2022
Analyzing the Implementation of Policies and Guidelines for the Prevention and Management of Type 2 Diabetes at Primary Health Care Level in Nepal
Shrestha R, Yadav UN, Shrestha A, Paudel G, Makaju D, Poudel P, Iwashita H, Harada Y, Shrestha A, Karmacharya B, Koju R, Sugishita T, Rawal L. Analyzing the Implementation of Policies and Guidelines for the Prevention and Management of Type 2 Diabetes at Primary Health Care Level in Nepal. Frontiers In Public Health 2022, 10: 763784. PMID: 35223722, PMCID: PMC8864089, DOI: 10.3389/fpubh.2022.763784.Peer-Reviewed Original ResearchConceptsPrimary health care levelHealth care levelNon-communicable diseasesHealth care providersCare levelDiabetes preventionCare providersPhase IManagement of NCDsDiabetes care servicesType 2 diabetesPeripheral health servicesProblem of diabetesKey search termsKey informant interviewsDiabetes carePeripheral levelsRelevant grey literatureType 2Care servicesDiabetesHealth servicesPremature deathPreventionQualitative exploratory study
2020
NUrse-led COntinuum of care for people with Diabetes and prediabetes (NUCOD) in Nepal: study protocol for a cluster randomized controlled trial
Xu D, Dev R, Shrestha A, Zhang L, Shrestha A, Shakya P, Hughes JP, Shakya PR, Li J, Liao J, Karmacharya BM. NUrse-led COntinuum of care for people with Diabetes and prediabetes (NUCOD) in Nepal: study protocol for a cluster randomized controlled trial. Trials 2020, 21: 442. PMID: 32471476, PMCID: PMC7257188, DOI: 10.1186/s13063-020-04372-5.Peer-Reviewed Original ResearchMeSH KeywordsCluster AnalysisContinuity of Patient CareCost-Benefit AnalysisDiabetes Mellitus, Type 2Glycated HemoglobinHumansMulticenter Studies as TopicNepalNurse's RoleNursing ServicesOutcome and Process Assessment, Health CarePatient Education as TopicPrediabetic StateProgram EvaluationRandomized Controlled Trials as TopicRisk FactorsRisk Reduction BehaviorConceptsUsual treatment groupPrimary care centersType 2 diabetesManagement of diabetesRE-AIM frameworkImplementation outcomesContinuum of careUnit of randomizationLow-income settingsPrediabetes individualsTreat basisDiabetes nursesDiabetes preventionPrimary outcomeClinical outcomesHemoglobin levelsDiabetes individualsDiabetes programParallel groupStudy protocolCare centerIntervention groupTwo-armCare modelCare approach
2018
Dietary interventions to prevent and manage diabetes in worksite settings: a meta-analysis
Shrestha A, Karmacharya BM, Khudyakov P, Weber MB, Spiegelman D. Dietary interventions to prevent and manage diabetes in worksite settings: a meta-analysis. Journal Of Occupational Health 2018, 60: 31-45. PMID: 29187673, PMCID: PMC5799099, DOI: 10.1539/joh.17-0121-ra.Peer-Reviewed Original ResearchMeSH KeywordsAdultBlood GlucoseDiabetes Mellitus, Type 2Diet TherapyFemaleGlycated HemoglobinHumansMaleOccupational DiseasesProgram EvaluationRisk Reduction BehaviorWorkplaceConceptsRandom-effects modelDietary interventionWorksite settingWorkplace dietary interventionsBlood sugar levelsAllied Health LiteraturePooled effect sizeFemale participantsMultivariate meta-regression modelWeb of ScienceIndividual-level interventionsLifestyle interventionGlucose toleranceMeta-regression modelsBorderline significanceMore effective interventionsCumulative IndexReference listsStudy heterogeneityHealth LiteratureEffective interventionsSugar levelsSearch termsInterventionEffect size