Evidence map›Paper›PMID 42825182›Full record

ArticleGlobal heart2026

Generating Implementation Research Knowledge for Scaling Lifestyle Modification Intervention to Control Hypertension and Diabetes: Lessons from the CoCo-HD Study in Kerala.

Nabil Abdul Majeed, Sandra Sebastian, Henna Kondeth, Kripa Selvarajan Valsa Shiby, Akshay Parambilan Kandi, Renu Vijayakumaran Nair Prasanna, Sonu Soman Ammariparambil, Bipin Gopal, Abey Sushan, Muraleedharan Sarojini Manu and 2 more

Abstract read
In one paragraph

Article in Global heart, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Nabil Abdul MajeedSree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), Thiruvananthapuram, India.ORCID https://orcid.org/0009-0000-5064-7310
Sandra SebastianInternational Institute for Population Sciences (IIPS), Mumbai, India.ORCID https://orcid.org/0009-0004-0912-2351
Henna KondethSree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), Thiruvananthapuram, India.ORCID https://orcid.org/0009-0001-2335-8676
Kripa Selvarajan Valsa ShibyAirport Health Organisation (APHO), Trivandrum, India.ORCID https://orcid.org/0000-0001-5327-0600
Akshay Parambilan KandiCentre for Chronic Disease Control (CCDC), New Delhi, India.ORCID https://orcid.org/0009-0000-7079-7623
Renu Vijayakumaran Nair PrasannaDepartment of Health & Family Welfare, Government of Kerala, Trivandrum, India.
Sonu Soman AmmariparambilP K Das Institute of Medical Sciences, Palakkad, India.ORCID https://orcid.org/0009-0001-1885-4181
Bipin GopalDepartment of Health & Family Welfare, Government of Kerala, Trivandrum, India.ORCID https://orcid.org/0000-0003-2765-3792
Abey SushanDepartment of Health & Family Welfare, Government of Kerala, Trivandrum, India.ORCID https://orcid.org/0000-0002-7652-4770
Muraleedharan Sarojini ManuDepartment of Health & Family Welfare, Government of Kerala, Trivandrum, India.ORCID https://orcid.org/0000-0003-3416-3185
Kavumpurathu Raman ThankappanAmrita Vishwa Vidyapeetham, Amrita Institute of Medical Sciences, Kochi, India.ORCID https://orcid.org/0000-0002-4536-2684
Panniyammakal JeemonSree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), Thiruvananthapuram, India.ORCID https://orcid.org/0000-0003-4172-4307

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This article describes how a structured lifestyle modification intervention for hypertension and diabetes was scaled within Kerala's health system, focusing on how implementation knowledge was generated and embedded in routine practice. Grounded in an implementation research approach, the work documents how evidence-informed strategies were continuously adapted through stakeholder engagement, peer-led delivery, and supportive institutional processes. Drawing on qualitative data from stakeholder consultations, document review, and field observations in

Indexed as

Diabetes MellitusHypertensionLife StyleRisk Reduction BehaviorHumansIndiadiabeteshypertensionimplementation researchKeralaKnowledge generationknowledge transformationpeer-led interventionstructured lifestyle modification

Identifiers

PMID42825182
PMCPMC13629543

What OpenQuestion holds

Textmetadata
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.