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

Nabil Abdul Majeed; Sandra Sebastian; Henna Kondeth; Kripa Selvarajan Valsa Shiby; Akshay Parambilan Kandi; Renu Vijayakumaran Nair Prasanna; Sonu Soman Ammariparambil; Bipin Gopal; Abey Sushan; Muraleedharan Sarojini Manu; Kavumpurathu Raman Thankappan; Panniyammakal Jeemon

doi:10.5334/gh.1585

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

Volume 21 (2026): Issue 1

By: Nabil Abdul Majeed , Sandra Sebastian , Henna Kondeth , Kripa Selvarajan Valsa Shiby , Akshay Parambilan Kandi , Renu Vijayakumaran Nair Prasanna, Sonu Soman Ammariparambil , Bipin Gopal , Abey Sushan , Muraleedharan Sarojini Manu , Kavumpurathu Raman Thankappan and Panniyammakal Jeemon

Open Access

|Sep 2026

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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Articles in this issue

DOI: https://doi.org/10.5334/gh.1585 | Journal eISSN: 2211-8179

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Language: English

Page range: 70 - 70

Submitted on: Jun 17, 2026

Accepted on: Sep 7, 2026

Published on: Sep 29, 2026

Published by: Ubiquity Press

In partnership with: Paradigm Publishing Services

Keywords:

Knowledge generation,

implementation research,

structured lifestyle modification,

hypertension,

diabetes,

peer-led intervention,

Kerala,

knowledge transformation

© 2026 Nabil Abdul Majeed, Sandra Sebastian, Henna Kondeth, Kripa Selvarajan Valsa Shiby, Akshay Parambilan Kandi, Renu Vijayakumaran Nair Prasanna, Sonu Soman Ammariparambil, Bipin Gopal, Abey Sushan, Muraleedharan Sarojini Manu, Kavumpurathu Raman Thankappan, Panniyammakal Jeemon, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.

Volume 21 (2026): Issue 1