Changes in dietary patterns of the participants.

Community support group interventions promote self-help, empower individuals to manage diseases and can be implemented in diverse formats. Their modality and effectiveness are influenced by broader local contexts. This pilot study aimed to explore whether conducting regular community support group meetings amongst people living with hypertension and/or diabetes, as a strategy to promote their self-management behaviours is feasible in Nepali setting. We conducted a mixed-method pilot study among adults aged ≥ 40 years living with hypertension and/or type 2 diabetes. Participants were enrolled into four groups–elderly-, marginalized-, mixed- and women’s-group—that met biweekly for three months to discuss self-management practices. We recorded all meeting discussions. Changes in weight, blood pressure, diet, and exercise were assessed using quantitative pre- and post-intervention surveys. Additionally, we conducted in-depth interviews with purposively selected participants and female community health volunteers who supported the intervention. Meeting discussions and interviews were analysed thematically. Integrated analysis of the quantitative and qualitative findings informed feasibility. Assessment of acceptability, demand, practicality and implementation was guided by Bowen’s framework. The study demonstrates community support group meetings as potentially feasible approach to promote self-management practices in people living with hypertension or diabetes. Over 80% of the total participants enrolled completed the study. Most expressed satisfaction with the meetings and reported that the meetings were beneficial and needed. Participation in these meetings also led to noticeable changes in self-management behaviours, particularly, dietary practices. Blood pressure and weight improved post-intervention. Members in homogeneous groups also initiated some collaborative self-management practices, such as going for walks together. To be sustainable, participants felt that such meetings should be led preferably by a resource person. Our findings suggest that regular, lifestyle-focused support group meetings can enhance NCD self-management. Homogenous group composition and expert facilitation may improve both engagement and long-term sustainability.社区支持小组干预可促进自助行为，赋能个体自主管理疾病，且可通过多元形式落地实施。其实施模式与干预效果会受到更广泛的本地环境影响。本试点研究旨在探索：针对高血压和/或糖尿病患者开展定期社区支持小组会议，以此作为推广自我管理行为的策略，在尼泊尔场景下是否具备可行性。本研究针对年龄≥40岁的高血压和/或2型糖尿病成年患者开展了混合方法试点研究。研究对象被分为四组：老年组、弱势人群组、混合组以及女性组，所有小组均每两周开展一次活动，持续三个月，围绕自我管理实践展开讨论。研究人员对所有小组会议的讨论内容进行了全程录音并记录。通过干预前后的定量问卷调查，评估受试者的体重、血压、饮食及运动情况变化。此外，本研究采用目的性抽样方法，选取部分研究对象与参与本次干预的女性社区卫生志愿者开展深度访谈。研究人员对会议讨论记录与访谈内容采用主题分析法进行分析。对定量与定性研究结果开展整合分析，以此评估干预方案的可行性。本次研究依据鲍恩（Bowen）框架，对干预方案的可接受性、需求情况、实操可行性与实施效果进行评估。本研究结果显示，社区支持小组会议可作为推广高血压或糖尿病患者自我管理实践的潜在可行方案。入组的总研究对象中，超过80%完成了全部研究流程。多数受试者对小组会议表示满意，并认为此类会议具备实际价值且符合实际需求。参与小组会议还使受试者的自我管理行为出现了显著变化，尤其是饮食管理行为。干预后受试者的血压与体重均得到改善。同质性小组的成员还自发开展了部分协作式自我管理活动，例如结伴散步。受试者认为，若要维持此类小组的可持续性，会议最好由具备专业资源的人员牵头组织。本研究结果表明，定期开展的、聚焦生活方式调整的支持小组会议，可提升非传染性疾病（Non-communicable Diseases）患者的自我管理水平。采用同质性小组构成与专家引导模式，或可提升参与者的参与度，并增强干预方案的长期可持续性。