Evidence map›Paper›PMID 40413519›Full record

ArticleTrials2025

Community-based promotion of physical activity in Nepal: study protocol for a cluster-randomized controlled trial.

Rajan Shrestha, Tara Ballav Adhikari, Bijay Khatri, Dinesh Neupane, Susan Paudel, Rasmus Østergaard Nielsen, Sebastian Deisting Skejø, Abhinav Vaidya, Per Kallestrup

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06386692 (Community-based Promotion of Physical Activity in a Semi-urban Area of Pokhara Metropolitan City, Nepal), which is not on this 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.

NCT06386692 nacompletednot on this map

Community-based Promotion of Physical Activity in a Semi-urban Area of Pokhara Metropolitan City, Nepal: a Cluster-randomized Controlled Trial

TypeinterventionalSponsorUniversity of AarhusRan2024 to 2025Enrolled264ConditionsExerciseArmsFCHVs-led community based educational physical activity intervention
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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.

Rajan ShresthaResearch Unit for Global Health, Department of Public Health, Aarhus University, Aarhus C, Denmark. rajan.shrestha@ph.au.dk.ORCID http://orcid.org/0000-0002-0703-4655
Tara Ballav AdhikariResearch Unit for Global Health, Department of Public Health, Aarhus University, Aarhus C, Denmark.
Bijay KhatriResearch Unit for Global Health, Department of Public Health, Aarhus University, Aarhus C, Denmark.
Dinesh NeupaneNepal Development Society, Kathmandu, Nepal.
Susan PaudelInstitute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Melbourne, Australia.
Rasmus Østergaard NielsenResearch Unit for Epidemiology, Department of Public Health, Aarhus University, Aarhus C, Denmark.
Sebastian Deisting SkejøDepartment of Public Health, Aarhus University, Aarhus C, Denmark.
Abhinav VaidyaDepartment of Community Medicine, Kathmandu Medical College, Kathmandu, Nepal.
Per KallestrupResearch Unit for Global Health, Department of Public Health, Aarhus University, Aarhus C, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlobally, one in four adults does not meet the WHO-recommended at least 150 min of moderate intensity physical activity per week. Insufficient physical activity is the fourth-leading risk factor, contributing to 9% of global premature mortality. Physical activity is effective in weight management, cardiorespiratory fitness, and enhancing the quality of life. A high proportion (43.1%) of people living in semi-urban areas of Nepal have insufficient physical activity. Limited evidence shows a lack of knowledge and motivation as major barriers to physical activity in Nepal. Female Community Health Volunteers (FCHVs) in Nepal are effectively contributing to community-based maternal, neonatal, child, and reproductive health and the detection and management of non-communicable diseases. They could potentially contribute to physical activity promotion in community settings. METHODS AND

designThe study aims to evaluate the effectiveness of a FCHV-led community-based intervention on change in daily moderate to vigorous physical activity (MVPA) minutes. We plan to conduct an open-label cluster-randomized controlled trial with 1:1 allocation in semi-urban areas of Pokhara Municipality, Nepal. In this trial, we will recruit 264 adults 18-69 years from 14 included clusters. Axivity AX3 accelerometer and the Global Physical Activity Questionnaire (GPAQ) will be used to measure physical activity before and after the six-month intervention. FCHVs will deliver community-based educational intervention through household visits for three months, to motivate participants for physical activity through interactive health education sessions. The primary outcome is the mean change in MVPA minutes per day. Secondary outcomes include changes in physical activity intention, health-related quality of life, stress, anxiety, depression, cardiometabolic health indicators, and sleep quality. DISCUSSION: This study will objectively explore physical activity among adults in a Nepali community and provide evidence on the effectiveness of a FCHV-led community-based intervention on physical activity promotion in Nepal.

trial registrationClinicalTrial.gov NCT06386692. Registered on 26 April 2024. TRIAL REGISTRATION IN NEPAL: Ethical Review Board, Nepal Health Research Council, Protocol number 726/2023, approved on 8th February 2024.

Indexed as

Community Health ServicesCommunity Health WorkersExerciseHealth PromotionAdolescentAdultAgedFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedMotivationNepalQuality of LifeRandomized Controlled Trials as TopicAccelerometerCluster randomized controlled trialFemale Community Health VolunteersNepalPhysical activity

Identifiers

PMID40413519
PMCPMC12102969

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Registered trials

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.