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September 3, 2026Scientific ReportsOpen Access

Knowledge and perspectives of primary care providers regarding prediabetes in rural India: a mixed-methods study

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Authors

PMPallavi MunirajaNTNidhish Edathattil ThidilJOJeby Jose Olickal

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Overview

Cross-sectional mixed-methods study reveals widespread gaps in prediabetes knowledge among primary healthcare providers, highlighting the urgent need for structured clinical training.

Key Points

  • Assess prediabetes knowledge among primary healthcare providers and explore clinical management strategies and implementation barriers among primary care physicians in rural South India.
  • Conducted a cross-sectional mixed-methods study in rural Bengaluru, India, combining quantitative provider surveys with qualitative thematic analysis.
  • Administered structured knowledge questionnaires to 208 primary healthcare providers (ASHAs, auxiliary nurse midwives, staff nurses, and primary care physicians) and conducted 8 in-depth interviews with physicians.
  • Overall, 51.4% (107/208; 95% CI: 44.4–58.4) of providers had inadequate knowledge, with widespread deficits concerning definition (83.6%), symptoms (90.0%), and screening methods (64.4%).
  • Providers with less than five years of professional experience had a significantly higher likelihood of inadequate knowledge compared to more experienced peers (aPR = 2.8; 95% CI: 1.10–6.9; p = 0.029).
  • Qualitative interviews identified low community awareness, absence of overt symptoms, patient resistance to lifestyle changes, clinical negligence, and deficient provider training as primary barriers to effective prediabetes management.

Cite This Study

Muniraja et al. (2026) studied this question.

synapsesocial.com/papers/6a9935f3636c6408cfa7eaefhttps://doi.org/10.1038/s41598-026-65604-3
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Prevalence of pre-diabetes and its associated risk factors among people in rural field practice area of Vydehi Institute of Medical Sciences and Research Centre, Bangalore2024 · 1 citations
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  3. 3Assessment of Healthcare Providers’ Knowledge on Diabetes Management: A Cross-Sectional Study from South India2026
  4. 4A critical realist exploration of health professionals’ perspectives on prediabetes diagnosis, management and type 2 diabetes prevention programs in a rural setting2025
  5. 5A qualitative study on perceptions and practices of diabetes prevention and management in rural south India2023 · 3 citations