Study (Author) | Target population | Study design | Intervention | Study outcomes | |
---|---|---|---|---|---|
Target risk factor | Components | Response | |||
1. Indian Diabetes Prevention Programme (IDPP) 1&2 (Ramachandran A et al. 2010): Risk for and incidence of T2DM | - Follow-up of 845 out of 869 IGT subjects from IDPP 1and 2 studies,recruited from clinic setting followed up for 3 years | - 3 yr RCT | Individual: | - IDPP 1: 502 out of 531 (94.5%) participants found to have IGT after standard Oral Glucose Tolerance Test (OGTT) | - IDPP-1: Decrease in relative risk 29% (LSM), 26% (Metformin) & 28% (LSM+Metformin) |
- IDPP 1: 4 groups | - Personal sessions at 6-month intervals | ||||
1) Control with standard advice: | - 0.15-0.75 h/year by dietician & social worker & monthly telephone contacts | ||||
2) LSM | - LSM: diet & physical activity modification | ||||
3) Metformin (500 mg/day) | - IDPP-2: Cumulative incidences at 36 months: 30% (LSM +Pioglitazone) & 32% (LSM+placebo) | ||||
- 2 groups of participants: Group 1 (n=667): Baseline isolated IGT; Group 2 (n=178): IGT+IFG | 4) LSM + Metformin | ||||
- IDPP 2: 2 groups | - IDPP 2: 367 out of 407 (90.2%) participants found to have IGT after standard OGTT | ||||
1) LSM + placebo | - No additional benefit with drugs | ||||
2) LSM + Pioglitazone (30 mg/day) | |||||
2. Diabetes Prevention & Management (DPM) programme (Balagopal P et al. 2008): Proportion with high fasting blood glucose levels | 850 village inhabitants, comprising adults and youth aged 10–92 years (included healthy, impaired fasting glucose and T2DM individuals) | 7-month community-based non-pharmacological lifestyle intervention | Individual: | - Total eligible residents: 950 | FBG levels decreased by 3% (healthy adults), 11% (adults with IFG), 17% (youth with IFG) & 25% (adults with T2DM) |
- 10 face-to-face interviews | |||||
- Baseline survey: 850 | |||||
Group: | |||||
- Post-intervention survey: 703 (Attrition rate due to migrations & refusals: 17%) | |||||
- Culturally sensitive sessions on physical activity & diet | |||||
Community: | - Response rate at baseline: 89.5% | ||||
- Participatory analysis of village | |||||
- Involvement of village leaders, peer educators & residents | |||||
3. Chennai Urban Population Study-17 (Mohan V et al., 2006): Physical inactivity | All individuals above age of 20 living in two residential colonies of urban Chennai | Community-based intervention for increasing physical activity. Baseline cross-sectional survey and a 7-yr follow-up cross-sectional survey. | Individual: | - Baseline cross-sectional survey (1996): 479 out of 524 eligible participants (91.4%) - 7-yr follow-up cross-sectional survey (2004): 705 out of 712 eligible participants (99%) | - Proportion of light-grade activity reduced in both men (55% to 36%) and women (74% to 57%) - Proportion of residents exercising increased from 14% to 59% - Community’s response: residents mobilised resources and constructed a park. |
- Culturally tailored education campaign & materials, social worker visits - Diabetes and high risk intervention: information on diabetic status & individual counseling Population: - Awareness programme using public lectures, video clippings & short skits | |||||
4. Community-based intervention in Ballabgarh, India (Krishnan A et al. 2010): Non-communicable disease risk factors | Residents in urban areas of Ballabgarh block, Faridabad district, Haryana (near New Delhi) | - Community-based demonstration project using the Health Settings approach. - Cross-sectional surveys at pre-intervention and 3-year follow-up: pre-intervention survey in 2003-04 and post-intervention survey in 2006-07 | Individual: - Advocacy and medication - Individual empowerment Community: - Social enhancement and community empowerment - Reorientation of health services | Not mentioned | - Programme reach (proportion of community who came in contact with the programme): 25% - Change from baseline proportion: consuming < 5 servings of fruits and vegetables decreased by 3% (men), 5% (women); Elevated BP decreased 9% (men), 2% (women) |
5. Work site intervention programme on cardiovascular risk factors (Prabhakaran et al. 2009): Cardiovascular risk factors | Employees and their family members (age 10–69 years) from 10 centres (Bangalore, Coimbatore, Delhi, Dibrugarh, Hyderabad, Lucknow, Ludhiana, Nagpur, Pune and Trivandrum) | Work site demonstration project: - Intervention sites: Baseline cross-sectional survey, 4-year health intervention programme and a repeat cross-sectional survey. - Control sites: Baseline cross-sectional survey, 4-year minimal interventions and a repeat cross-sectional survey. | Individual: - One-on-one interactions between the trained health project personnel and the participants Group: - Dynamic group interactions and healthy meals Population or community: - Use of posters, banners at strategic locations in the industry | - Baseline cross-sectional survey: Intervention sites: 82.4% and control site: 90.0% - Repeat cross-sectional survey: Intervention sites: 98.3% and control site: 90.7% | Change in proportion of risk factors in intervention vs. control sites: tobacco use: 39% to 29% vs. 17% to 20%, extra salt use: 28% to 13% vs. 22% to 25%, median physical activity score: 6 to 11 vs. 8 to 6, fruit consumption: 38% to 45% vs. 36% to 38% |
- Handouts, booklets and video films shown on the internal cable network | |||||
6. Community-based intervention for tobacco cessation in rural Tamil Nadu, India: A cluster randomised trial (Kumar MS et al. 2012): Tobacco use (smoking and smokeless tobacco) | Men aged 20–40 years using any form of tobacco who were residing in Tiruchirapalli district, Tamilnadu. | A cluster randomised trial with two months follow up. | Group: | - Attendance in first intervention session: 88.5%; second intervention session: 60.5%. The follow-up rates for intervention and control arms were 90.5% and 92.5%, respectively. | At 2 months: |
Two sessions of health education was offered by a health professional, five weeks apart, along with self-help material on tobacco cessation to intervention group. The control group received only self-help material. | - Self-reported point prevalence abstinence: 13% (intervention), 6% (control) | ||||
- Quit attempt: 27% (intervention), 20% (control) | |||||
- Harm reduction: 22% (intervention) 9% (control) | |||||
7. Government of India smokeless tobacco campaign (Murukutla N et al. 2011): Tobacco use | Individuals aged 16–50 years in urban and rural areas who are current smokeless tobacco users and have access to mass media (television or radio) | The six weeks campaign (November and December 2009) was evaluated with a nationally representative household survey of 2898 smokeless tobacco users during 20 December 2009 to 10 January 2010. | Population: | Screening interviews were completed in 92% of the respondents | - Awareness of the campaign: 63% (smokeless-only users), 72% (dual users) |
- An oral cancer surgeon from a tertiary care hospital in Mumbai described the serious illnesses and disfigurement of his patients, caused by cancers resulting from use of smokeless tobacco. | |||||
- Concern about their habit: 75% (smokeless-only users), 77% (dual users) |