paraphrase, Similarly, there was insufficient evidence that the intervention had an effect on any of the secondary outcomes except for an improvement in physical health. The difference in physical health between the intervention and control was 3 (p = 0.035)(Supplementary Table 4d). The within-group differences for both arms were also not significant for most clinical variables and psychological variables. The mean waist circumference of the control group was 1 cm higher relative to baseline (p = 0.015) while in the intervention arm, the mean waist circumference remained unchanged (p = 0.249). Similarly, the average systolic blood pressure increased by 5 mmHg (p = 0.143) in the control arm while in the intervention arm the mean systolic pressure remained unchanged (p = 0.249) (Supplementary Tables 3c/3d). On the contrary, these differences were significant for self-care activities namely foot care, exercise, and diet. In the control arm, the mean number of days in a week, that participants inspected the inside of their shoes increased by 1 day at endline (p = 0.003). Correspondingly, among the intervention, the mean number of days per week increased by 2 (p < 0.001). (Supplementary Tables 3a / 3b). The interaction term between the follow-up interval and