Evidence map›Paper›PMID 41816145›Full record

ArticleJournal of family medicine and primary care2026

A traffic light approach to lifestyle change: Health building guideline for NCD outpatients in India.

Rakesh Sarwal, Anil K Pandey, Suruchi Sood, Deepa Negi

Abstract read
In one paragraph

Article in Journal of family medicine and primary care, 2026. 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

4 authors.

Rakesh SarwalDepartment of Community Medicine, Integrative Health Clinic, ESIC Medical College and Hospital, Faridabad, Haryana, India.
Anil K PandeyDepartment of Physiology, ESIC Medical College and Hospital, Faridabad, Haryana, India.
Suruchi SoodDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Deepa NegiDepartment of Dietary Sciences, ESIC Medical College and Hospital, Faridabad, Haryana, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: To develop and describe a simple, culturally appropriate, evidence-based lifestyle intervention tool and administration protocol for stable NCD outpatients. Methods: A multidisciplinary team synthesized global (WHO) and national (ICMR-NIN) guidelines, behaviour-change principles (COM-B, Health Belief Model, self-efficacy), and patient/provider feedback to create a one-page bilingual handout containing 21 evidence-based recommendations classified using a traffic-light system (red: avoid; green: consume safely; yellow: lifestyle actions). A structured 7-step protocol was designed for administration by nurses/dietitians, physicians, and yoga instructors, incorporating motivational interviewing, lifestyle scoring (0-21), goal setting, practical demonstration, and follow-up. Results: The "Health Building Lifestyle Guideline" and protocol were successfully piloted in an integrative health clinic serving industrial workers. Patients and providers reported high acceptability, improved comprehension, and enthusiasm for the visual traffic-light format, numeric lifestyle score, and team-based reinforcement. Conclusion: This novel, low-cost, replicable traffic-light lifestyle guideline with a structured 7-step delivery protocol effectively bridges the knowledge-practice gap and empowers NCD outpatients to adopt and sustain healthier behaviours. Wider implementation and formal outcome evaluation are recommended.

Indexed as

Behaviour changeIndialifestyle interventionnoncommunicable diseasesnutrition educationprimary caretraffic-light labelling

Identifiers

PMID41816145
PMCPMC12975079

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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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.