Structured group education programme and accompanying mHealth intervention to promote physical activity in women with a history of gestational diabetes: a randomised controlled trial
Khunti, Kamlesh Sukumar, Nithya Waheed, Ghazala Gillies, Clare Dallosso, Helen Brough, Christopher Davies, Melanie J Fitzpatrick, Claire Gray, Laura J. Highton, Patrick
Khunti, Kamlesh
Sukumar, Nithya
Waheed, Ghazala
Gillies, Clare
Dallosso, Helen
Brough, Christopher
Davies, Melanie J
Fitzpatrick, Claire
Gray, Laura J.
Highton, Patrick
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Affiliation
University of Leicester; NIHR Applied Research Collaboration East Midlands, Leicester; University of Warwick; George Eliot Hospital NHS Trust, Nuneaton; University Hospitals of Leicester NHS Trust
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Publication date
2023-07
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Abstract
Aims: Assess effectiveness of a hybrid intervention targeting physical activity in women with prior gestational diabetes.
Methods: Randomised controlled trial with parallel arms. 293 women (35.1 ± 5.1 years; 40% ethnic minority) recruited from two hospitals and randomised to routine care or hybrid lifestyle intervention comprising two group sessions and access to a mobile web app. Primary outcome was a change in objectively measured physical activity at 12 months. Secondary outcomes included self-efficacy for exercise, quality of life and anxiety and depression. Linear regression compared outcome measures between groups.
Results: 83% of intervention participants attended at least one group session, of who 66% registered to use the app. There was a non-significant increase in physical activity at 12 months (between-group difference of 0.95 mg [95% CI: -0.46 to 2.37]), equivalent to approximately 500 steps per day. Intervention participants reported higher self-efficacy for exercise (0.54, 95% CI: 0.05 to 1.102; p = 0.029), lower anxiety (-0.91, 95% CI: -1.74 to -0.09; p = 0.031), and higher quality of life (0.05, 95% CI: 0.004 to 0.09; p = 0.032), compared to controls.
Conclusions: The intervention improved confidence in exercise and quality of life. Further research is needed to improve participant engagement with physical activity interventions in multi-ethnic populations with a history of gestational diabetes.
Keywords: gestational diabetes; group education; mHealth; physical activity; prevention of type 2 diabetes.
Citation
Khunti K, Sukumar N, Waheed G, Gillies C, Dallosso H, Brough C, Davies MJ, Fitzpatrick C, Gray LJ, Highton P, Rowlands A, Schreder S, Yates T, Saravanan P. Structured group education programme and accompanying mHealth intervention to promote physical activity in women with a history of gestational diabetes: A randomised controlled trial. Diabet Med. 2023 Jul;40(7):e15118. doi: 10.1111/dme.15118. Epub 2023 May 4.
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Article