Archana Shrestha, PhD
Assistant Professor AdjunctCards
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About
Titles
Assistant Professor Adjunct
Biography
Archana Shrestha is an Adjunct Professor in the Department of Chronic Diseases Epidemiology at Yale School of Public Health. She is a PhD trained epidemiologist and researcher with excellent skills in implementation science, data analysis and research methodology in developing countries . She is interested in developing, testing, and implementing preventive interventions to reduce the impact of non-communicable disease epidemics in low-income countries. She has been involved in community based health program development, implementation, research and education in Nepal for last ten years. She conceived and am working as a co-PI in Dhulikhel Heart Study; a large population based longitudinal study on cardiovascular diseases in Nepal. She is also leading a translational research to prevent diabetes through dietary modification in worksites of Nepal; .and Co-Director of the NHLBI T32 training grant on translational research capacity building to address cardiovascular diseases in Nepal. She serves as a country director – Nepal for the North Pacific Global health Research Fellows Training in collaboration with the University of Washington.
Appointments
Chronic Disease Epidemiology
Assistant Professor AdjunctPrimary
Other Departments & Organizations
Education & Training
- PhD
- University of Washington, Epidemiology (2016)
Research
Overview
1. Community-based lifestyle intervention for diabetes management in rural Nepal: A cluster randomized trial of a combination of community health workers (CHWs), peer supporter and regular telephone calls. Funded by the Global Alliance for Chronic Disease (GACD), the project aims to measure the reach, effectiveness, adoption, implementation and maintenance (RE-AIM) metrics of implementing a lifestyl intervention to diabetes patients through primary health care level institutions in Nepal.
2. Translational Research Capacity Building Initiative to Address Cardiovascular Diseases in Nepal. Funded by NHLBI, NIH, the project's goal is to build a translational research capacity in local researchers in Nepal and conduct national needs assessment to prevent and manage cardiovascular diseases.
3. Population-Based Longitudinal Study on Cardiovascular Diseases and Risk Factors in Dhulikhel, Nepal. The goal of the study is to employ standardized methodology to obtain estimates of CVD mortality and morbidity rates in addition to evaluating associations with health history, behaviors and other risk factors for CVD. This also aims to prepare a platform for conducting ancillary implementation studies in the prevention and management of CVD.
4. Nepal Pioneer Worksite intervention study to prevention diabetes. Funded by NIH DP award, the goal of the study is to test the effectiveness of environmental and individual level dietary interventions among employees of a worksite in Nepal, Mexico and India.
5. Cervical Cancer Prevention in Low Resource Setting – An Implementation Trial in Nepal. Funded by Yale Cancer Center, this project evaluates the implementation of careHPV self-sample testing and treatment in Nepal.
6. Cancer and Sexual Stigma and its Association with Cervical Cancer Screening Uptake in Nepal. Funded by Yale Cancer Center, this study aims to validated cancer and sexual stigma tools in Nepal, measure the stigma using valid tools, and assess assocation of stigma with cervical cancer screenig uptake.
7. Develop, Implement, and Evaluate Public Food Procurement Policy in Nepal. Funded by Resolve to Save Lives, this project aims to develop, implement and evaluate public food procurement policy at municipal level governance in Nepal.
Medical Subject Headings (MeSH)
Research at a Glance
Yale Co-Authors
Publications Timeline
Research Interests
Donna Spiegelman, ScD
Kaveh Khoshnood, PhD, MPH
Cardiovascular Diseases
Hypertension
Implementation Science
Global Health
Healthy Lifestyle
Publications
2024
Effect of a Mobile Health Intervention on Self-Monitoring and Management of Glucose and Blood Pressure Among Women With Gestational Diabetes
Shanmugavel A, Shrestha A, Daneault J, Shakya P, Nepal J, Chaudhary K, Shrestha A, Rawal S. Effect of a Mobile Health Intervention on Self-Monitoring and Management of Glucose and Blood Pressure Among Women With Gestational Diabetes. Current Developments In Nutrition 2024, 8: 103116. DOI: 10.1016/j.cdnut.2024.103116.Peer-Reviewed Original ResearchEffects of a dietary intervention on cardiometabolic risk and food consumption in a workplace
Shrestha A, Tamrakar D, Ghinanju B, Shrestha D, Khadka P, Adhikari B, Shrestha J, Waiwa S, Pyakurel P, Bhandari N, Karmacharya B, Shrestha A, Shrestha R, Bhatta R, Malik V, Mattei J, Spiegelman D. Effects of a dietary intervention on cardiometabolic risk and food consumption in a workplace. PLOS ONE 2024, 19: e0301826. PMID: 38656951, PMCID: PMC11042715, DOI: 10.1371/journal.pone.0301826.Peer-Reviewed Original ResearchAltmetricMeSH Keywords and ConceptsConceptsConsumption of whole grainsHealthy foodPre-post intervention studyWhole grainsMedian consumptionCardiovascular risk factor profileRisk factor profileBlood pressureWorksite settingWorksite interventionsUnhealthy foodsHealth programsMeasured blood pressurePre-hypertensionCardiometabolic riskDiastolic blood pressureIntervention studiesFactors dietPaired-t testFactor profileFasting glucose levelsDhulikhel HospitalHospital premisesEmployee healthHospital employeesBarriers 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 ResearchConceptsFocus 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 discussionsChallenges 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 ResearchConceptsReferral 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 strategiesCyberbullying and cyber-victimisation among higher secondary school adolescents in an urban city of Nepal: a cross-sectional study
Kunwar S, Sharma S, Marasini S, Joshi A, Adhikari A, Ranjit A, Shrestha I, Shrestha A, Shrestha A, Karmacharya B. Cyberbullying and cyber-victimisation among higher secondary school adolescents in an urban city of Nepal: a cross-sectional study. BMJ Open 2024, 14: e081016. PMID: 38448066, PMCID: PMC10916119, DOI: 10.1136/bmjopen-2023-081016.Peer-Reviewed Original ResearchCitationsMeSH Keywords and ConceptsConceptsPokhara Metropolitan CityMultivariate logistic regression analysisCyber-victimisationSchool adolescentsPrevalence of cyberbullyingLogistic regression analysisCross-sectional studyHealth-related consequencesSecondary school adolescentsPost meanFactors associated with cyberbullyingHigh school adolescentsPeriodic screeningCounseling servicesEducation programmesHurtful commentsOnline Aggression SurveyPrevalenceConsequences of cyberbullyingCity of NepalAssociated with cyberbullyingMetropolitan citiesAnti-bullying policiesRegression analysisRole of Perceived Social Support in Adherence to Antihypertensives and Controlled Hypertension: Findings of a Community Survey from Urban Nepal
Bhattarai S, Wagle D, Shrestha A, Åsvold B, Skovlund E, Sen A. Role of Perceived Social Support in Adherence to Antihypertensives and Controlled Hypertension: Findings of a Community Survey from Urban Nepal. Patient Preference And Adherence 2024, 18: 767-777. PMID: 38558834, PMCID: PMC10981373, DOI: 10.2147/ppa.s455511.Peer-Reviewed Original ResearchConceptsHigh social supportSocial supportEffective management of chronic conditionsImplementing community-based interventionsImprove adherence to antihypertensive medicationsControlled hypertensionHypertension managementMultidimensional Scale of Perceived Social SupportScale of Perceived Social SupportManagement of chronic conditionsModified Poisson regression modelsAdherence to antihypertensive medicationsMorisky Medication Adherence Scale-8Proportion of controlled hypertensionCommunity-based interventionsMeasure social supportAnalyzed cross-sectional dataUrban NepalCluster randomized trialPerceived social supportPoisson regression modelsControl of hypertensionSocial support categoriesCross-sectional dataChronic conditionsExploring 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 ResearchMeSH Keywords and ConceptsConceptsFocus 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-depthPharmacyDesigning and Developing a Mobile App for Management and Treatment of Gestational Diabetes in Nepal: User-Centered Design Study.
Shanmugavel A, Shakya P, Shrestha A, Nepal J, Shrestha A, Daneault J, Rawal S. Designing and Developing a Mobile App for Management and Treatment of Gestational Diabetes in Nepal: User-Centered Design Study. JMIR Formative Research 2024, 8: e50823. PMID: 38231562, PMCID: PMC10831589, DOI: 10.2196/50823.Peer-Reviewed Original ResearchAltmetricConcepts
2023
Effectiveness of a group-based Diabetes Prevention Education Program (DiPEP) in a population with pre-diabetes: a cluster randomised controlled trial in Nepal
Shakya P, Shrestha A, Bajracharya M, Shrestha A, Kulseng B, Karmacharya B, Shrestha S, Das S, Shrestha I, Barun K, Shrestha N, Skovlund E, Sen A. Effectiveness of a group-based Diabetes Prevention Education Program (DiPEP) in a population with pre-diabetes: a cluster randomised controlled trial in Nepal. BMJ Nutrition Prevention & Health 2023, 6: 253-263. PMID: 38264365, PMCID: PMC10800278, DOI: 10.1136/bmjnph-2023-000702.Peer-Reviewed Original ResearchAltmetricConceptsDiabetes prevention education programControl armIntervention armEducational sessionsMean differencePrevention education programPostintervention assessmentsLifestyle intervention programLifestyle intervention studyTRIAL REGISTRATION NUMBERTwo-arm clusterSecondary outcomesDiabetes preventionMiddle-income countriesPrimary outcomeTreat analysisWaist circumferenceMonths interventionPhysical activityRegistration numberGrain intakeIntervention studiesBaseline measuresSignificant weight reductionIntervention programsFacilitators 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 ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsPrimary 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
Academic Achievements and Community Involvement
honor Fulbright Student Scholarship Award
International AwardDetails08/01/2009Nepal
Links & Media
News
- June 19, 2024
Luke Davis: Fostering a growth mindset through implementation science
- October 12, 2023
CMIPS faculty participate in the First Pearl River Implementation Science International Symposium (PRISIS)
- August 05, 2021
Yale Center for Methods in Implementation and Prevention Science Researchers Collaborate to Build Health Systems Capacity in Nepal