Randomised Controlled Trial of a Customised Text Messaging and Activity Monitor Program for Lifestyle Improvement after Gestational Diabetes
Gestational diabetes (GDM) is associated with a long-term risk of diabetes. We aimed to determine whether a text-messaging-based lifestyle support program would improve diabetes risk factors following GDM. Women with GDM were randomised following delivery to receive four text messages per week suppo...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2024-03-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/16/6/820 |
| _version_ | 1797239812610064384 |
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| author | Ngai Wah Cheung David Simmons Simone Marschner Aravinda Thiagalingam Dharmintra Pasupathy Ben J. Smith Victoria Flood Mark McLean Sarah J. Melov Roslyn Hogan Suja Padmanabhan Anna Duke Cellina Ching Haeri Min Justin McNab Clara K. Chow |
| author_facet | Ngai Wah Cheung David Simmons Simone Marschner Aravinda Thiagalingam Dharmintra Pasupathy Ben J. Smith Victoria Flood Mark McLean Sarah J. Melov Roslyn Hogan Suja Padmanabhan Anna Duke Cellina Ching Haeri Min Justin McNab Clara K. Chow |
| author_sort | Ngai Wah Cheung |
| collection | DOAJ |
| description | Gestational diabetes (GDM) is associated with a long-term risk of diabetes. We aimed to determine whether a text-messaging-based lifestyle support program would improve diabetes risk factors following GDM. Women with GDM were randomised following delivery to receive four text messages per week supporting a healthy lifestyle and parenting for 6 months, with feedback from an activity monitor (intervention), or to receive the activity monitor only (control). The primary outcome was a composite of weight, physical activity and dietary goals. There were 177 women randomised, with 88 intervention and 89 control participants. All the participants experienced COVID-19 lockdowns during the study. Six-month primary outcome data were obtained for 57 intervention participants and 56 controls. There were 7/57 (12%) intervention and 6/56 (11%) control participants who met the primary outcome (relative risk, 1.08; 95%CI, 0.63–1.85; <i>p</i> = 0.79). Two intervention participants met the dietary goals compared to none of the control participants (<i>p</i> = NS). The intervention participants were more likely to record >1000 steps/day (on 102 ± 59 vs. 81 ± 59 days, <i>p</i> = 0.03). When analysed monthly, this was not initially different but became significant 3–6 months post-partum. Interviews and surveys indicated that with the Intervention, healthier choices were made, but these were negatively impacted by COVID-19 restrictions. Participants found the messages motivational (74%) and the activity monitor useful (71%). In conclusion, no improvement in the diabetes risk factors occurred among the women receiving the text messaging intervention when affected by COVID-19 restrictions. |
| first_indexed | 2024-04-24T17:57:29Z |
| format | Article |
| id | doaj.art-b360e07ef60e494f9ce9ab03667c4c5c |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-04-24T17:57:29Z |
| publishDate | 2024-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-b360e07ef60e494f9ce9ab03667c4c5c2024-03-27T13:58:11ZengMDPI AGNutrients2072-66432024-03-0116682010.3390/nu16060820Randomised Controlled Trial of a Customised Text Messaging and Activity Monitor Program for Lifestyle Improvement after Gestational DiabetesNgai Wah Cheung0David Simmons1Simone Marschner2Aravinda Thiagalingam3Dharmintra Pasupathy4Ben J. Smith5Victoria Flood6Mark McLean7Sarah J. Melov8Roslyn Hogan9Suja Padmanabhan10Anna Duke11Cellina Ching12Haeri Min13Justin McNab14Clara K. Chow15Westmead Applied Research Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, AustraliaMacarthur Diabetes Service, Campbelltown Hospital, Campbelltown, NSW 2560, AustraliaWestmead Applied Research Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, AustraliaWestmead Applied Research Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, AustraliaReproduction and Perinatal Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, AustraliaWestmead Applied Research Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, AustraliaWestmead Applied Research Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, AustraliaDepartment of Diabetes and Endocrinology, Blacktown Hospital, Blacktown, NSW 2148, AustraliaReproduction and Perinatal Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, AustraliaDepartment of Diabetes and Endocrinology, Westmead Hospital, Sydney, NSW 2145, AustraliaDepartment of Diabetes and Endocrinology, Westmead Hospital, Sydney, NSW 2145, AustraliaDepartment of Diabetes and Endocrinology, Blacktown Hospital, Blacktown, NSW 2148, AustraliaWestmead Applied Research Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, AustraliaWestmead Applied Research Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, AustraliaReproduction and Perinatal Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, AustraliaWestmead Applied Research Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, AustraliaGestational diabetes (GDM) is associated with a long-term risk of diabetes. We aimed to determine whether a text-messaging-based lifestyle support program would improve diabetes risk factors following GDM. Women with GDM were randomised following delivery to receive four text messages per week supporting a healthy lifestyle and parenting for 6 months, with feedback from an activity monitor (intervention), or to receive the activity monitor only (control). The primary outcome was a composite of weight, physical activity and dietary goals. There were 177 women randomised, with 88 intervention and 89 control participants. All the participants experienced COVID-19 lockdowns during the study. Six-month primary outcome data were obtained for 57 intervention participants and 56 controls. There were 7/57 (12%) intervention and 6/56 (11%) control participants who met the primary outcome (relative risk, 1.08; 95%CI, 0.63–1.85; <i>p</i> = 0.79). Two intervention participants met the dietary goals compared to none of the control participants (<i>p</i> = NS). The intervention participants were more likely to record >1000 steps/day (on 102 ± 59 vs. 81 ± 59 days, <i>p</i> = 0.03). When analysed monthly, this was not initially different but became significant 3–6 months post-partum. Interviews and surveys indicated that with the Intervention, healthier choices were made, but these were negatively impacted by COVID-19 restrictions. Participants found the messages motivational (74%) and the activity monitor useful (71%). In conclusion, no improvement in the diabetes risk factors occurred among the women receiving the text messaging intervention when affected by COVID-19 restrictions.https://www.mdpi.com/2072-6643/16/6/820gestational diabetesdiabetes preventionlifestyle programM-healthtext-messagingactivity monitor |
| spellingShingle | Ngai Wah Cheung David Simmons Simone Marschner Aravinda Thiagalingam Dharmintra Pasupathy Ben J. Smith Victoria Flood Mark McLean Sarah J. Melov Roslyn Hogan Suja Padmanabhan Anna Duke Cellina Ching Haeri Min Justin McNab Clara K. Chow Randomised Controlled Trial of a Customised Text Messaging and Activity Monitor Program for Lifestyle Improvement after Gestational Diabetes Nutrients gestational diabetes diabetes prevention lifestyle program M-health text-messaging activity monitor |
| title | Randomised Controlled Trial of a Customised Text Messaging and Activity Monitor Program for Lifestyle Improvement after Gestational Diabetes |
| title_full | Randomised Controlled Trial of a Customised Text Messaging and Activity Monitor Program for Lifestyle Improvement after Gestational Diabetes |
| title_fullStr | Randomised Controlled Trial of a Customised Text Messaging and Activity Monitor Program for Lifestyle Improvement after Gestational Diabetes |
| title_full_unstemmed | Randomised Controlled Trial of a Customised Text Messaging and Activity Monitor Program for Lifestyle Improvement after Gestational Diabetes |
| title_short | Randomised Controlled Trial of a Customised Text Messaging and Activity Monitor Program for Lifestyle Improvement after Gestational Diabetes |
| title_sort | randomised controlled trial of a customised text messaging and activity monitor program for lifestyle improvement after gestational diabetes |
| topic | gestational diabetes diabetes prevention lifestyle program M-health text-messaging activity monitor |
| url | https://www.mdpi.com/2072-6643/16/6/820 |
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