2024
Barriers and Facilitators of Implementing a Healthy Lifestyle Intervention at Workplaces in South Africa
Singh S, Naicker A, Grobbelaar H, Singh E, Spiegelman D, Shrestha A. Barriers and Facilitators of Implementing a Healthy Lifestyle Intervention at Workplaces in South Africa. International Journal Of Environmental Research And Public Health 2024, 21: 389. PMID: 38673303, PMCID: PMC11050208, DOI: 10.3390/ijerph21040389.Peer-Reviewed Original ResearchFocus group discussionsHealthy lifestyle interventionIn-depth interviewsLifestyle interventionIntervention programmeDesigning lifestyle interventionsImplement lifestyle interventionsCardiovascular risk factor profileLifestyle intervention programmeImprove health outcomesImplementing health programmesLack of willpowerSemi-structured in-depth interviewsRisk factor profileImplementing intervention programmesFood environmentHealth outcomesImplement interventionsHealth programmesWorkplace stakeholdersWellness programmesWorkplace supportLifestyle choicesFactor profileGroup discussionsExploring knowledge, perceptions, and practices of antimicrobials, and their resistance among medicine dispensers and community members in Kavrepalanchok District of Nepal
Marasini S, Sharma S, Joshi A, Kunwar S, Mahato R, Shrestha A, Karmacharya B. Exploring knowledge, perceptions, and practices of antimicrobials, and their resistance among medicine dispensers and community members in Kavrepalanchok District of Nepal. PLOS ONE 2024, 19: e0297282. PMID: 38241275, PMCID: PMC10798439, DOI: 10.1371/journal.pone.0297282.Peer-Reviewed Original ResearchConceptsFocus group discussionsIn-depth interviewsMedicine dispensingCommunity membersGroup discussionsSelf-medicationGlobal public health issuePublic health issueOver-the-counter salesInappropriate use of antimicrobialsThematic analysisDispensing practicesHealth issuesOver-the-counterInductive approachInappropriate useWeak enforcement of policiesDrug useUrban municipalitiesEducational backgroundAntimicrobial resistanceDispensingConsumers express concernsIn-depthPharmacy
2023
Facilitators and barriers to hypertension management in urban Nepal: findings from a qualitative study
Bhattarai S, Bajracharya S, Shrestha A, Skovlund E, Åsvold B, Mjolstad B, Sen A. Facilitators and barriers to hypertension management in urban Nepal: findings from a qualitative study. Open Heart 2023, 10: e002394. PMID: 37899127, PMCID: PMC10618998, DOI: 10.1136/openhrt-2023-002394.Peer-Reviewed Original ResearchConceptsPrimary healthcare providersHypertension servicesHypertension managementHealthcare providersHypertension patientsHome visitsSocioecological modelCommunity-level barriersUrban NepalFocus group discussionsTreatment measuresControl of hypertensionGender normsHigh blood pressureCommunity health workersMunicipal officialsAspects of careFamily membersDepth interviewsQualitative methodologyPrimary healthcare systemCommunity trustLow-resource countriesQualitative studyAntihypertensive medications
2021
Facilitators and barriers to healthy eating in a worksite cafeteria: a qualitative study
Stern D, Blanco I, Olmos LA, Valdivia JJ, Shrestha A, Mattei J, Spiegelman D. Facilitators and barriers to healthy eating in a worksite cafeteria: a qualitative study. BMC Public Health 2021, 21: 973. PMID: 34022846, PMCID: PMC8141192, DOI: 10.1186/s12889-021-11004-3.Peer-Reviewed Original ResearchConceptsHigher health awarenessHealthy eatingWorksite cafeteriasCardiometabolic disease preventionFocus group discussionsHealthy food choicesHealthy food optionsNutrition interventionsQualitative studyDietary behaviorsDisease preventionLack of timeHealth awarenessFatty foodsHealth of employeesExploratory qualitative studyEatingHealthy foodsFood optionsFood choicesLarger worksitesJob categoriesUnpleasant taste
2020
Drivers of healthy eating in a workplace in Nepal: a qualitative study
Tamrakar D, Shrestha A, Rai A, Karmacharya BM, Malik V, Mattei J, Spiegelman D. Drivers of healthy eating in a workplace in Nepal: a qualitative study. BMJ Open 2020, 10: e031404. PMID: 32102804, PMCID: PMC7045197, DOI: 10.1136/bmjopen-2019-031404.Peer-Reviewed Original ResearchConceptsHealthy eatingHealth personnelDhulikhel Hospital-Kathmandu University HospitalHealthy foodsHospital administratorsHealthy food optionsAffordable healthy foodsFocus group discussionsUniversity HospitalHospital settingQualitative studyCapital KathmanduIndividual food preferencesHospital sitesHealth awarenessHealthy optionsHospital administrationHour shiftsEatingFood optionsGroup discussionsCafeteria operatorsLevel of educationOffice hoursThematic analysis method
2018
Barriers and facilitators to treatment among patients with newly diagnosed hypertension in Nepal
Shrestha S, Shrestha A, Koju RP, LoGerfo JP, Karmacharya BM, Sotoodehnia N, Fitzpatrick AL. Barriers and facilitators to treatment among patients with newly diagnosed hypertension in Nepal. Heart Asia 2018, 10: e011047. PMID: 30233660, PMCID: PMC6135456, DOI: 10.1136/heartasia-2018-011047.Peer-Reviewed Original ResearchDhulikhel Heart StudyLow perceived seriousnessAbsence of symptomsAppropriate health interventionsFamily supportDhulikhel HospitalObservational cohortHypertension managementHypertension treatmentHypertensionThematic framework methodHeart StudyCommunity surveillanceHealth interventionsPatientsAudiotaped discussionsDiseaseFear of consequencesTreatmentFramework methodFocus group discussionsBehavior changePerceived SeriousnessQualitative studyMajor barrier
2017
Facilitators and barriers to healthy eating in a worksite cafeteria: a qualitative study from Nepal
Shrestha A, Pyakurel P, Shrestha A, Gautam R, Manandhar N, Rhodes E, Tamrakar D, Karmacharya BM, Malik V, Mattei J, Spiegelman D. Facilitators and barriers to healthy eating in a worksite cafeteria: a qualitative study from Nepal. Heart Asia 2017, 9: e010956. PMID: 29225703, PMCID: PMC5708323, DOI: 10.1136/heartasia-2017-010956.Peer-Reviewed Original ResearchHealthy food choicesHealthy food optionsHealthy eatingWorksite cafeteriasFocus group discussionsHealthy foodsFood optionsFood choicesEastern NepalDiabetes preventionConsumption of foodQualitative studyWorksite interventionExploratory qualitative studyPotential facilitatorsEatingHygienic practicesMajor barrierFacilitatorsFood