Yoga Program for Type 2 Diabetes Prevention (YOGA-DP) Among High-Risk People: Qualitative Study to Explore Reasons for Non-participation in a Feasibility Randomized Controlled Trial in India.
Yoga Program for Type 2 Diabetes Prevention (YOGA-DP) Among High-Risk People: Qualitative Study to Explore Reasons for Non-participation in a Feasibility Randomized Controlled Trial in India.
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DOI：
10.3389/fpubh.2021.682203
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发表时间：
2021
影响因子：
5.2
通讯作者：
Chattopadhyay K
中科院分区：
文献类型：
--
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
背景：以瑜伽为基础的干预措施可以有效预防2型糖尿病（T2 DM）。我们在高危人群中开发了一项瑜伽预防T2 DM计划（YOGA-DP），并在印度进行了可行性随机对照试验（RCT）。本研究的目的是确定和探索潜在参与者拒绝参加可行性RCT的原因。方法：在印度新德里的一家瑜伽中心进行了一项探索性定性研究，采用半结构化访谈。对14名拒绝参加可行性RCT的人（10名女性和4名男性）进行了采访，其中13人完成了非参与者问卷，其中包括他们的社会人口统计学，饮食，体育活动以及下降的原因。结果如下：确定并探讨了阻止参与可行性RCT的三种类型的障碍：（1）个人障碍，如缺乏时间、认为知识足够、对自我管理健康的偏好以及对其他传统和替代疗法的信任;（2）背景障碍，如社会影响和缺乏对预防保健的认识;（3）与研究相关的障碍，如缺乏研究信息、瑜伽网站的可访问性差、对研究方法和干预措施缺乏信任。结论：我们确定并探讨了参与印度可行性RCT的个人、背景和研究相关障碍。这些发现将有助于解决未来瑜伽和其他RCT的招募挑战。临床试验注册：www.ClinicalTrials.gov，标识符：CTRI/2019/05/018893。
Background: Yoga-based interventions can be effective in preventing type 2 diabetes mellitus (T2DM). We developed a Yoga program for T2DM prevention (YOGA-DP) among high-risk people and conducted a feasibility randomized controlled trial (RCT) in India. The objective of this study was to identify and explore why potential participants declined to participate in the feasibility RCT. Methods: An exploratory qualitative study, using semi-structured interviews, was conducted at a Yoga center in New Delhi, India. Fourteen people (10 women and four men) who declined to participate in the feasibility RCT were interviewed, and 13 of them completed the non-participant questionnaire, which captured their socio-demographics, diets, physical activities, and reasons for declining. Results: Three types of barriers were identified and explored which prevented participation in the feasibility RCT: (1) personal barriers, such as lack of time, perceived sufficiency of knowledge, preferences about self-management of health, and trust in other traditional and alternative therapies; (2) contextual barriers, such as social influences and lack of awareness about preventive care; and (3) study-related barriers, such as lack of study information, poor accessibility to the Yoga site, and lack of trust in the study methods and intervention. Conclusions: We identified and explored personal, contextual, and study-related barriers to participation in a feasibility RCT in India. The findings will help to address recruitment challenges in future Yoga and other RCTs. Clinical Trial Registration:www.ClinicalTrials.gov, identifier: CTRI/2019/05/018893.
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作者：
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DOI：
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发表时间：
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期刊：
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