Conclusion: These findings provide strong support for undertaking more research into the conduct of
community-based diabetes prevention in the rural areas of Kerala. We aim to develop, implement and evaluate a
group-based peer support programme that will address cultural and family determinants of lifestyle risks, including
family decision-making regarding adoption of healthy dietary and physical activity patterns. Furthermore, we believe
that this approach will be feasible, acceptable and effective in these communities; with the potential for scale-up in
other parts of India.