Gestational Diabetes Mellitus Clinical Trial
Official title:
A Mobile Smartphone Application to Promote a Healthy Diet and Physical Activity Among Pregnant Women With Gestational Diabetes Mellitus - RCT
In this study, the investigators will test a new way to communicate advice on diet and lifestyle to women with gestational diabetes mellitus by app downloaded on women`s smartphone. The app wishes to motivate women to have a healthy diet, and be physically active. It allows automatic transfer of blood glucose measures from the glucose meter to the smartphone. The women will answer questionnaires during pregnancy and be followed up three months postpartum.
Gestational diabetes mellitus (GDM), diabetes occuring for the first time during pregnancy,
is an increasing problem worldwide. It may affect both the woman`s and their offspring's
health. Women with GDM have an increased risk of developing type 2 diabetes later in life.
Pregnancy, offers a window of opportunity to instigate lasting changes beneficial for them
and their families. Considering new technology available and used by women generally, new
methods to communicate lifestyle and dietary advice are required.
The present study, a multi-center, randomised controlled trial includes five outpatients
clinics in the greater Oslo Region and will include 230 pregnant women with gestational
diabets mellitus. Data will be collected by three questionnaires during the study period, one
at entry, before 33+0 weeks of gestation, one at 36 weeks and the last questionnaire at
around three months postpartum. During pregnancy, the questionniares will be answered using
an iPad while the last questionnaire will be on a website or through an interview.
Additional information will be collected from the women`s medical record.
The intervention in this study is an app, called the Pregnant+ app (Gravid+) for smartphone.
The app aims to reach women who are fluent in either Norwegian, Urdu or Somali. It has been
translated from Norwegian and culturally adapted to women speaking Urdu or Somali. Women
participating in the study can choose between different food cultures and they can set their
personal lifestyle goals. Information about gestational diabetes, psysical activity, diet and
food recipes are provided in the app. Half of the women in this study, will be given the app,
downloaded on their smartphone.The opportunity to automatically transfer bloodglucose
measures to the smartphone, presented in either a list or a graph, gives women an overview
and therefore easier controll over their glucose levels.
The intervention will take place in the ordinary consultation at the outpatient clinics and
no extra consultation are needed.
The data will be analysed according to intention to treat methods and with a parcicipatin
rate on 75% it will take approximately 20 months to recruite 230 pregnant women. To detect a
differences of 10% between the intervention group and the control group, 115 women are
required in each group.
The Regional Committees for Medical and Health Research Ethics South East, (REK) reviewed the
investigators' application and deemed ethical approval not required as the investigators'
study does not test new medication or treatment, nor seeks to find new information about GDM
but only tests a new way of communicating known and approved lifestyle advice to women with
GDM.
For each hospital the investigators received approval from the appropriate Board for patient
privacy protection (PVO: Personvernombud). The study was approved at each hospital by the
responsible medical officer.
The investigators' study has been approved by the Norwegian Social Science Data Services.
The RCT will be published in an international peer-reviewed scientific journal.
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