Can the Onset of Type 2 Diabetes Be Delayed by a Group-Based Lifestyle Intervention in Women with Prediabetes following Gestational Diabetes Mellitus (GDM)? Findings from a Randomized Control Mixed Methods Trial
Objective. To evaluate a 12-week group-based lifestyle intervention programme for women with prediabetes following gestational diabetes (GDM). Design. A two-group, mixed methods randomized controlled trial in which 50 women with a history of GDM and abnormal glucose tolerance postpartum were randoml...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2015/798460 |
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| author | Angela O’Dea Marie Tierney Brian E. McGuire John Newell Liam G. Glynn Irene Gibson Eoin Noctor Andrii Danyliv Susan B. Connolly Fidelma P. Dunne |
| author_facet | Angela O’Dea Marie Tierney Brian E. McGuire John Newell Liam G. Glynn Irene Gibson Eoin Noctor Andrii Danyliv Susan B. Connolly Fidelma P. Dunne |
| author_sort | Angela O’Dea |
| collection | DOAJ |
| description | Objective. To evaluate a 12-week group-based lifestyle intervention programme for women with prediabetes following gestational diabetes (GDM). Design. A two-group, mixed methods randomized controlled trial in which 50 women with a history of GDM and abnormal glucose tolerance postpartum were randomly assigned to intervention (n=24) or wait control (n=26) and postintervention qualitative interviews with participants. Main Outcome Measures. Modifiable biochemical, anthropometric, behavioural, and psychosocial risk factors associated with the development of type 2 diabetes. The primary outcome variable was the change in fasting plasma glucose (FPG) from study entry to one-year follow-up. Results. At one-year follow-up, the intervention group showed significant improvements over the wait control group on stress, diet self-efficacy, and quality of life. There was no evidence of an effect of the intervention on measures of biochemistry or anthropometry; the effect on one health behaviour, diet adherence, was close to significance. Conclusions. Prevention programmes must tackle the barriers to participation faced by this population; home-based interventions should be investigated. Strategies for promoting long-term health self-management need to be developed and tested. |
| format | Article |
| id | doaj-art-6fd4666627f8419981ae49c628cc0840 |
| institution | Kabale University |
| issn | 2314-6745 2314-6753 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-6fd4666627f8419981ae49c628cc08402025-02-03T01:01:11ZengWileyJournal of Diabetes Research2314-67452314-67532015-01-01201510.1155/2015/798460798460Can the Onset of Type 2 Diabetes Be Delayed by a Group-Based Lifestyle Intervention in Women with Prediabetes following Gestational Diabetes Mellitus (GDM)? Findings from a Randomized Control Mixed Methods TrialAngela O’Dea0Marie Tierney1Brian E. McGuire2John Newell3Liam G. Glynn4Irene Gibson5Eoin Noctor6Andrii Danyliv7Susan B. Connolly8Fidelma P. Dunne9School of Medicine, Clinical Sciences Institute, National University of Ireland Galway, Galway, IrelandSchool of Medicine, Clinical Sciences Institute, National University of Ireland Galway, Galway, IrelandSchool of Psychology, National University of Ireland Galway, Galway, IrelandHRB Clinical Research Facility, National University of Ireland Galway, Galway, IrelandDiscipline of General Practice, School of Medicine, National University of Ireland Galway, Galway, IrelandCroí–The West of Ireland Cardiac Foundation, Croí Heart and Stroke Centre, Moyola Lane, Newcastle, Galway, IrelandSchool of Medicine, Clinical Sciences Institute, National University of Ireland Galway, Galway, IrelandJ.E. Cairnes School of Business & Economics, National University of Ireland Galway, Cairnes Building, Galway, IrelandCardiovascular Medicine, International Centre for Circulatory Health, Imperial College London, London W2 1LA, UKSchool of Medicine, Clinical Sciences Institute, National University of Ireland Galway, Galway, IrelandObjective. To evaluate a 12-week group-based lifestyle intervention programme for women with prediabetes following gestational diabetes (GDM). Design. A two-group, mixed methods randomized controlled trial in which 50 women with a history of GDM and abnormal glucose tolerance postpartum were randomly assigned to intervention (n=24) or wait control (n=26) and postintervention qualitative interviews with participants. Main Outcome Measures. Modifiable biochemical, anthropometric, behavioural, and psychosocial risk factors associated with the development of type 2 diabetes. The primary outcome variable was the change in fasting plasma glucose (FPG) from study entry to one-year follow-up. Results. At one-year follow-up, the intervention group showed significant improvements over the wait control group on stress, diet self-efficacy, and quality of life. There was no evidence of an effect of the intervention on measures of biochemistry or anthropometry; the effect on one health behaviour, diet adherence, was close to significance. Conclusions. Prevention programmes must tackle the barriers to participation faced by this population; home-based interventions should be investigated. Strategies for promoting long-term health self-management need to be developed and tested.http://dx.doi.org/10.1155/2015/798460 |
| spellingShingle | Angela O’Dea Marie Tierney Brian E. McGuire John Newell Liam G. Glynn Irene Gibson Eoin Noctor Andrii Danyliv Susan B. Connolly Fidelma P. Dunne Can the Onset of Type 2 Diabetes Be Delayed by a Group-Based Lifestyle Intervention in Women with Prediabetes following Gestational Diabetes Mellitus (GDM)? Findings from a Randomized Control Mixed Methods Trial Journal of Diabetes Research |
| title | Can the Onset of Type 2 Diabetes Be Delayed by a Group-Based Lifestyle Intervention in Women with Prediabetes following Gestational Diabetes Mellitus (GDM)? Findings from a Randomized Control Mixed Methods Trial |
| title_full | Can the Onset of Type 2 Diabetes Be Delayed by a Group-Based Lifestyle Intervention in Women with Prediabetes following Gestational Diabetes Mellitus (GDM)? Findings from a Randomized Control Mixed Methods Trial |
| title_fullStr | Can the Onset of Type 2 Diabetes Be Delayed by a Group-Based Lifestyle Intervention in Women with Prediabetes following Gestational Diabetes Mellitus (GDM)? Findings from a Randomized Control Mixed Methods Trial |
| title_full_unstemmed | Can the Onset of Type 2 Diabetes Be Delayed by a Group-Based Lifestyle Intervention in Women with Prediabetes following Gestational Diabetes Mellitus (GDM)? Findings from a Randomized Control Mixed Methods Trial |
| title_short | Can the Onset of Type 2 Diabetes Be Delayed by a Group-Based Lifestyle Intervention in Women with Prediabetes following Gestational Diabetes Mellitus (GDM)? Findings from a Randomized Control Mixed Methods Trial |
| title_sort | can the onset of type 2 diabetes be delayed by a group based lifestyle intervention in women with prediabetes following gestational diabetes mellitus gdm findings from a randomized control mixed methods trial |
| url | http://dx.doi.org/10.1155/2015/798460 |
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