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Diabetic Medicine - 2023 - Khunti - Structured group education programme and accompanying mHealth intervention to promote.pdf (271.08 kB)

Structured group education programme and accompanying mHealth intervention to promote physical activity in women with a history of gestational diabetes: a randomized controlled trial.

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posted on 2023-05-25, 09:07 authored by Kamlesh Khunti, Nithya Sukumar, Ghazala Waheed, Clare Gillies, Helen Dallosso, Chris Brough, Melanie J Davies, Claire Fitzpatrick, Laura J Gray, Patrick Highton, Alex Rowlands, Sally Schreder, Tom Yates, Ponnusamy Saravanan

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.

Funding

National Institute for Health Research Collaboration for Leadership in Applied Health and Research Care East Midlands

History

Author affiliation

Diabetes Research Centre, University of Leicester

Version

  • VoR (Version of Record)

Published in

Diabetic medicine : a journal of the British Diabetic Association

Pagination

e15118

Publisher

Wiley

issn

0742-3071

eissn

1464-5491

Copyright date

2023

Available date

2023-05-25

Spatial coverage

England

Language

eng

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