PMID- 34540780 OWN - NLM STAT- MEDLINE DCOM- 20211007 LR - 20230322 IS - 2296-2565 (Electronic) IS - 2296-2565 (Linking) VI - 9 DP - 2021 TI - Yoga Program for Type 2 Diabetes Prevention (YOGA-DP) Among High-Risk People: Qualitative Study to Explore Reasons for Non-participation in a Feasibility Randomized Controlled Trial in India. PG - 682203 LID - 10.3389/fpubh.2021.682203 [doi] LID - 682203 AB - Background: Yoga-based interventions can be effective in preventing type 2 diabetes mellitus (T2DM). We developed a Yoga program for T2DM prevention (YOGA-DP) among high-risk people and conducted a feasibility randomized controlled trial (RCT) in India. The objective of this study was to identify and explore why potential participants declined to participate in the feasibility RCT. Methods: An exploratory qualitative study, using semi-structured interviews, was conducted at a Yoga center in New Delhi, India. Fourteen people (10 women and four men) who declined to participate in the feasibility RCT were interviewed, and 13 of them completed the non-participant questionnaire, which captured their socio-demographics, diets, physical activities, and reasons for declining. Results: Three types of barriers were identified and explored which prevented participation in the feasibility RCT: (1) personal barriers, such as lack of time, perceived sufficiency of knowledge, preferences about self-management of health, and trust in other traditional and alternative therapies; (2) contextual barriers, such as social influences and lack of awareness about preventive care; and (3) study-related barriers, such as lack of study information, poor accessibility to the Yoga site, and lack of trust in the study methods and intervention. Conclusions: We identified and explored personal, contextual, and study-related barriers to participation in a feasibility RCT in India. The findings will help to address recruitment challenges in future Yoga and other RCTs. Clinical Trial Registration:www.ClinicalTrials.gov, identifier: CTRI/2019/05/018893. CI - Copyright (c) 2021 Mishra, Greenfield, Harris, Hamer, Lewis, Singh, Nair, Mukherjee, Krishnamurthy Manjunath, Harper, Tandon, Kinra, Prabhakaran and Chattopadhyay. FAU - Mishra, Pallavi AU - Mishra P AD - Centre for Chronic Disease Control, New Delhi, India. FAU - Greenfield, Sheila Margaret AU - Greenfield SM AD - Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom. FAU - Harris, Tess AU - Harris T AD - Population Health Research Institute, St. George's University of London, London, United Kingdom. FAU - Hamer, Mark AU - Hamer M AD - Institute Sport Exercise and Health, Division of Surgery and Interventional Science, University College London, London, United Kingdom. FAU - Lewis, Sarah Anne AU - Lewis SA AD - Division of Epidemiology and Public Health, University of Nottingham, Nottingham, United Kingdom. FAU - Singh, Kavita AU - Singh K AD - Centre for Chronic Disease Control, New Delhi, India. FAU - Nair, Rukamani AU - Nair R AD - Bapu Nature Cure Hospital and Yogashram, New Delhi, India. FAU - Mukherjee, Somnath AU - Mukherjee S AD - Bapu Nature Cure Hospital and Yogashram, New Delhi, India. FAU - Krishnamurthy Manjunath, Nandi AU - Krishnamurthy Manjunath N AD - Swami Vivekananda Yoga Anusandhana Samsthana, Bengaluru, India. FAU - Harper, David Ross AU - Harper DR AD - Harper Public Health Consulting Limited, London, United Kingdom. FAU - Tandon, Nikhil AU - Tandon N AD - All India Institute of Medical Sciences, New Delhi, India. FAU - Kinra, Sanjay AU - Kinra S AD - London School of Hygiene and Tropical Medicine, London, United Kingdom. FAU - Prabhakaran, Dorairaj AU - Prabhakaran D AD - Centre for Chronic Disease Control, New Delhi, India. FAU - Chattopadhyay, Kaushik AU - Chattopadhyay K AD - Division of Epidemiology and Public Health, University of Nottingham, Nottingham, United Kingdom. LA - eng SI - CTRI/CTRI/2019/05/018893 GR - K43 TW011164/TW/FIC NIH HHS/United States GR - MR/J000175/1/MRC_/Medical Research Council/United Kingdom GR - MR/R018278/1/MRC_/Medical Research Council/United Kingdom PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20210903 PL - Switzerland TA - Front Public Health JT - Frontiers in public health JID - 101616579 SB - IM MH - *Diabetes Mellitus, Type 2/prevention & control MH - Feasibility Studies MH - Female MH - Humans MH - India/epidemiology MH - Male MH - *Meditation MH - *Yoga PMC - PMC8446204 OTO - NOTNLM OT - diet OT - lifestyle OT - non-participation OT - physical activity OT - prediabetes OT - prevention OT - qualitative research OT - yoga COIS- DH is the Managing Director of a company Harper Public Health Consulting Limited. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2021/09/21 06:00 MHDA- 2021/10/08 06:00 PMCR- 2021/09/03 CRDT- 2021/09/20 06:13 PHST- 2021/03/18 00:00 [received] PHST- 2021/07/15 00:00 [accepted] PHST- 2021/09/20 06:13 [entrez] PHST- 2021/09/21 06:00 [pubmed] PHST- 2021/10/08 06:00 [medline] PHST- 2021/09/03 00:00 [pmc-release] AID - 10.3389/fpubh.2021.682203 [doi] PST - epublish SO - Front Public Health. 2021 Sep 3;9:682203. doi: 10.3389/fpubh.2021.682203. eCollection 2021.