Yoga Programme for Type 2 Diabetes Prevention (YOGA-DP): A Qualitative Study Exploring the Trial Team's Facilitators and Challenges in Conducting a Feasibility Trial in India.
Yoga Programme for Type 2 Diabetes Prevention (YOGA-DP): A Qualitative Study Exploring the Trial Team's Facilitators and Challenges in Conducting a Feasibility Trial in India.
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DOI：
10.1007/s13300-023-01450-0
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发表时间：
2023-10
期刊：
影响因子：
3.8
通讯作者：
Chattopadhyay, Kaushik
中科院分区：
文献类型：
--
作者：
Mishra, Pallavi;Greenfield, Sheila Margaret;Harris, Tess;Hamer, Mark;Lewis, Sarah Anne;Singh, Kavita;Nair, Rukamani;Mukherjee, Somnath;Tandon, Nikhil;Kinra, Sanjay;Manjunath, Nandi Krishnamurthy;Prabhakaran, Dorairaj;Chattopadhyay, Kaushik
关键词：
在印度，约有7700万人处于发展2型糖尿病（T2 DM）的高风险中。瑜伽可以有效预防T2 DM。我们在印度进行了一项可行性随机对照试验（RCT），干预措施是瑜伽预防2型糖尿病计划（YOGA-DP）。本研究旨在确定和探索在印度进行可行性试验的促进者和挑战，更具体地说，探索试验人员在进行可行性试验和瑜伽教练在提供干预方面的看法和经验。在印度的两个试验中心（新德里和班加罗尔的瑜伽中心）进行了一项探索性定性研究。半结构化的采访进行了10名参与者（6名试验人员和4名瑜伽教练），以探讨他们的看法和经验有关的研究的目的。数据分析使用演绎以及归纳逻辑和解释现象学的方法。可行性试验相关的促进者是有用的参与者招募策略，并从试验协调中心获得帮助和支持。干预相关的主持人的干预内容，结构和交付（包括材料）和瑜伽教练的能力的优势。可行性试验相关的挑战包括潜在参与者对T2 DM缺乏认识，潜在参与者对T2 DM的耻辱感和恐惧，解释研究和获得潜在参与者书面知情同意书的困难，潜在参与者和对照组参与者的期望和要求，参与者招募中的性别和语言问题，其他参与者招募相关的挑战，参与者随访中的问题，以及数据收集和试验记录中的问题。干预相关的挑战是参与者对瑜伽的兴趣有限，参与者练习瑜伽的时间限制，参与者的健康问题阻碍了瑜伽练习，初学者练习瑜伽的困难，参与者在家里练习瑜伽的动力不足，瑜伽练习场地的问题，关于干预结构的混乱，干预材料的问题，以及瑜伽教练的无能。试验工作人员和瑜伽教练的看法和经验帮助我们分别了解进行可行性试验和提供T2 DM预防干预的促进者和挑战。这些发现及其建议将用于设计评估YOGA-DP有效性的确定性RCT，并可能有助于研究人员计划类似的试验。印度（CTRI）CTRI/2019/05/018893。
In India, around 77 million people are at high risk of developing type 2 diabetes mellitus (T2DM). Yoga interventions can be effective in preventing T2DM. We conducted a feasibility randomized controlled trial (RCT) in India, and the intervention was the Yoga Programme for T2DM Prevention (YOGA-DP). This study aimed to identify and explore the facilitators and challenges in conducting the feasibility trial in India, and more specifically, to explore the perceptions and experiences of trial staff in relation to running the feasibility trial and Yoga instructors in relation to delivering the intervention. An exploratory qualitative study was conducted at two trial sites in India (Yoga centers in New Delhi and Bengaluru). Semi-structured interviews were conducted with ten participants (six trial staff and four Yoga instructors) to explore their perceptions and experiences related to the study’s aim. Data were analyzed using deductive as well as inductive logic and an interpretative phenomenological approach. Feasibility-trial-related facilitators were useful participant recruitment strategies and help and support received from the trial coordination center. Intervention-related facilitators were strengths of the intervention content, structure, and delivery (including materials) and competencies of Yoga instructors. Feasibility-trial-related challenges were lack of awareness about T2DM among potential participants, stigma and fear associated with T2DM among potential participants, difficulties in explaining the research and obtaining written informed consent from potential participants, expectations and demands of potential participants and control-group participants, gender and language issues in participant recruitment, other participant recruitment-related challenges, issues in participant follow-up, and issues in data collection and trial documentation. Intervention-related challenges were the limited interest of participants in Yoga, participants’ time constraints on practicing Yoga, participants’ health issues hindered Yoga practice, beginners’ difficulties with practicing Yoga, participants’ demotivation to practice Yoga at home, issues with the Yoga practice venue, confusion regarding the intervention structure, issues with intervention materials, and the incompetence of Yoga instructors. The perceptions and experiences of trial staff and Yoga instructors helped us to understand the facilitators and challenges in running a feasibility trial and delivering the intervention for T2DM prevention, respectively. These findings and their suggestions will be used when designing the definitive RCT for evaluating YOGA-DP’s effectiveness, and may be helpful to researchers planning similar trials. India (CTRI) CTRI/2019/05/018893.
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DOI：
10.3390/ijerph19095514
发表时间：
2022-05-01
影响因子：
--
作者：
Mishra, Pallavi;Harris, Tess;Greenfield, Sheila Margaret;Hamer, Mark;Lewis, Sarah Anne;Singh, Kavita;Nair, Rukamani;Mukherjee, Somnath;Manjunath, Nandi Krishnamurthy;Tandon, Nikhil;Kinra, Sanjay;Prabhakaran, Dorairaj;Chattopadhyay, Kaushik
通讯作者：
Chattopadhyay, Kaushik
影响因子：
5.2
作者：
Mishra P;Greenfield SM;Harris T;Hamer M;Lewis SA;Singh K;Nair R;Mukherjee S;Krishnamurthy Manjunath N;Harper DR;Tandon N;Kinra S;Prabhakaran D;Chattopadhyay K
通讯作者：
Chattopadhyay K
DOI：
10.5455/jice.20151101093011
发表时间：
2015-10
期刊：
Journal of intercultural ethnopharmacology
影响因子：
--
作者：
Samal J
通讯作者：
Samal J
影响因子：
3.8
作者：
Chattopadhyay, Kaushik;Mishra, Pallavi;Singh, Kavita;Singh, Kalpana;Harris, Tess;Hamer, Mark;Greenfield, Sheila Margaret;Manjunath, Nandi Krishnamurthy;Nair, Rukamani;Mukherjee, Somnath;Tandon, Nikhil;Lewis, Sarah Anne;Kinra, Sanjay;Prabhakaran, Dorairaj
通讯作者：
Prabhakaran, Dorairaj
影响因子：
3.2
作者：
Cui J;Yan JH;Yan LM;Pan L;Le JJ;Guo YZ
通讯作者：
Guo YZ