Trial reportThe international journal of behavioral nutrition and physical activity2026
Effectiveness of a female community health volunteer-led physical activity education intervention on accelerometer-derived outcomes in semi-urban Nepal: an open-label, cluster randomised controlled trial.
Trial report in The international journal of behavioral nutrition and physical activity, 2026. 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. Not yet cited in PubMed.
What it found
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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.
The trial behind it
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Community-based Promotion of Physical Activity in a Semi-urban Area of Pokhara Metropolitan City, Nepal: a Cluster-randomized Controlled Trial
Who cites it
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Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPhysical inactivity is a growing public health challenge in low- and middle-income countries (LMICs), yet evidence on scalable, community-based interventions remains limited. We evaluated the effectiveness of a Female Community Health Volunteers (FCHVs)-led, home-based educational programme in promoting physical activity in semi-urban Nepal.
methodsWe conducted a six-month, open-label, cluster-randomised controlled trial among adults in 14 wards of Pokhara, Nepal, with seven clusters each assigned to intervention or control. Trained FCHVs made three home visits, one per month, delivering two-hour sessions promoting physical activity, using materials co-designed with guidance from the Theory of Planned Behaviour. The main outcome was the change in daily device-measured moderate-to-vigorous physical activity (MVPA) from baseline to follow-up.
resultsAmong 264 participants (132 in the intervention arm and 132 in the control arm; mean age 49.6 years; 67.5% women) in intention-to-treat analysis, device-measured MVPA declined over six months. However, compared with the control group, the intervention group had a 9.80 min/day smaller decline in non-bout MVPA (95% CI: 0.41–19.18; p = 0.041) and a 4.53 min/day smaller decline in MVPA accumulated in ≥ 10-min bouts (95% CI: 0.29–8.77; p = 0.036). Positive effects were observed in between-group average acceleration (+ 1.84 mg, p = 0.035).
conclusionsAlthough MVPA declined in both groups over six months, the FCHV-led, home-based educational intervention attenuated this decline compared to usual care. These findings suggest that existing health volunteer-led education may contribute to maintaining physical activity levels in semi-urban populations.
trial registrationTrial registration clinicaltrials.gov Identifier: NCT06386692.
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