Evidence map›Paper›PMID 29783961›Full record

ArticleBMC public health2018

Diabetes management training for female community health volunteers in Western Nepal: an implementation experience.

Bishal Gyawali, Shiva Raj Mishra, Dinesh Neupane, Abhinav Vaidya, Annelli Sandbæk, Per Kallestrup

Open access · goldAbstract read
In one paragraph

Article 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 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
6.6field-weighted citation impact, top 4% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

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  20. Anti-hyperglycemic and anti-dyslipidemic activities of methanol ripe fruit extract ofJournal of traditional and complementary medicine · 2021
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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

6 authors at 3 institutions in 2 countries.

Bishal GyawaliNepal Development Society (NEDS), Bharatpur, Nepal. bishalforu@hotmail.com.
Shiva Raj MishraNepal Development Society (NEDS), Bharatpur, Nepal.
Dinesh NeupaneNepal Development Society (NEDS), Bharatpur, Nepal.
Abhinav VaidyaDepartment of Community Medicine, Kathmandu Medical College, Kathmandu, Nepal.
Annelli SandbækDepartment of Public Health, Aarhus University, Aarhus, Denmark.
Per KallestrupDepartment of Public Health, Aarhus University, Aarhus, Denmark.
Aarhus University · DKNepal Red Cross Society · NPKathmandu Medical College Teaching Hospital · NP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the backdroup of a rapidly increasing burden of diabetes in Nepal, a community-based diabetes management program is implemented involving female community health volunteers (FCHVs) under the government run FCHVs program. FCHVs received an intensive one-week training workshop on prevention, control and management of diabetes. The training program was implemented and evaluated to enhance diabetes knowledge of FCHVs and matched according to their literacy level.

methodsA range of teaching methods were applied, including desk review, active participation, lectures, presentations, discussions, role plays, demonstration and field test. Evaluation of the knowledge attained was done by testing before and after the workshop. Major milestones in the development of the training module were presented from desk review and ending in stakeholder's participation in reviewing and revising the training package. The qualitative interview transcripts of FCHVs were analyzed thematically.

resultsA 5-day training package was developed through a desk review of interventions using community health workers (CHWs) on diabetes management from similar settings. Training module included home-based blood glucose monitoring and home-based health education on life style counselling delivered through a participatory learning approach. There were 20 participants with a mean age of 47 years (SD ± 5.7). The overall assessment of knowledge of diabetes before-after the training, evaluated by the Diabetes Knowledge Questionnaire (DKQ) showed increases in mean score from 40.4% before training to a mean score of 63.3% after training (Paired t-test: t = - 11.1, P < 0.001, and Wilcoxon test for paired samples: z = - 3.930, P = 0.0001). Focus group discussions (FGDs) revealed that FCHVs had a favorable perception of the training program's effectiveness.

conclusionsIf FCHVs are appropriately trained they may be instrumental in providing counseling and screening for diabetes management in their communities.

Indexed as

Blood Glucose Self-MonitoringCommunity Health ServicesCommunity Health WorkersDiabetes MellitusFemaleFocus GroupsGovernment ProgramsHealth EducationHealth Knowledge, Attitudes, PracticeHumansMiddle AgedNepalProgram EvaluationVolunteersDiabetesFemale community health workersHealth educationNepalScreening

Identifiers

PMID29783961
PMCPMC5963054
OpenAlexW2805916159

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.