Evidence map›Paper›PMID 37561266›Full record

ArticleDiabetes therapy : research, treatment and education of diabetes and related disorders2023

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.

Pallavi Mishra, Sheila Margaret Greenfield, Tess Harris, Mark Hamer, Sarah Anne Lewis, Kavita Singh, Rukamani Nair, Somnath Mukherjee, Nikhil Tandon, Sanjay Kinra and 3 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Diabetes therapy : research, treatment and education of diabetes and related disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 9 institutions in 2 countries.

Pallavi MishraCentre for Chronic Disease Control, New Delhi, India.
Sheila Margaret GreenfieldInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Tess HarrisPopulation Health Research Institute, St. George's University of London, London, UK.
Mark HamerDivision of Surgery and Interventional Science, Institute Sport, Exercise and Health, University College London, London, UK.
Sarah Anne LewisLifespan and Population Health, School of Medicine, University of Nottingham, Nottingham, UK.
Kavita SinghCentre for Chronic Disease Control, New Delhi, India.
Rukamani NairBapu Nature Cure Hospital and Yogashram, New Delhi, India.
Somnath MukherjeeBapu Nature Cure Hospital and Yogashram, New Delhi, India.
Nikhil TandonDepartment of Endocrinology, Metabolism and Diabetes, All India Institute of Medical Sciences, New Delhi, India.
Sanjay KinraDepartment of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.
Nandi Krishnamurthy ManjunathSwami Vivekananda Yoga Anusandhana Samsthana, Bangalore, India.
Dorairaj PrabhakaranCentre for Chronic Disease Control, New Delhi, India.
Kaushik ChattopadhyayLifespan and Population Health, School of Medicine, University of Nottingham, Nottingham, UK. Kaushik.Chattopadhyay@nottingham.ac.uk.ORCID http://orcid.org/0000-0002-3235-8168
Centre for Chronic Disease Control · INBapu Nature Cure Hospital & Yogashram · INUniversity of Nottingham · GBAll India Institute of Medical Sciences · INLondon School of Hygiene & Tropical Medicine · GBSt George's, University of London · GBSwami Vivekananda Yoga Anusandhana Samsthana · INUniversity College London · GBUniversity of Birmingham · GB

Funding

Medical Research Council MR/J000175/1Medical Research Council MR/R018278/1Wellcome Trust
6 · The paper itself

Abstract

backgroundIn 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.

methodsAn 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.

resultsFeasibility-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.

conclusionsThe 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. TRIAL REGISTRATION NUMBER: India (CTRI) CTRI/2019/05/018893.

Indexed as

ChallengesFacilitatorsPrediabetesQualitative researchSemi-structured interviewsTrialType 2 diabetes mellitusYoga

Identifiers

PMID37561266
PMCPMC10499709
OpenAlexW4385716648

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.