Khunti, Kamlesh, Sukumar, Nithya, Waheed, Ghazala, Gillies, Clare, Dallosso, Helen, Brough, Chris, Davies, Melanie J., Fitzpatrick, Claire, Gray, Laura J., Highton, Patrick, Rowlands, Alex, Schreder, Sally, Yates, Tom and Saravanan, Ponnusamy (2023) Structured group education programme and accompanying mHealth intervention to promote physical activity in women with a history of gestational diabetes : a randomised controlled trial. Diabetic Medicine, 40 (7). e15118. doi:10.1111/dme.15118 ISSN 0742-3071.
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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.
| Item Type: | Journal Article |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RG Gynecology and obstetrics |
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Population, Evidence & Technologies (PET) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
| SWORD Depositor: | Library Publications Router |
| Library of Congress Subject Headings (LCSH): | Diabetes in pregnancy -- Prevention, Exercise, Type 2 diabetes, Wireless communication systems in medical care |
| Journal or Publication Title: | Diabetic Medicine |
| Publisher: | Wiley-Blackwell Publishing Ltd. |
| ISSN: | 0742-3071 |
| Official Date: | July 2023 |
| Dates: | Date Event July 2023 Published 4 May 2023 Available 12 April 2023 Accepted |
| Volume: | 40 |
| Number: | 7 |
| Article Number: | e15118 |
| DOI: | 10.1111/dme.15118 |
| Status: | Peer Reviewed |
| Publication Status: | Published |
| Access rights to Published version: | Open Access (Creative Commons open licence) |
| Date of first compliant deposit: | 9 June 2023 |
| Date of first compliant Open Access: | 12 June 2023 |
| RIOXX Funder/Project Grant: | Project/Grant ID RIOXX Funder Name Funder ID |
| URI: | https://wrap.warwick.ac.uk/175578/ |
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