A Pilot Randomised Controlled Trial of a Text Messaging Intervention with Customisation Using Linked Data from Wireless Wearable Activity Monitors to Improve Risk Factors Following Gestational Diabetes
| Autor: | Nancy Cinnadaio, Tony Barry, N. Wah Cheung, Roslyn Hogan, Aravinda Thiagalingam, Ben J. Smith, Caron Blumenthal, Julie Redfern, Clara K Chow |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty activity monitor Psychological intervention diabetes prevention 030209 endocrinology & metabolism Pilot Projects lcsh:TX341-641 Population health Type 2 diabetes lifestyle program Article law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Pregnancy Risk Factors Intervention (counseling) Diabetes mellitus Medicine Humans text messaging 030212 general & internal medicine Exercise Nutrition and Dietetics business.industry medicine.disease Gestational diabetes Diabetes Gestational randomized controlled trial Physical therapy Female gestational diabetes business M-health lcsh:Nutrition. Foods and food supply Food Science |
| Zdroj: | Nutrients Volume 11 Issue 3 Nutrients, Vol 11, Iss 3, p 590 (2019) |
| ISSN: | 2072-6643 |
| DOI: | 10.3390/nu11030590 |
| Popis: | Gestational diabetes (GDM) is a highly prevalent disorder of pregnancy which portends a high risk for future type 2 diabetes. Limited evidence indicates lifestyle intervention prevents the development of diabetes, but most previously studied interventions are resource-intensive. Intervention programs that utilise newer technologies may be scalable at lower cost. This 6-month pilot randomized controlled trial tested the delivery of text messages linked to an activity monitor, adaptive physical activity goal setting, and limited face-to-face counseling, as an intervention to improve rates of post-partum glucose tolerance testing and lifestyle behaviours amongst women following a GDM pregnancy. Sixty subjects were randomised 2:1 intervention vs. control. Compared to control subjects, there were trends for intervention subjects to improve diet, increase physical activity, and lose weight. There was no difference between the groups in the rate of glucose tolerance testing. Only 46 (77%) subjects completed some, and 19 subjects completed all the elements of the final evaluation. Feedback regarding the text messages and activity monitor was highly positive. Overall, results suggest that a text message and activity monitor intervention is feasible for a larger study or even as a potentially scalable population health intervention. However, low completion rates necessitate carefully considered modification of the protocol. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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