The effect of a community-based health behaviour intervention on health-related quality of life in people with Type 2 diabetes in Nepal: a Cluster Randomized Controlled Trial.
Saved in:
| Title: | The effect of a community-based health behaviour intervention on health-related quality of life in people with Type 2 diabetes in Nepal: a Cluster Randomized Controlled Trial. |
|---|---|
| Authors: | Karki, Ashmita (AUTHOR), Vandelanotte, Corneel (AUTHOR), Huda, M. Mamun (AUTHOR), Rawal, Lal B. (AUTHOR) |
| Source: | Quality of Life Research. Dec2025, Vol. 34 Issue 12, p3497-3510. 14p. |
| Subjects: | Type 2 diabetes, Quality of life, Health behavior, Public health, Cluster randomized controlled trials, Cultural awareness, Nepali people |
| Geographic Terms: | Nepal |
| Abstract: | Purpose: Little is known about the effectiveness of health behaviour intervention in improving health-related quality of life (HRQOL) despite HRQOL being an important outcome in Type 2 diabetes (T2DM) management. This study examined the effectiveness of a culturally appropriate health behavioural intervention in improving HRQOL of people with T2DM in Nepal. Methods: A cluster randomized controlled trial was conducted among 481 people with T2DM from 30 randomly selected healthcare facilities in Kavrepalanchok and Nuwakot districts. The intervention group received 12 culturally tailored and group-based intervention sessions for six months whereas, the control group received usual care. The primary outcomes of this study were changes in the EuroQOL (EQ5D-3L) index score and EuroQOL visual analogue scale (EQVAS) score between baseline and six-month post-intervention. The intervention effect was assessed using generalized estimating equation models. Results: At six-months post-intervention, there was a positive and statistically significant effect on EQVAS (β1 = 3.61, 95%CI: 0.05, 7.17) in the intervention group compared to control group. No statistically significant effect was observed in EQ5D-3L index score. A statistically significant increase in EQVAS score of 0.5 was observed per session attended by the study participants (β1 = 0.49, 95%CI: 0.01, 0.98). Conclusion: The health behaviour intervention led to improved HRQOL. An increase in the number of intervention sessions attended was significantly associated with higher EQVAS scores, emphasizing the need for longer-term and engaging interventions that are well adhered to. Longer term assessment of change in HRQOL outcomes are needed when actual changes in HRQOL are more likely to be observed. Trial registration: Australia and New Zealand Clinical Trial Registry (ACTRN12621000531819). [ABSTRACT FROM AUTHOR] |
| Copyright of Quality of Life Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
|
Full text is not displayed to guests.
Login for full access.
|
|
| FullText | Links: – Type: pdflink Text: Availability: 1 |
|---|---|
| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 189911311 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
| IllustrationInfo | |
| Items | – Name: Title Label: Title Group: Ti Data: The effect of a community-based health behaviour intervention on health-related quality of life in people with Type 2 diabetes in Nepal: a Cluster Randomized Controlled Trial. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Karki%2C+Ashmita%22">Karki, Ashmita</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Vandelanotte%2C+Corneel%22">Vandelanotte, Corneel</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Huda%2C+M%2E+Mamun%22">Huda, M. Mamun</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rawal%2C+Lal+B%2E%22">Rawal, Lal B.</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Quality+of+Life+Research%22">Quality of Life Research</searchLink>. Dec2025, Vol. 34 Issue 12, p3497-3510. 14p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Type+2+diabetes%22">Type 2 diabetes</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br /><searchLink fieldCode="DE" term="%22Health+behavior%22">Health behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Public+health%22">Public health</searchLink><br /><searchLink fieldCode="DE" term="%22Cluster+randomized+controlled+trials%22">Cluster randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Cultural+awareness%22">Cultural awareness</searchLink><br /><searchLink fieldCode="DE" term="%22Nepali+people%22">Nepali people</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Nepal%22">Nepal</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Purpose: Little is known about the effectiveness of health behaviour intervention in improving health-related quality of life (HRQOL) despite HRQOL being an important outcome in Type 2 diabetes (T2DM) management. This study examined the effectiveness of a culturally appropriate health behavioural intervention in improving HRQOL of people with T2DM in Nepal. Methods: A cluster randomized controlled trial was conducted among 481 people with T2DM from 30 randomly selected healthcare facilities in Kavrepalanchok and Nuwakot districts. The intervention group received 12 culturally tailored and group-based intervention sessions for six months whereas, the control group received usual care. The primary outcomes of this study were changes in the EuroQOL (EQ5D-3L) index score and EuroQOL visual analogue scale (EQVAS) score between baseline and six-month post-intervention. The intervention effect was assessed using generalized estimating equation models. Results: At six-months post-intervention, there was a positive and statistically significant effect on EQVAS (β1 = 3.61, 95%CI: 0.05, 7.17) in the intervention group compared to control group. No statistically significant effect was observed in EQ5D-3L index score. A statistically significant increase in EQVAS score of 0.5 was observed per session attended by the study participants (β1 = 0.49, 95%CI: 0.01, 0.98). Conclusion: The health behaviour intervention led to improved HRQOL. An increase in the number of intervention sessions attended was significantly associated with higher EQVAS scores, emphasizing the need for longer-term and engaging interventions that are well adhered to. Longer term assessment of change in HRQOL outcomes are needed when actual changes in HRQOL are more likely to be observed. Trial registration: Australia and New Zealand Clinical Trial Registry (ACTRN12621000531819). [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Quality of Life Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=189911311 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s11136-025-03971-6 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 14 StartPage: 3497 Subjects: – SubjectFull: Type 2 diabetes Type: general – SubjectFull: Quality of life Type: general – SubjectFull: Health behavior Type: general – SubjectFull: Public health Type: general – SubjectFull: Cluster randomized controlled trials Type: general – SubjectFull: Cultural awareness Type: general – SubjectFull: Nepali people Type: general – SubjectFull: Nepal Type: general Titles: – TitleFull: The effect of a community-based health behaviour intervention on health-related quality of life in people with Type 2 diabetes in Nepal: a Cluster Randomized Controlled Trial. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Karki, Ashmita – PersonEntity: Name: NameFull: Vandelanotte, Corneel – PersonEntity: Name: NameFull: Huda, M. Mamun – PersonEntity: Name: NameFull: Rawal, Lal B. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 12 Text: Dec2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 09629343 Numbering: – Type: volume Value: 34 – Type: issue Value: 12 Titles: – TitleFull: Quality of Life Research Type: main |
| ResultId | 1 |
