Effect of mobile-assisted education on health promoting lifestyle and blood sugar of women with gestational diabetes: a randomised controlled trial

Background The gestational diabetes causes complications for the mother and the baby.Methods It was a randomised controlled trial that was conducted in Public Health Center No 1 in Baghmalek, Khuzestan province, Iran. Seventy-six women with gestational diabetes mellitus (GDM) were recruited and rand...

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Main Authors: Parvin Abedi, Elham Maraghi, Maryam Maleki, Parvaneh Mousavi, Dariush Rokhafrooz
Format: Article
Language:English
Published: BMJ Publishing Group 2023-12-01
Series:BMJ Nutrition, Prevention & Health
Online Access:https://nutrition.bmj.com/content/6/2/310.full
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author Parvin Abedi
Elham Maraghi
Maryam Maleki
Parvaneh Mousavi
Dariush Rokhafrooz
author_facet Parvin Abedi
Elham Maraghi
Maryam Maleki
Parvaneh Mousavi
Dariush Rokhafrooz
author_sort Parvin Abedi
collection DOAJ
description Background The gestational diabetes causes complications for the mother and the baby.Methods It was a randomised controlled trial that was conducted in Public Health Center No 1 in Baghmalek, Khuzestan province, Iran. Seventy-six women with gestational diabetes mellitus (GDM) were recruited and randomly allocated into an intervention (n=38) and a control group (n=38). A mobile app was developed, and the content of the educational programme was designed according to the six dimensions of Health Promotion Lifestyle Profile (HPLP). Participants in the intervention group followed instructions about healthy lifestyle for 4 weeks, whereas the control group received only routine care. A demographic questionnaire, and the HPLP-II were used to gather the data.Health promoting lifestyle and blood sugar of participants were measured after 4 weeks.Results The total score of HPLP was 98.34±13.99 and 92.39±14.56 before the intervention in intervention and control groups, respectively, which was improved significantly in the intervention group compared with the control group after intervention (143.13±23.41 vs 100.39±16.69, p<0.0001). Also, the scores of stress management, responsibility, interpersonal relationship, spiritual growth, nutrition and physical activity were significantly improved in the intervention group. Fasting blood sugar and blood sugar 2 hours after meal significantly reduced in the intervention group compared with the control group (86.05±7.71 mg/dL vs 93.92±5.52 mg/dL) and (113.65±10.96 mg/dL vs 124.97±9.15 mg/dL), (p=0.001), respectively.Conclusions Our results showed that offering educational programmes based on mobile apps can improve healthy lifestyle and blood sugar in women with GDM.Trial registration number IRCT20200817048434N1Website address https://www.irct.ir/search/result?query=IRCT20200817048434N1
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spelling doaj.art-36918158d31d469baf5449fe637af59f2023-12-29T14:45:08ZengBMJ Publishing GroupBMJ Nutrition, Prevention & Health2516-55422023-12-016210.1136/bmjnph-2023-000802Effect of mobile-assisted education on health promoting lifestyle and blood sugar of women with gestational diabetes: a randomised controlled trialParvin Abedi0Elham Maraghi1Maryam Maleki2Parvaneh Mousavi3Dariush Rokhafrooz43 Midwifery Department, Menopause Andropause Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran (the Islamic Republic of)5 Biostatistics Department, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran (the Islamic Republic of)1 Departmentof Midwifery, School of Nursing and Midwifery, Diabetes Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran (the Islamic Republic of)2 Instructor of Midwifery, School of Nursing and Midwifery, Diabetes Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Khuzestan, Iran (the Islamic Republic of)4 Medical Education, Nursing Department, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran (the Islamic Republic of)Background The gestational diabetes causes complications for the mother and the baby.Methods It was a randomised controlled trial that was conducted in Public Health Center No 1 in Baghmalek, Khuzestan province, Iran. Seventy-six women with gestational diabetes mellitus (GDM) were recruited and randomly allocated into an intervention (n=38) and a control group (n=38). A mobile app was developed, and the content of the educational programme was designed according to the six dimensions of Health Promotion Lifestyle Profile (HPLP). Participants in the intervention group followed instructions about healthy lifestyle for 4 weeks, whereas the control group received only routine care. A demographic questionnaire, and the HPLP-II were used to gather the data.Health promoting lifestyle and blood sugar of participants were measured after 4 weeks.Results The total score of HPLP was 98.34±13.99 and 92.39±14.56 before the intervention in intervention and control groups, respectively, which was improved significantly in the intervention group compared with the control group after intervention (143.13±23.41 vs 100.39±16.69, p<0.0001). Also, the scores of stress management, responsibility, interpersonal relationship, spiritual growth, nutrition and physical activity were significantly improved in the intervention group. Fasting blood sugar and blood sugar 2 hours after meal significantly reduced in the intervention group compared with the control group (86.05±7.71 mg/dL vs 93.92±5.52 mg/dL) and (113.65±10.96 mg/dL vs 124.97±9.15 mg/dL), (p=0.001), respectively.Conclusions Our results showed that offering educational programmes based on mobile apps can improve healthy lifestyle and blood sugar in women with GDM.Trial registration number IRCT20200817048434N1Website address https://www.irct.ir/search/result?query=IRCT20200817048434N1https://nutrition.bmj.com/content/6/2/310.full
spellingShingle Parvin Abedi
Elham Maraghi
Maryam Maleki
Parvaneh Mousavi
Dariush Rokhafrooz
Effect of mobile-assisted education on health promoting lifestyle and blood sugar of women with gestational diabetes: a randomised controlled trial
BMJ Nutrition, Prevention & Health
title Effect of mobile-assisted education on health promoting lifestyle and blood sugar of women with gestational diabetes: a randomised controlled trial
title_full Effect of mobile-assisted education on health promoting lifestyle and blood sugar of women with gestational diabetes: a randomised controlled trial
title_fullStr Effect of mobile-assisted education on health promoting lifestyle and blood sugar of women with gestational diabetes: a randomised controlled trial
title_full_unstemmed Effect of mobile-assisted education on health promoting lifestyle and blood sugar of women with gestational diabetes: a randomised controlled trial
title_short Effect of mobile-assisted education on health promoting lifestyle and blood sugar of women with gestational diabetes: a randomised controlled trial
title_sort effect of mobile assisted education on health promoting lifestyle and blood sugar of women with gestational diabetes a randomised controlled trial
url https://nutrition.bmj.com/content/6/2/310.full
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