South Africa.A multiple-case study was undertaken.The pilot ‘Diabetes Reversal Challenge’ was initiated and led by UBUNTU Wellness Institute. Participants with T2DM consume a whole-food plant-based diet for 21 days and are assigned to private physicians for clinical monitoring of health outcomes.South African adults with T2DM (n = 10) and physicians (n = 4) participated in the challenge between April 2021 and May 2022.Participants’ health outcomes and contextual factors influencing how participants and physicians experienced the plant-based dietary approach in South Africa were the measures used.The plant-based dietary approach resulted in positive health outcomes for South African adults with T2DM, such as improved glycaemic control, weight loss, reduced need for medication and psychological benefits. Multiple layers of contextual factors influenced the plant-based dietary approach to T2DM in South Africa, mapped into a socio-ecological framework that includes (1) individual, (2) interpersonal, (3) organisational, (4) community and (5) healthcare system factors.These results encourage healthcare systems to explore plant-based dietary approaches as an option in the management of T2DM in South Africa. [ABSTRACT FROM AUTHOR]

Even though vague and contested, the construct of the quality of life can play an important role in gauging the success of spatial governance. It is present in most spatial policy objectives and many scholars describe it as the ultimate goal of spatial governance. The question remains, however, whether the construct of the quality of life is explored in sufficient depth to understand its practical relevance within widely divergent African contexts. Africa is notorious for its low levels of life quality and many scholars argue that research on its difficulties is not focalized and conclusions are too often drawn without truly considering the unique African context. To discover the extent of the current knowledge base on African life quality, African-specific case study research was identified and analyzed. A systematic literature review was conducted following the textual narrative synthesis approach. The analysis revealed a geographically sparsely distributed knowledge base of urban African quality of life. Further to this, a wide variety of research themes were identified, ranging from socio-economic, physical, and environmental characteristics to strategic planning and sustainable development. This sparsely distributed knowledge base, along with the wide variety of research themes and the undefined nature of the quality of life, makes it difficult to compare the case studies. The paper, subsequently, calls for further case study research to enable a true understanding of the association and meaning of quality of life within the African context that would ultimately support appropriate development of measurements in urban Africa. [ABSTRACT FROM AUTHOR]