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Peer-reviewedCC BYGlobal Heart

Generating Implementation Research Knowledge for Scaling Lifestyle Modification Intervention to Control Hypertension and Diabetes: Lessons from the CoCo-HD Study in Kerala

  • Nabil Abdul Majeed1
  • Sandra Sebastian2
  • Henna Kondeth1
  • Kripa Selvarajan Valsa Shiby3
  • Akshay Parambilan Kandi4
  • Renu Vijayakumaran Nair Prasanna5
  • Sonu Soman Ammariparambil6
  • Bipin Gopal5
  • Abey Sushan5
  • Muraleedharan Sarojini Manu5
  • Kavumpurathu Raman Thankappan7
  • Panniyammakal Jeemon1
7 affiliations
  1. 1Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), Thiruvananthapuram
  2. 2International Institute for Population Sciences (IIPS), Mumbai
  3. 3Airport Health Organisation (APHO), Trivandrum
  4. 4Centre for Chronic Disease Control (CCDC), New Delhi
  5. 5Department of Health & Family Welfare, Government of Kerala, Trivandrum
  6. 6P K Das Institute of Medical Sciences, Palakkad
  7. 7Amrita Vishwa Vidyapeetham, Amrita Institute of Medical Sciences, Kochi
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Abstract

This article describes how a structured lifestyle modification intervention for hypertension and diabetes was scaled within Kerala’s health system, focusing on how implementation knowledge was generated and embedded in routine practice. Grounded in an implementation research approach, the work documents how evidence-informed strategies were continuously adapted through stakeholder engagement, peer-led delivery, and supportive institutional processes. Drawing on qualitative data from stakeholder consultations, document review, and field observations in Janakeeya Arogya Kendrams (basic unit of primary health care centres in Kerala), the article shows how local context, social learning, and power dynamics shaped iterative learning cycles. The findings outline key facilitators and barriers to knowledge use in practice. It offers practical insights for strengthening sustainable non-communicable disease prevention and control programmes in similar settings.

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Cite

BibTeXRIS
BibTeX
@article{majeed2026generating,
  title = {{Generating Implementation Research Knowledge for Scaling Lifestyle Modification Intervention to Control Hypertension and Diabetes: Lessons from the CoCo-HD Study in Kerala}},
  author = {Nabil Abdul Majeed and Sandra Sebastian and Henna Kondeth and Kripa Selvarajan Valsa Shiby and Akshay Parambilan Kandi and Renu Vijayakumaran Nair Prasanna and Sonu Soman Ammariparambil and Bipin Gopal and Abey Sushan and Muraleedharan Sarojini Manu and Kavumpurathu Raman Thankappan and Panniyammakal Jeemon},
  journal = {Global Heart},
  year = {2026},
  month = sep,
  doi = {10.5334/gh.1585},
  url = {https://doi.org/10.5334/gh.1585},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Generating Implementation Research Knowledge for Scaling Lifestyle Modification Intervention to Control Hypertension and Diabetes: Lessons from the CoCo-HD Study in Kerala
AU  - Nabil Abdul Majeed
AU  - Sandra Sebastian
AU  - Henna Kondeth
AU  - Kripa Selvarajan Valsa Shiby
AU  - Akshay Parambilan Kandi
AU  - Renu Vijayakumaran Nair Prasanna
AU  - Sonu Soman Ammariparambil
AU  - Bipin Gopal
AU  - Abey Sushan
AU  - Muraleedharan Sarojini Manu
AU  - Kavumpurathu Raman Thankappan
AU  - Panniyammakal Jeemon
PY  - 2026
DA  - 2026/09/01
JO  - Global Heart
DO  - 10.5334/gh.1585
UR  - https://doi.org/10.5334/gh.1585
AB  - This article describes how a structured lifestyle modification intervention for hypertension and diabetes was scaled within Kerala’s health system, focusing on how implementation knowledge was generated and embedded in routine practice. Grounded in an implementation research approach, the work documents how evidence-informed strategies were continuously adapted through stakeholder engagement, peer-led delivery, and supportive institutional processes. Drawing on qualitative data from stakeholder consultations, document review, and field observations in Janakeeya Arogya Kendrams (basic unit of primary health care centres in Kerala), the article shows how local context, social learning, and power dynamics shaped iterative learning cycles. The findings outline key facilitators and barriers to knowledge use in practice. It offers practical insights for strengthening sustainable non-communicable disease prevention and control programmes in similar settings.
SN  - 2211-8179
ER  -