Evidence map›Paper›PMID 29298703›Full record

Trial reportBMC public health2018

Cultural adaptation of a peer-led lifestyle intervention program for diabetes prevention in India: the Kerala diabetes prevention program (K-DPP).

Elezebeth Mathews, Emma Thomas, Pilvikki Absetz, Fabrizio D'Esposito, Zahra Aziz, Sajitha Balachandran, Meena Daivadanam, Kavumpurathu Raman Thankappan, Brian Oldenburg

Open access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.

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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

9 authors at 4 institutions in 4 countries.

Elezebeth MathewsAchutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.
Emma ThomasMelbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia. emma.thomas1@unimelb.edu.au.ORCID 0000-0001-8415-0521
Pilvikki AbsetzDepartment of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland.
Fabrizio D'EspositoMelbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia.
Zahra AzizMelbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia.
Sajitha BalachandranAchutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.
Meena DaivadanamDepartment of Food Nutrition and Dietetics, Uppsala Univeristy, Uppsala, Sweden.
Kavumpurathu Raman ThankappanAchutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.
Brian OldenburgMelbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia.
The University of Melbourne · AUSree Chitra Thirunal Institute for Medical Sciences and Technology · INTampere University · FIUppsala University · SE

Funding

Building the Asian NCoD Research Network for Regional Research CapacityD43TW008332 · FIC · MONASH UNIVERSITY · PI FISHER, EDWIN B, KADIR, KHALID · 2010 to 2014
$1.0M
FIC NIH HHS D43T008332National Health and Medical Research Council 1005324
6 · The paper itself

Abstract

backgroundType 2 diabetes mellitus (T2DM) is now one of the leading causes of disease-related deaths globally. India has the world's second largest number of individuals living with diabetes. Lifestyle change has been proven to be an effective means by which to reduce risk of T2DM and a number of "real world" diabetes prevention trials have been undertaken in high income countries. However, systematic efforts to adapt such interventions for T2DM prevention in low- and middle-income countries have been very limited to date. This research-to-action gap is now widely recognised as a major challenge to the prevention and control of diabetes. Reducing the gap is associated with reductions in morbidity and mortality and reduced health care costs. The aim of this article is to describe the adaptation, development and refinement of diabetes prevention programs from the USA, Finland and Australia to the State of Kerala, India.

methodsThe Kerala Diabetes Prevention Program (K-DPP) was adapted to Kerala, India from evidence-based lifestyle interventions implemented in high income countries, namely, Finland, United States and Australia. The adaptation process was undertaken in five phases: 1) needs assessment; 2) formulation of program objectives; 3) program adaptation and development; 4) piloting of the program and its delivery; and 5) program refinement and active implementation.

resultsThe resulting program, K-DPP, includes four key components: 1) a group-based peer support program for participants; 2) a peer-leader training and support program for lay people to lead the groups; 3) resource materials; and 4) strategies to stimulate broader community engagement. The systematic approach to adaptation was underpinned by evidence-based behavior change techniques.

conclusionK-DPP is the first well evaluated community-based, peer-led diabetes prevention program in India. Future refinement and utilization of this approach will promote translation of K-DPP to other contexts and population groups within India as well as other low- and middle-income countries. This same approach could also be applied more broadly to enable the translation of effective non-communicable disease prevention programs developed in high-income settings to create context-specific evidence in rapidly developing low- and middle-income countries.

trial registrationAustralia and New Zealand Clinical Trials Registry: ACTRN12611000262909 . Registered 10 March 2011.

Indexed as

Cultural CompetencyLife StylePeer GroupProgram DevelopmentAdultDiabetes Mellitus, Type 2FemaleHealth PromotionHumansIndiaMaleMiddle AgedCommunity-basedCultural adaptationDiabetes preventionImplementationLifestyle interventionLow and middle income countries (LMICs)Peer supportType 2 diabetes mellitus (T2DM)

Identifiers

PMID29298703
PMCPMC6389141
OpenAlexW2779972937

What OpenQuestion 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 OpenQuestion graph.