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Structured group education programme and accompanying mHealth intervention to promote physical activity in women with a history of gestational diabetes: A randomised controlled trial.
- Source :
- Diabetic Medicine; Jul2023, Vol. 40 Issue 7, p1-11, 11p
- Publication Year :
- 2023
-
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. [ABSTRACT FROM AUTHOR]
- Subjects :
- HEALTH education
EVALUATION of human services programs
MINORITIES
CONFIDENCE intervals
CONFIDENCE
VEGETABLES
MOBILE apps
ANTHROPOMETRY
FOOD consumption
TYPE 2 diabetes
RANDOMIZED controlled trials
SELF-efficacy
ACCELEROMETRY
PSYCHOLOGICAL tests
EXERCISE
COST effectiveness
DESCRIPTIVE statistics
HEALTH behavior
QUALITY of life
QUESTIONNAIRES
FRUIT
EXERCISE intensity
MENTAL depression
RESEARCH funding
GESTATIONAL diabetes
STATISTICAL sampling
DATA analysis software
ANXIETY
HEALTH promotion
TELEMEDICINE
BEHAVIOR modification
LONGITUDINAL method
Subjects
Details
- Language :
- English
- ISSN :
- 07423071
- Volume :
- 40
- Issue :
- 7
- Database :
- Complementary Index
- Journal :
- Diabetic Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 164396977
- Full Text :
- https://doi.org/10.1111/dme.15118