Evidence map›Paper›PMID 36981962›Full record

ArticleInternational journal of environmental research and public health2023

How Did People with Prediabetes Who Attended the Diabetes Prevention Education Program (DiPEP) Experience Making Lifestyle Changes? A Qualitative Study in Nepal.

Pushpanjali Shakya, Monish Bajracharya, Eva Skovlund, Abha Shrestha, Biraj Man Karmacharya, Bård Eirik Kulseng, Abhijit Sen, Aslak Steinsbekk, Archana Shrestha

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Article in International journal of environmental research and public health, 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
–field-weighted citation impact
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.

  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

9 authors.

Pushpanjali ShakyaDepartment of Public Health and Nursing, Norwegian University of Science and Technology, 7491 Trondheim, Norway.ORCID 0000-0002-1073-4812
Monish BajracharyaDepartment of Business and IT, University of South-Eastern Norway, 3800 Bø, Norway.ORCID 0000-0002-8405-0261
Eva SkovlundDepartment of Public Health and Nursing, Norwegian University of Science and Technology, 7491 Trondheim, Norway.ORCID 0000-0002-2997-6141
Abha ShresthaDepartment of Community Medicine, Kathmandu University School of Medical Sciences (KUSMS), Dhulikhel 45200, Nepal.ORCID 0000-0002-7992-7137
Biraj Man KarmacharyaDepartment of Public Health and Nursing, Norwegian University of Science and Technology, 7491 Trondheim, Norway.ORCID 0000-0001-8983-0235
Bård Eirik KulsengDepartment of Clinical and Molecular Medicine, Norwegian University of Science and Technology, 7491 Trondheim, Norway.ORCID 0000-0002-7672-2312
Abhijit SenDepartment of Public Health and Nursing, Norwegian University of Science and Technology, 7491 Trondheim, Norway.ORCID 0000-0001-9560-4226
Aslak SteinsbekkDepartment of Public Health and Nursing, Norwegian University of Science and Technology, 7491 Trondheim, Norway.ORCID 0000-0001-9090-0739
Archana ShresthaDepartment of Public Health and Community Programs, Kathmandu University School of Medical Sciences (KUSMS), Dhulikhel 45200, Nepal.ORCID 0000-0002-4741-090X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diabetes can be prevented through lifestyle modification in the prediabetic phase. A group-based lifestyle intervention called 'Diabetes Prevention Education Program' (DiPEP) was tested recently in Nepal. The present study aimed to explore experiences of making lifestyle changes among people with prediabetes participating in the DiPEP. This qualitative study, with semi-structured interviews of 20 participants, was conducted 4-7 months following DiPEP intervention. Data analysis was performed by thematic analysis. The results included four themes, understanding that diabetes could be prevented, lifestyle changes made, hurdles to overcome, and experiencing benefits leading to sustained change. Some participants said they felt relieved to know that they had a chance to prevent diabetes. The participants talked mostly about making changes in diet (reducing carbohydrate intake) and physical activity (starting exercises). Obstacles mentioned included a lack of motivation and a lack of family support to implement changes. Experiencing benefits such as weight loss and reduced blood sugar levels were reported to lead them to maintain the changes they had made. Understanding that diabetes could be prevented was a key motivator for implementing changes. The benefits and hurdles experienced by the participants of the present study can be taken into consideration while designing lifestyle intervention programs in similar settings.

Indexed as

Diabetes MellitusDiabetes Mellitus, Type 2Prediabetic StateDietHumansLife StyleNepalbenefitshurdleslifestyle changesprediabetesunderstanding

Identifiers

PMID36981962
PMCPMC10048900

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