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© The Author(s). 2018. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

Background

A diagnosis of gestational diabetes (GDM) is associated with an over sevenfold increase in the risk of developing type 2 diabetes (T2D), while among parous women with T2D, up to 30% have a history of GDM. Lifestyle interventions have been shown to reduce the risk of incident T2D in adults with impaired glucose tolerance, including in women with a history of GDM. The aim of this study is to establish whether a group self-management education programme, supported by a mobile web application, can improve levels of physical activity at 12 months in women who have had GDM.

Methods

The study is a randomised controlled trial with follow-up at 6 and 12 months. Primary outcome is change in objectively measured average daily physical activity at 12 months. Secondary outcomes include lipid profile, blood pressure, glycated haemoglobin, obesity, smoking and alcohol status, self-reported physical activity, anxiety, depression and quality of life. Participants are recruited from maternity and diabetes departments in hospital trusts in two sites in the UK. Women aged > 18 years, with a diagnosis of GDM during any pregnancy in the previous 60 months are eligible. Participants need to have a good understanding of written and verbal English, be able to give informed consent and have access to a smart-phone. Women who are pregnant or have type 1 or type 2 diabetes are not eligible. In total, 290 participants will be recruited and randomly assigned, with stratification for age and ethnicity, to either the control group, receiving usual care, or the intervention group who are invited to participate in the Baby Steps programme. This comprises a group education programme and access to a mobile web application which provides an education component and interacts with a wrist-worn activity monitor providing automated messages, setting challenges and encouraging motivation.

Discussion

If effective, the Baby Steps programme could be translated into a primary care-based intervention that women with GDM are referred to in the postnatal period. This could help them make lifestyle changes that could reduce their future risk of T2D.

Trial registration

ISRCTN, ISRCTN17299860. Registered on 5 April 2017.

Details

Title
Baby Steps – a structured group education programme with accompanying mobile web application designed to promote physical activity in women with a history of gestational diabetes: study protocol for a randomised controlled trial
Author
Sukumar, Nithya 1 ; Dallosso, Helen 2 ; Saravanan, Ponnusamy 1 ; Yates, Tom 3 ; Telling, Carol 2 ; Shorthose, Karen 4 ; Northern, Alison 2 ; Schreder, Sally 2 ; Brough, Christopher 2 ; Gray, Laura J. 5 ; Davies, Melanie J. 3 ; Khunti, Kamlesh 6   VIAFID ORCID Logo 

 Warwick Medical School, University of Warwick, Population, Evidence & Technologies, Division of Health Sciences, Coventry, UK (GRID:grid.7372.1) (ISNI:0000 0000 8809 1613); George Eliot Hospital, Academic Centre for Diabetes and Endocrinology, Nuneaton, UK (GRID:grid.415503.6) (ISNI:0000 0004 0417 7591) 
 Leicester Diabetes Centre, University Hospitals of Leicester, Leicester General Hospital, Leicester, UK (GRID:grid.412934.9) (ISNI:0000 0004 0400 6629) 
 University of Leicester, Diabetes Research Centre, College of Medicine, Biological Sciences and Psychology, Leicester, UK (GRID:grid.9918.9) (ISNI:0000 0004 1936 8411); NIHR Leicester Biomedical Research Centre, University of Leicester, Leicester, UK (GRID:grid.9918.9) (ISNI:0000 0004 1936 8411) 
 Research & Development Department, George Eliot Hospital, Nuneaton, UK (GRID:grid.415503.6) (ISNI:0000 0004 0417 7591) 
 University of Leicester, Department of Health Sciences, College of Life Sciences, Leicester, UK (GRID:grid.9918.9) (ISNI:0000 0004 1936 8411) 
 University of Leicester, Diabetes Research Centre, College of Medicine, Biological Sciences and Psychology, Leicester, UK (GRID:grid.9918.9) (ISNI:0000 0004 1936 8411); University of Leicester, NIHR Collaboration for Leadership in Applied Health Research and Care - East Midlands, Leicester, UK (GRID:grid.9918.9) (ISNI:0000 0004 1936 8411) 
Pages
682
Publication year
2018
Publication date
Dec 2018
Publisher
BioMed Central
e-ISSN
17456215
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2795258852
Copyright
© The Author(s). 2018. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.