Feasibility, acceptability, and uptake rates of gestational diabetes mellitus screening in primary care vs secondary care: findings from a randomised controlled mixed methods trial

The prevalence of gestational diabetes mellitus (GDM) is increasing, and only a few mobile health (mHealth) applications are specifically designed to manage GDM. In this mixed-methods study, a follow-up study of a randomized controlled trial (RCT) analyzed a largely automated mHealth application-based lifestyle coaching program to (a) measure the application’s usage behavior and (b) explore users’ perceptions of its usefulness in GDM management. Quantitative data were collected from the 170 application users who had participated in the intervention arm of the RCT. Semi-structured interviews (n = 14) captured users’ experiences when using the application. Data were collected from June 2019 to January 2020. Quantitative data were analyzed descriptively, and interviews were analyzed thematically. Only 57/170 users (34%) logged at least one meal, and only 35 meals on average were logged for eight weeks because of the incorrectly worded food items and limited food database. On the contrary, an average of 1.85 (SD = 1.60) weight values were logged per week since the weight tracking component was easy to use. Many users (6/14 (43%)) mentioned that the automatic coach messages created an immediate sense of self-awareness in food choices and motivated behavior. The findings suggest that for GDM management, a largely automated mHealth application has the potential to promote self-awareness of healthy lifestyle choices, reducing the need for intensive human resources. Additionally, several gaps in the application’s design were identified which need to be addressed in future works.

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Women's experiences with using a smartphone app (the Pregnant+ app) to manage gestational diabetes mellitus in a randomised controlled trial

Midwifery ◽

10.1016/j.midw.2017.12.021 ◽

2018 ◽

Vol 58 ◽

pp. 102-108 ◽

Cited By ~ 19

Author(s):

Jeanette B. Skar ◽

Lisa M. Garnweidner-Holme ◽

Mirjam Lukasse ◽

Laura Terragni

Keyword(s):

Diabetes Mellitus ◽

Randomised Controlled Trial ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

Controlled Trial ◽

Smartphone App ◽

Women’S Experiences ◽

Women's Experiences ◽

Randomised Controlled

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O2-4.5 Prevention of gestational diabetes mellitus and newborn's high birthweight by lifestyle counselling -a cluster-randomised controlled trial

Journal of Epidemiology & Community Health ◽

10.1136/jech.2011.142976a.68 ◽

2011 ◽

Vol 65 (Suppl 1) ◽

pp. A26-A26

Author(s):

R. Luoto ◽

T. Kinnunen ◽

M. Aittasalo ◽

P. Kolu ◽

J. Raitanen ◽

...

Keyword(s):

Diabetes Mellitus ◽

Randomised Controlled Trial ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

Controlled Trial ◽

Cluster Randomised Controlled Trial ◽

Cluster Randomised ◽

Lifestyle Counselling ◽

Randomised Controlled

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Improving cardiometabolic and mental health in women with gestational diabetes mellitus and their offspring: study protocol forMySweetHeart Trial, a randomised controlled trial

BMJ Open ◽

10.1136/bmjopen-2017-020462 ◽

2018 ◽

Vol 8 (2) ◽

pp. e020462 ◽

Cited By ~ 2

Author(s):

Antje Horsch ◽

Leah Gilbert ◽

Stefano Lanzi ◽

Justine Gross ◽

Bengt Kayser ◽

...

Keyword(s):

Mental Health ◽

Diabetes Mellitus ◽

Randomised Controlled Trial ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

Controlled Trial ◽

Intention To Treat ◽

Link Type ◽

Health Need ◽

Randomised Controlled

IntroductionGestational diabetes mellitus (GDM) carries prenatal and perinatal risk for the mother and her offspring as well as longer-term risks for both the mother (obesity, diabetes, cardiovascular disease) and her child (obesity, type 2 diabetes). Compared with women without GDM, women with GDM are twice as likely to develop perinatal or postpartum depression. Lifestyle interventions for GDM are generally limited to physical activity and/or nutrition, often focus separately on the mother or the child and take place either during or after pregnancy, while their results are inconsistent. To increase efficacy of intervention, the multifactorial origins of GDM and the tight link between mental and metabolic as well as maternal and child health need to be heeded. This calls for an interdisciplinary transgenerational approach starting in, but continuing beyond pregnancy.Methods and analysisThis randomised controlled trial will assess the effect of a multidimensional interdisciplinary lifestyle and psychosocial intervention aimed at improving the metabolic and mental health of 200 women with GDM and their offspring. Women with GDM at 24–32 weeks gestational age who understand French or English, and their offspring and partners can participate. The intervention components will be delivered on top of usual care during pregnancy and the first year postpartum. Metabolic and mental health outcomes will be measured at 24–32 weeks of pregnancy, shortly after birth and at 6–8 weeks and 1 year after childbirth. Data will be analysed using intention-to-treat analyses. TheMySweetHeart Trialis linked to theMySweetHeart Cohort(clinicaltrials.gov/ct2/show/NCT02872974).Ethics and disseminationWe will disseminate the findings through regional, national and international conferences and through peer-reviewed journals.Trial registration numberNCT02890693; Pre-results.

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