PMID- 35564908 OWN - NLM STAT- MEDLINE DCOM- 20220519 LR - 20230322 IS - 1660-4601 (Electronic) IS - 1661-7827 (Print) IS - 1660-4601 (Linking) VI - 19 IP - 9 DP - 2022 May 1 TI - Feasibility Trial of Yoga Programme for Type 2 Diabetes Prevention (YOGA-DP) among High-Risk People in India: A Qualitative Study to Explore Participants' Trial- and Intervention-Related Barriers and Facilitators. LID - 10.3390/ijerph19095514 [doi] LID - 5514 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. FAU - Mishra, Pallavi AU - Mishra P AD - Centre for Chronic Disease Control, New Delhi 110016, India. FAU - Harris, Tess AU - Harris T AD - Population Health Research Institute, St. George's University of London, London SW17 0RE, UK. FAU - Greenfield, Sheila Margaret AU - Greenfield SM AD - Institute of Applied Health Research, University of Birmingham, Birmingham B15 2TT, UK. FAU - Hamer, Mark AU - Hamer M AD - Institute Sport Exercise and Health, Division of Surgery and Interventional Science, University College London, London W1T 7HA, UK. FAU - Lewis, Sarah Anne AU - Lewis SA AD - Lifespan and Population Health Academic Unit, School of Medicine, University of Nottingham, Nottingham NG5 1PB, UK. FAU - Singh, Kavita AU - Singh K AUID- ORCID: 0000-0003-4330-666X AD - Centre for Chronic Disease Control, New Delhi 110016, India. FAU - Nair, Rukamani AU - Nair R AD - Bapu Nature Cure Hospital and Yogashram, New Delhi 110091, India. FAU - Mukherjee, Somnath AU - Mukherjee S AD - Bapu Nature Cure Hospital and Yogashram, New Delhi 110091, India. FAU - Manjunath, Nandi Krishnamurthy AU - Manjunath NK AD - Swami Vivekananda Yoga Anusandhana Samsthana, Bengaluru 560105, India. FAU - Tandon, Nikhil AU - Tandon N AD - All India Institute of Medical Sciences, New Delhi 110029, India. FAU - Kinra, Sanjay AU - Kinra S AD - Department of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK. FAU - Prabhakaran, Dorairaj AU - Prabhakaran D AD - Centre for Chronic Disease Control, New Delhi 110016, India. FAU - Chattopadhyay, Kaushik AU - Chattopadhyay K AUID- ORCID: 0000-0002-3235-8168 AD - Lifespan and Population Health Academic Unit, School of Medicine, University of Nottingham, Nottingham NG5 1PB, UK. LA - eng 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 GR - MR/R018278/1/UK Research and Innovation/ PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20220501 PL - Switzerland TA - Int J Environ Res Public Health JT - International journal of environmental research and public health JID - 101238455 SB - IM MH - *Diabetes Mellitus, Type 2/prevention & control MH - Feasibility Studies MH - Humans MH - India MH - *Meditation MH - *Yoga PMC - PMC9099572 OTO - NOTNLM OT - Yoga OT - barriers OT - facilitators OT - feasibility OT - physical activity OT - prediabetes OT - prevention OT - qualitative research OT - randomised controlled trial OT - type 2 diabetes COIS- The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results. EDAT- 2022/05/15 06:00 MHDA- 2022/05/20 06:00 PMCR- 2022/05/01 CRDT- 2022/05/14 01:15 PHST- 2022/03/15 00:00 [received] PHST- 2022/04/26 00:00 [revised] PHST- 2022/04/27 00:00 [accepted] PHST- 2022/05/14 01:15 [entrez] PHST- 2022/05/15 06:00 [pubmed] PHST- 2022/05/20 06:00 [medline] PHST- 2022/05/01 00:00 [pmc-release] AID - ijerph19095514 [pii] AID - ijerph-19-05514 [pii] AID - 10.3390/ijerph19095514 [doi] PST - epublish SO - Int J Environ Res Public Health. 2022 May 1;19(9):5514. doi: 10.3390/ijerph19095514.