TY - JOUR
T1 - Feasibility trial of yoga programme for type 2 diabetes prevention (YOGA-DP) among high-risk people in India
T2 - a qualitative study to explore participants' trial- and intervention-related barriers and facilitators
AU - Mishra, Pallavi
AU - Harris, Tess
AU - Greenfield, Sheila
AU - Hamer, Mark
AU - Lewis, Sarah Anne
AU - Singh, Kavita
AU - Nair, Rukamani
AU - Mukherjee , Somnath
AU - Manjunath, Nandi Krishnamurthy
AU - Tandon, Nikhil
AU - Kinra, Sanjay
AU - Prabhakaran , Dorairaj
AU - Chattopadhyay, Kaushik
PY - 2022/5/1
Y1 - 2022/5/1
N2 - Yoga-based interventions can be effective in preventing type 2 diabetes mellitus (T2DM). We developed a Yoga programme for T2DM prevention (YOGA-DP) and conducted a feasibility randomised controlled trial (RCT) among high-risk people in India. This qualitative study’s objective was to identify and explore participants’ trial- and intervention-related barriers and facilitators. The feasibility trial was conducted at two Yoga centres in New Delhi and Bengaluru, India. In this qualitative study, 25 trial participants (13 intervention group, 12 control group) were recruited for semi-structured interviews. Data were analysed using deductive logic and an interpretative phenomenological approach. Amongst intervention and control participants, key barriers to trial participation were inadequate information about recruitment and randomisation processes and the negative influence of non-participants. Free blood tests to aid T2DM prevention, site staff’s friendly behaviour and friends’ positive influence facilitated trial participation. Amongst intervention participants, readability and understanding of the programme booklets, dislike of the Yoga diary, poor quality Yoga mats, difficulty in using the programme video, household commitment during home sessions, unplanned travel, difficulty in practising Yoga poses, hesitation in attending programme sessions with the YOGA-DP instructor of the opposite sex and mixed-sex group programme sessions were key barriers to intervention participation. Adequate information was provided on T2DM prevention and self-care, good venue and other support provided for programme sessions, YOGA-DP instructors’ positive behaviour and improvements in physical and mental well-being facilitated intervention participation. In conclusion, we identified and explored participants’ trial- and intervention-related barriers and facilitators. We identified an almost equal number of barriers (n = 12) and facilitators (n = 13); however, intervention-related barriers and facilitators were greater than for participating in the trial. These findings will inform the design of the planned definitive RCT design and intervention and can also be used to design other Yoga interventions and RCTs.
AB - Yoga-based interventions can be effective in preventing type 2 diabetes mellitus (T2DM). We developed a Yoga programme for T2DM prevention (YOGA-DP) and conducted a feasibility randomised controlled trial (RCT) among high-risk people in India. This qualitative study’s objective was to identify and explore participants’ trial- and intervention-related barriers and facilitators. The feasibility trial was conducted at two Yoga centres in New Delhi and Bengaluru, India. In this qualitative study, 25 trial participants (13 intervention group, 12 control group) were recruited for semi-structured interviews. Data were analysed using deductive logic and an interpretative phenomenological approach. Amongst intervention and control participants, key barriers to trial participation were inadequate information about recruitment and randomisation processes and the negative influence of non-participants. Free blood tests to aid T2DM prevention, site staff’s friendly behaviour and friends’ positive influence facilitated trial participation. Amongst intervention participants, readability and understanding of the programme booklets, dislike of the Yoga diary, poor quality Yoga mats, difficulty in using the programme video, household commitment during home sessions, unplanned travel, difficulty in practising Yoga poses, hesitation in attending programme sessions with the YOGA-DP instructor of the opposite sex and mixed-sex group programme sessions were key barriers to intervention participation. Adequate information was provided on T2DM prevention and self-care, good venue and other support provided for programme sessions, YOGA-DP instructors’ positive behaviour and improvements in physical and mental well-being facilitated intervention participation. In conclusion, we identified and explored participants’ trial- and intervention-related barriers and facilitators. We identified an almost equal number of barriers (n = 12) and facilitators (n = 13); however, intervention-related barriers and facilitators were greater than for participating in the trial. These findings will inform the design of the planned definitive RCT design and intervention and can also be used to design other Yoga interventions and RCTs.
KW - Yoga
KW - barriers
KW - facilitators
KW - feasibility
KW - physical activity
KW - prediabetes
KW - prevention
KW - qualitative research
KW - randomised controlled trial
KW - type 2 diabetes
UR - http://www.scopus.com/inward/record.url?scp=85129193409&partnerID=8YFLogxK
U2 - 10.3390/ijerph19095514
DO - 10.3390/ijerph19095514
M3 - Article
SN - 1661-7827
VL - 19
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
IS - 9
M1 - 5514
ER -
