Feasibility Trial of Yoga Programme for Type 2 Diabetes Prevention (YOGA-DP) among High-Risk People in India: A Qualitative Study to Explore Participants' Trial- and Intervention-Related Barriers and Facilitators.
Feasibility Trial of Yoga Programme for Type 2 Diabetes Prevention (YOGA-DP) among High-Risk People in India: A Qualitative Study to Explore Participants' Trial- and Intervention-Related Barriers and Facilitators.
复制标题
DOI：
10.3390/ijerph19095514
复制
发表时间：
2022-05-01
影响因子：
--
通讯作者：
Chattopadhyay, Kaushik
中科院分区：
文献类型：
--
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
关键词：
2型糖尿病（T2DM）是一种常见的糖尿病。我们开发了一个瑜伽预防2型糖尿病的项目（YOGA-DP），并在印度的高危人群中进行了一项可行性随机对照试验（RCT）。这项定性研究的目的是确定和探索参与者的试验和干预相关的障碍和促进因素。可行性试验是在印度新德里和本尼迪克特的两个瑜伽中心进行的。在本研究中，25名实验参与者（13名干预组，12名对照组）被招募进行半结构式访谈。使用演绎逻辑和解释现象学方法分析数据。在干预组和对照组参与者中，参与试验的主要障碍是招募和随机化过程的信息不足以及非参与者的负面影响。帮助预防T2DM的免费血液检查、研究中心工作人员的友好行为和朋友的积极影响促进了试验参与。在干预参与者中，计划手册的可读性和理解，不喜欢瑜伽日记，质量差的瑜伽垫，难以使用计划视频，家庭会议期间的家庭承诺，计划外的旅行，练习瑜伽姿势的困难，参加与异性的瑜伽-DP教练和混合性别小组计划会议的计划会议的犹豫是干预参与的主要障碍。提供了关于T2DM预防和自我护理的充分信息，为方案会议提供了良好的场地和其他支持，YOGA-DP教师的积极行为以及身心健康的改善促进了干预参与。总之，我们确定并探讨了参与者的试验和干预相关的障碍和促进因素。我们确定了几乎相同数量的障碍（n = 12）和促进因素（n = 13）;然而，干预相关的障碍和促进因素大于参与试验。这些发现将为计划的确定性RCT设计和干预提供信息，也可用于设计其他瑜伽干预和RCT。
Yoga-based interventions can be effective in preventing type 2 diabetes mellitus (T2DM). We developed a Yoga programme for T2DM prevention (YOGA-DP) and conducted a feasibility randomised controlled trial (RCT) among high-risk people in India. This qualitative study’s objective was to identify and explore participants’ trial- and intervention-related barriers and facilitators. The feasibility trial was conducted at two Yoga centres in New Delhi and Bengaluru, India. In this qualitative study, 25 trial participants (13 intervention group, 12 control group) were recruited for semi-structured interviews. Data were analysed using deductive logic and an interpretative phenomenological approach. Amongst intervention and control participants, key barriers to trial participation were inadequate information about recruitment and randomisation processes and the negative influence of non-participants. Free blood tests to aid T2DM prevention, site staff’s friendly behaviour and friends’ positive influence facilitated trial participation. Amongst intervention participants, readability and understanding of the programme booklets, dislike of the Yoga diary, poor quality Yoga mats, difficulty in using the programme video, household commitment during home sessions, unplanned travel, difficulty in practising Yoga poses, hesitation in attending programme sessions with the YOGA-DP instructor of the opposite sex and mixed-sex group programme sessions were key barriers to intervention participation. Adequate information was provided on T2DM prevention and self-care, good venue and other support provided for programme sessions, YOGA-DP instructors’ positive behaviour and improvements in physical and mental well-being facilitated intervention participation. In conclusion, we identified and explored participants’ trial- and intervention-related barriers and facilitators. We identified an almost equal number of barriers (n = 12) and facilitators (n = 13); however, intervention-related barriers and facilitators were greater than for participating in the trial. These findings will inform the design of the planned definitive RCT design and intervention and can also be used to design other Yoga interventions and RCTs.
登录
查看更多内容
影响因子：
4.7
作者：
Minocha, Sumedha;Thomas, Tinku;Kurpad, Anura V.
通讯作者：
Kurpad, Anura V.
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
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
影响因子：
2
作者：
Mathews E;Lakshmi JK;Ravindran TK;Pratt M;Thankappan KR
通讯作者：
Thankappan KR
影响因子：
4.1
作者：
Busby-Grant, J.;Mackinnon, A. J.;Walker, J.
通讯作者：
Walker, J.