2024
Digital health interventions for suicide prevention among LGBTQ: A narrative review
Paudel K, Gautam K, Bhandari P, Shah S, Wickersham J, Acharya B, Sapkota S, Adhikari S, Baral P, Shrestha A, Shrestha R. Digital health interventions for suicide prevention among LGBTQ: A narrative review. Health Prospect 2024, 23: 1-10. PMID: 38645301, PMCID: PMC11027749, DOI: 10.3126/hprospect.v23i1.62795.Peer-Reviewed Original ResearchDigital health interventionsMcGill Mixed Methods Appraisal ToolRandomized controlled trialsDigital interventionsHealth interventionsSuicide preventionHealth servicesQualitative studyMixed Methods Appraisal ToolIncrease help-seeking behaviorImpact of digital interventionsConventional health servicesMethods Appraisal ToolHelp-seeking intentionsObtaining such servicesPre-posttest designHelp-seeking behaviorSuicidal thoughtsMiddle-income countriesDigital-based interventionsProportion of participantsPowered randomized controlled trialsNon-overlapping studiesLGBTQ communityPerceived stigmaChallenges in Effective Referral of Cardiovascular Diseases in Nepal: A Qualitative Study from Health Workers’ and Patients’ Perspective
Shrestha S, Maharjan R, Bajracharya S, Jha N, Mali S, Thapa B, Suwal P, Prajapati D, Karmacharya B, Shrestha A. Challenges in Effective Referral of Cardiovascular Diseases in Nepal: A Qualitative Study from Health Workers’ and Patients’ Perspective. Cardiology Research And Practice 2024, 2024: 5583709. PMID: 38476339, PMCID: PMC10932621, DOI: 10.1155/2024/5583709.Peer-Reviewed Original ResearchReferral systemCardiovascular disease patientsCVD casesNoncommunicable diseasesCardiovascular diseaseQualitative studyBurden of noncommunicable diseasesCardiovascular disease careFactors affecting referralTertiary-level careCardiovascular disease casesOpen-ended questionsTranscribed verbatimHealth workersLack of human resourcesHealthcare professionalsPatient perspectiveFace-to-faceEffective referralInterview guideMadhesh ProvinceThematic approachTelephone interviewsPatient transferReferral strategies
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
Diabetes Prevention Education Program in a population with pre-diabetes in Nepal: a study protocol of a cluster randomised controlled trial (DiPEP)
Shakya P, Shrestha A, Karmacharya BM, Shrestha A, Kulseng BE, Skovlund E, Sen A. Diabetes Prevention Education Program in a population with pre-diabetes in Nepal: a study protocol of a cluster randomised controlled trial (DiPEP). BMJ Open 2021, 11: e047067. PMID: 34819277, PMCID: PMC8614149, DOI: 10.1136/bmjopen-2020-047067.Peer-Reviewed Original ResearchConceptsDiabetes prevention education programIntervention armPrevention education programControl armRandom blood sugar valuesIndian Diabetes Risk ScoreNepal Health Research CouncilLifestyle intervention programDiabetes Risk ScoreBlood sugar valuesInstitutional Review CommitteeHealth Research CouncilKathmandu University SchoolWorkers/volunteersHealth Research EthicsDiabetes burdenStudy protocolHealthcare workersTwo-armHigh-income countriesOutcome measuresPhysical activityRisk scoreHealth literacyQualitative studyFacilitators 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