评估一个针对近期患有妊娠糖尿病的女性的 2 型糖尿病风险降低在线项目：一项随机试验。

Evaluation of a Type 2 diabetes risk reduction online program for women with recent gestational diabetes: a randomised trial.

机构信息

School of Health Sciences, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, New South Wales (NSW), Australia.

Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Callaghan, NSW, Australia.

出版信息

Int J Behav Nutr Phys Act. 2022 Mar 28;19(1):35. doi: 10.1186/s12966-022-01275-3.

DOI:10.1186/s12966-022-01275-3

PMID:35346229

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8962548/

Abstract

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.

摘要

背景

评估澳大利亚超重/肥胖且近期患有妊娠期糖尿病的女性参与为期 3 个月的 Body Balance Beyond（BBB）在线项目的初步疗效、可行性和可接受性。

方法

将女性随机分为三组：1）高个性化组（HP）（可访问“BBB”网站、视频教练课程、短信支持）；2）中个性化组（MP）（网站和短信支持）；3）低个性化组（LP）（仅网站）。使用广义线性混合模型评估基线和 3 个月时的初步疗效、体重、饮食质量、身体活动水平、自我效能和生活质量（QoL）。通过招募和保留指标评估可行性，并通过 3 个月时的在线过程评估调查确定可接受性。

结果

83 名女性被随机分配，其中 76 名完成了研究。与 MP 和 LP 组相比，HP 组在抵抗各种情况下进食的信心方面，自我效能评分在基线到 3 个月时显示出显著改善（P=.03）。与 MP 和 LP 组相比，HP 组的 QoL 评分差异更有利于改善（P=.03）。一半的女性（HP n=17[81%]，MP n=12[75%]，LP n=9[56%]）在 3 个月时体重减轻。未报告其他结果的组间时间效应。HP 组中有三分之二的女性对该计划总体满意，86%的人会向他人推荐，而 MP 组和 LP 组分别为 25%和 44%、14%和 36%。