Evidence map›Paper›PMID 37403179›Full record

ArticleTrials2023

Community-based lifestyle intervention for diabetes (Co-LID study) management rural Nepal: study protocol for a clustered randomized controlled trial.

Lal Rawal, Padam Dahal, Grish Paudel, Tuhin Biswas, Rabina Shrestha, Deepa Makaju, Abha Shrestha, Uday Yadav, Berhe W Sahle, Hanako Iwashita and 8 more

Abstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. The effect of a community-based health behaviour intervention on health-related quality of life in people with Type 2 diabetes in Nepal: a Cluster Randomized Controlled Trial.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
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  5. Article
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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

18 authors.

Lal RawalSchool of Health, Medical and Applied Sciences, Central Queensland University, Sydney Campus, 400 Kent Street, Sydney, NSW, 2000, Australia. Dr.lalrawal@gmail.com.ORCID http://orcid.org/0000-0003-1106-0108
Padam DahalSchool of Health, Medical and Applied Sciences, Central Queensland University, Sydney Campus, 400 Kent Street, Sydney, NSW, 2000, Australia.
Grish PaudelSchool of Health, Medical and Applied Sciences, Central Queensland University, Sydney Campus, 400 Kent Street, Sydney, NSW, 2000, Australia.
Tuhin BiswasScience and Math Program, Asian University for Women, Chattogram, Bangladesh.
Rabina ShresthaResearch and Development Division, Dhulikhel Hospital Kathmandu University Hospital, Dhulikhel, Nepal.
Deepa MakajuResearch and Development Division, Dhulikhel Hospital Kathmandu University Hospital, Dhulikhel, Nepal.
Abha ShresthaDepartment of public health and community programs, Kathmandu University of Medical Sciences, Dhulikhel, Nepal.
Uday YadavNational Centre for Aboriginal and Torres Strait Islander Wellbeing Research, The National Centre for Epidemiology and Population Health, ACT, The Australian National University, Canberra, Australia.
Berhe W SahleSchool of Nursing and Midwifery, Faculty of Health, Deakin University, 221 Burwood Highway, Burwood, Melbourne, VIC, 3125, Australia.
Hanako IwashitaSection of Global Health, Division of Public Health, Department of Hygiene and Public Health, Tokyo Women's Medical University, Tokyo, Japan.
Gaku MasudaSection of Global Health, Division of Public Health, Department of Hygiene and Public Health, Tokyo Women's Medical University, Tokyo, Japan.
Andre RenzahoSchool of Medicine, Western Sydney University, Sydney, Australia.
Prabin ShakyaResearch and Development Division, Dhulikhel Hospital Kathmandu University Hospital, Dhulikhel, Nepal.
Archana ShresthaDepartment of public health and community programs, Kathmandu University of Medical Sciences, Dhulikhel, Nepal.
Biraj KarmacharyaDepartment of public health and community programs, Kathmandu University of Medical Sciences, Dhulikhel, Nepal.
Haruka SakamotoSection of Global Health, Division of Public Health, Department of Hygiene and Public Health, Tokyo Women's Medical University, Tokyo, Japan.
Rajendra KojuDepartment of Internal Medicine/Cardiology, Kathmandu University of Medical Sciences, Dhulikhel, Nepal.
Tomohiko SugishitaSection of Global Health, Division of Public Health, Department of Hygiene and Public Health, Tokyo Women's Medical University, Tokyo, Japan.

Funding

Japan Agency for Medical Research and Development 18jk0110020h0001
6 · The paper itself

Abstract

backgroundType 2 diabetes mellitus (T2DM) has increased globally; with a disproportionate burden in South and Southeast Asian countries, including Nepal. There is an urgent need for clinically and cost-effective culturally adapted T2DM management programs. In this study, we aim to assess the effectiveness of community based culturally appropriate lifestyle intervention in improving the management and care of people with T2DM.

methodsWe will conduct a cluster randomized control trial to evaluate the effectiveness of community based culturally appropriate lifestyle intervention in improving T2DM outcomes. The trial will be conducted in 30 randomly selected healthcare facilities from two purposively selected districts (Kavrepalanchowk and Nuwakot districts) of Bagmati province, Nepal. The selected healthcare facilities are being randomized into 15 interventions (n = 15) and usual care (n = 15) groups. Those in the intervention will receive group-based 12 an hour-long fortnightly session delivered over 6 months period. The intervention package includes 12 planned modules related to diabetes care, ongoing support, supervision and monitoring, follow-up from the trained community health workers, and educational materials on diabetes self-management. The participants in the usual care groups will receive pictorial brochure on diabetes management and they will continue receiving the usual care available from the local health facilities. The primary outcome is HbA1c level, and the secondary outcomes include quality of life, health care utilization, and practice of self-care behaviour, depression, oral health quality of life, and economic assessment of the intervention. Two points measurements will be collected by the trained research assistants at baseline and at the end of the intervention. DISCUSSION: This study will provide tested approaches for culturally adapting T2DM interventions in the Nepalese context. The findings will also have practice and policy implications for T2DM prevention and management in Nepal.

trial registrationAustralia and New Zealand Clinical Trial Registry (ACTRN12621000531819). Registered on May 6, 2021.

Indexed as

Diabetes Mellitus, Type 2Health BehaviorHumansLife StyleNepalQuality of LifeRandomized Controlled Trials as TopicCluster randomized controlled trialCommunity-basedHealth behaviourLifestyle interventionType 2 diabetes mellitus

Identifiers

PMID37403179
PMCPMC10320880

What OpenQuestion holds

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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.