None listed
Conditions
Brief summary
Women with a history of gestational diabetes (GDM) have up to a 7 times higher risk of developing type 2 diabetes (T2DM) than women without GDM. Many women with GDM report that following delivery, they feel a lack of support and feel abandoned by the health system in terms of T2DM prevention. The risk of developing T2DM can be lowered by adopting a healthy lifestyle. However, women from this group often report that it is challenging to adopt and maintain a healthy lifestyle due to work and family commitments, lack of time, cost constraints, and limited access to information on healthy behaviours. This project aims to assess how feasible, acceptable and effective the Body Balance Beyond program is, with or without individualised video coaching and/or personalised text messages, among women with recent GDM.
Interventions
1. Medium personalisation group - will receive access to a website tailored to women with a history of gestational diabetes and personalised text messages over a 3 month period.
The materials on the 'Body Balance Beyond' gestational diabetes (BBBGDM) website are predominantly self-directed and designed to promote modest weight loss through supporting participants to make a series of small changes to eating and exercise behaviours and form new healthy habits. Participants will have access to the
1. Medium personalisation group - will receive access to a website tailored to women with a history of gestational diabetes and personalised text messages over a 3 month period. The materials on the 'Body Balance Beyond' gestational diabetes (BBBGDM) website are predominantly self-directed and designed to promote modest weight loss through supporting participants to make a series of small changes to eating and exercise behaviours and form new healthy habits. Participants will have access to the site for 3 months and can accessed at their discretion. Website usage metrics will be captured using Google Analytics. The BBBGDM website contains five sections: a) Managing my risk - outlines the risk factors for developing diabetes in the future and actions which can reduce risk. b) My Plan - participants will be emailed personalised feedback reports on dietary intake and physical activity (generated from the Australian Eating Survey and Godin activity questionnaires) in comparison to national nutrition and exercise guidelines. This section guides participants through using their reports to set weight-, diet- and exercise-related goals, and strategies for self-monitoring and managing relapses. c) Eating - contains information and links to resources to promote healthy eating (e.g. portion size, energy density, meal planning, label reading, recipes, breastfeeding). d) Physical Activity - contains information and links to resources to promote being more active (e.g. types of activity, benefits, suggestions for being active with a family, exercising safely). e) Wellbeing - contains information and resources on social support, stress management and sleep. In addition, participants in this group will receive three text messages per week. The messages will consist of reminders to self-monitor or reflect on goals and two personalised messages (one diet-related and one exercise-related) addressing the participant’s self-identified barriers to healthy eating and being more physically active. An example of a personalised text message addressing the factor of improving meal planning skills is "[First Name]: Looking to improve your menu planning skills? Click here [Link] for tips on creating a healthy menu, and other great advice." 2. High personalisation group - access to the BBBGDM website and personalised text messages (as described above for the medium personalisation group). In addition, this group will receive five video coaching sessions (20-30 mins duration each) with a dietitian (Weeks 2 and 5) and exercise physiologist (Weeks 3 and 6), with the participant asked to select which practitioner they wish to see for the final session (Week 9) . The video coaching comprises structured participant-centred coaching sessions to refine participant goals. During these sessions the dietitian and exercise physiologist will personalise strategies to overcome participant's self-identified factors affecting diet and exercise, in addition to review progress and revise goals, and problem solve barriers and revise strategies. Participant attendance will be recorded via checklist.
Sponsors
Professor Clare Collins
Study design
Allocation
Randomised controlled trial
Primary purpose
Prevention
Eligibility
Sex/Gender
All
Age
18 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
- had a gestational diabetes diagnosis in the last two years - are at least 3 months post-partum - have a Body Mass Index between 25 and 50 kg/m2
Exclusion criteria
- Are currently pregnant or trying to fall pregnant - Have an orthopaedic and/or medical condition that may impact on your ability to safely participate in exercise or you have been diagnosed with diabetes (Type 1 or 2). -Do not pass the pre-exercise screening tool (or you cannot obtain a Dr’s clearance if do you not pass the screener) for safety to engage in physical activity. - have a smartphone, desktop computer, laptop or tablet computer and access to a broadband Internet connection suitable for conducting video calls (e.g. Skype).
Outcome results
None listed