- Title
- Evaluation of a type 2 diabetes risk reduction online program for women with recent gestational diabetes: a randomised trial
- Creator
- Taylor, Rachael; Rollo, Megan E.; Baldwin, Jennifer N.; Hutchesson, Melinda; Aguiar, Elroy J.; Wynne, Katie; Young, Ashley; Callister, Robyn; Collins, Clare E.
- Relation
- International Journal of Behavioral Nutrition and Physical Activity Vol. 19, Issue 28 March 2022, no. 35
- Publisher Link
- http://dx.doi.org/10.1186/s12966-022-01275-3
- Publisher
- Biomed Central (BMC)
- Resource Type
- journal article
- Date
- 2022
- Description
- Background: To evaluate the preliminary efficacy, feasibility and acceptability of the 3-month Body Balance Beyond (BBB) online program among Australian women with overweight/obesity and recent gestational diabetes mellitus. Methods: Women were randomised into either: 1) High Personalisation (HP) (access to ‘BBB’ website, video coaching sessions, text message support); 2) Medium Personalisation (MP) (website and text message support); or 3) Low Personalisation (LP) (website only). Generalised linear mixed models were used to evaluate preliminary efficacy, weight, diet quality, physical activity levels, self-efficacy and quality of life (QoL) at baseline and 3-months. Feasibility was assessed by recruitment and retention metrics and acceptability determined via online process evaluation survey at 3-months. Results: Eighty three women were randomised, with 76 completing the study. Self-efficacy scores showed significant improvements in confidence to resist eating in a variety of situations from baseline to 3-months in HP compared to MP and LP groups (P=.03). The difference in mean QoL scores favoured the HP compared to MP and LP groups (P=.03). Half of the women (HP n=17[81%], MP n=12[75%], LP n=9[56%]) lost weight at 3-months. No significant group-by-time effect were reported for other outcomes. Two-thirds of women in the HP group were satisfied with the program overall and 86% would recommend it to others, compared with 25% and 44% in the MP group, and 14% and 36% in the LP group, respectively. Conclusions: Video coaching sessions were associated with improvements in QoL scores and self-efficacy, however further refinement of the BBB website and text messages support could improve program acceptability. Trial registration: Australian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12619000162112, registered 5 February 2019.
- Subject
- gestational diabetes; type 2 diabetes; prevention; weight loss; diet; exercise; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1458449
- Identifier
- uon:45429
- Identifier
- ISSN:1479-5868
- Rights
- This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
- Language
- eng
- Full Text
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Goal 3: Good Health and Well-Being
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