Healthy eating and active living after gestational diabetes mellitus (HEALD-GDM): Rationale, design, and proposed evaluation of a randomized controlled trial

Johnson, Steven T.; Mladenovic, Ana; Mathe, Nonsikelelo; Davenport, Margie H.; Butalia, Sonia; Qiu, Weiliang; Johnson, Jeffrey

doi:10.1016/j.cct.2017.07.008

Cited by 4 publications

(7 citation statements)

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“…The details of the intervention are described in detail elsewhere (Johnson et al., 2017 ). Briefly, the intervention randomized women (with previous and recent GDM pregnancy, aged 18–45, capable of sustained walking, and able to understand English) into a 24-week lifestyle modification programme led by an exercise specialist or a control condition (i.e.…”

Section: Methodsmentioning

confidence: 99%

“…However, research investigating the type(s) and implementation of social support for effective behaviour change post GDM is in its infancy. Therefore, we included social support through peer counsellors and an exercise specialist during a 24-week lifestyle intervention, called Healthy Eating and Active Living after Gestational Diabetes Mellitus (HEALD-GDM) (Johnson et al., 2017 ), to address some of the barriers women face when engaging in healthy eating and active living after a recent GDM pregnancy. Peer counsellors were trained in behaviour change theory (i.e.…”

Section: Introductionmentioning

confidence: 99%

“…Peer counsellors were trained in behaviour change theory (i.e. Social Cognitive Theory), and the topics they discussed with participants were designed to address core constructs of Social Cognitive Theory including knowledge, perceived self-efficacy, outcome expectations, goals, perceived facilitators, and potential barriers (Bandura & Walters, 1977 ; Johnson et al., 2017 ).…”

Section: Introductionmentioning

confidence: 99%

“…Informational support includes opinionated and factual advice and guidance, whereas instrumental support is viewed as the provision of material and tangible aid and services (Cutrona & Suhr, 1992 ; House, 1981 ). Because the 24-week lifestyle intervention operationalized different forms of social support through peer counsellors and an exercise specialist (Johnson et al., 2017 ), we aimed to understand participants’ perspectives regarding the role and usefulness of social support, in promoting behaviour change (e.g. increasing physical activity and healthy eating) six-months after the intervention was completed.…”

Section: Introductionmentioning

confidence: 99%

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Women’s experience with peer counselling and social support during a lifestyle intervention among women with a previous gestational diabetes pregnancy

Ingstrup

Wozniak

Mathe

et al. 2019

Health Psychology and Behavioral Medicine

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Purpose: Women who are diagnosed with gestational diabetes mellitus have an increased risk of developing type 2 diabetes, but most receive little guidance regarding disease prevention. This study examined the role and usefulness of social support, including peer counselling in facilitating behaviour change as a part of a healthy eating and physical activity intervention among women with a previous gestational diabetes mellitus pregnancy. Methods: We used a qualitative descriptive approach to investigate participants' experiences with the social support they received during the intervention. We used purposeful sampling and invited women and peer counsellors to participate in semi-structured interviews. Data were analyzed using content analysis. Results: We interviewed nine women and two peer counsellors. Participants received emotional, appraisal, and informational types of social support from the peer counsellor and exercise specialist that they reported as useful. Additionally, participants' received informal emotional and instrumental support from family, friends, and colleagues that they found useful in supporting behaviour change. Conclusions: Different types of social support are important to encourage behaviour change. These findings provide insight into the types of social support women with previous gestational diabetes mellitus find useful, in addition to practical ways that social support can be incorporated into future interventions.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Women’s experience with peer counselling and social support during a lifestyle intervention among women with a previous gestational diabetes pregnancy

Ingstrup

Wozniak

Mathe

et al. 2019

Health Psychology and Behavioral Medicine

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“… 17 A study by Johnson ST. used 24 weeks exercise program specially designed for patients with GDM improved their physical activity level from moderate to vigorous but they recommended considering all the barriers these women face. This study followed the patients for only 5 weeks although found positive results clinically 18 but we didn’t observe all the problems and their respective solutions of GDM women in this study.…”

Section: Discussionmentioning

confidence: 63%

Effects of structured exercise regime on Glycosylated Hemoglobin and C reactive protein in patients with Gestational Diabetes Mellitus - A randomized controlled trial

et al. 2020

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Objectives: To evaluate the effects of structured exercise regime on Glycosylated hemoglobin and C reactive protein in patients with gestational diabetes mellitus. Methods: This two arm parallel randomized controlled trial was conducted at Fauji Foundation Hospital, Rawalpindi from November 2018 till December 2019 on the 54 diagnosed gestational diabetes mellitus patients (Dropped out=4 Analyzed= 50) with age 20 to 40 years and gestational age from 20 to 36 weeks. Selection was done via convenient sampling technique and randomized into two groups (n=25) by sealed envelope method. Structured exercise regime group received combination of moderate intensity aerobics, stabilization and pelvic floor muscles exercises twice a week for 5 weeks (40 min per session) along with dietary and medical interventions while control group received only medical and dietary interventions with postural education. Demographics, glycosylated hemoglobin and C reactive protein were recorded at baseline then after 5 weeks of intervention. Analysis was done by SPSS 20. Results: Mean age was 35.92 ± 5.24 years in control group while 34.36 ± 5.21 years in interventional group. Between group analysis for HbA1c showed no significant difference at base line (p >0.05) but showed significant difference (p <0.05) after five weeks’ interventions. Similarly, for C reactive protein both groups showed no significant difference (p >0.05) at baseline but after five weeks of interventions showed significant difference (p<0.05). Conclusion: Structured exercise regime helps in reducing values of glycosylated hemoglobin and C reactive protein in patients with gestational diabetes mellitus. Trial Registration: ClinicalTrials.gov; NCT04146740. doi: https://doi.org/10.12669/pjms.36.7.2488 How to cite this:Qazi WA, Babur MN, Malik AN, Begum R. Effects of structured exercise regime on Glycosylated Hemoglobin and C reactive protein in patients with Gestational Diabetes Mellitus -A randomized controlled trial. Pak J Med Sci. 2020;36(7):---------. doi: https://doi.org/10.12669/pjms.36.7.2488 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Preventing Type 2 Diabetes after Gestational Diabetes: A Systematic Review Mapping Physical Activity Components using the Socio-Ecological Model

Ioannou,

Humphreys,

Homer

et al. 2024

Matern Child Health J

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Objectives Gestational diabetes commonly occurs during pregnancy and increases lifetime risk of type 2 diabetes following pregnancy. Engaging in physical activity postnatally can reduce this subsequent risk. Interventions aiming to increase physical activity after gestational diabetes may not address the wide range of post-pregnancy barriers. A socio-ecological approach highlights the need to include multi-level factors such as social, community and organisational factors. The aim of the review was to map intervention components to prevent type 2 diabetes after gestational diabetes using the socio-ecological model as a framework and investigate how physical activity changes align with different intervention components utilised. Methods Eligible studies included any study type within 5 years of a gestational diabetes diagnosis and targeted physical activity. A systematic search of MEDLINE, Cochrane Library, Web of Science, CINAHL Complete, and Scopus was conducted in October 2022. Results were categorised based on whether findings demonstrated no increases, non-statistically significant increases or statistically significant increases in physical activity. Results Forty-eight studies were included (37 different interventions). Thirty-eight studies were assessed as “adequate” quality, only two studies were “good” quality, and the remaining were limited quality. Mixed physical activity outcomes were observed across components used at the intrapersonal level, with components across other levels of the socio-ecological model showing more increases in physical activity. Intervention components within the social and organisational levels, for example childcare provision, providing group-based sessions and offering remote delivery, were more often present in interventions with physical activity increases. Conclusions for Practice Future interventions targeting physical activity after gestational diabetes should aim to include social and organisational-level components in their intervention design. This systematic review was registered in PROSPERO (ID: CRD42021272044).

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Healthy eating and active living after gestational diabetes mellitus (HEALD-GDM): Rationale, design, and proposed evaluation of a randomized controlled trial

Cited by 4 publications

References 39 publications

Women’s experience with peer counselling and social support during a lifestyle intervention among women with a previous gestational diabetes pregnancy

Women’s experience with peer counselling and social support during a lifestyle intervention among women with a previous gestational diabetes pregnancy

Effects of structured exercise regime on Glycosylated Hemoglobin and C reactive protein in patients with Gestational Diabetes Mellitus - A randomized controlled trial

Preventing Type 2 Diabetes after Gestational Diabetes: A Systematic Review Mapping Physical Activity Components using the Socio-Ecological Model

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