Evidence map›Paper›PMID 38745288›Full record

ArticleBMC pregnancy and childbirth2024

A feasibility study using motivational interviewing and a smartphone application to promote physical activity (+Stay-Active) for women with gestational diabetes.

Ralph Smith, Rebecca Gould, Yvonne Kenworthy, Nerys Astbury, Iwan Smith, Jacqueline Birks, Paul Bateman, Jane E Hirst, Susan Jebb, Moscho Michalopoulou and 6 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC pregnancy and childbirth, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Ralph SmithOxford University Hospitals NHS Foundation Trust, Oxford, UK. Ralph.Smith@ouh.nhs.uk.
Rebecca GouldOxford University Hospitals NHS Foundation Trust, Oxford, UK.
Yvonne KenworthyCardiovascular Clinical Research Facility, University of Oxford, Oxford, UK.
Nerys AstburyNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Iwan SmithIndependent Researcher, Oxford, UK.
Jacqueline BirksCentre for Statistics in Medicine, University of Oxford, Oxford, UK.
Paul BatemanNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Jane E HirstOxford University Hospitals NHS Foundation Trust, Oxford, UK.
Susan JebbNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Moscho MichalopoulouNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Richard PulsfordFaculty of Health and Life Sciences, University of Exeter, Exeter, UK.
Cristian RomanDepartment of Engineering Science, Institute of Biomedical Engineering, University of Oxford, Oxford, UK.
Mauro SantosDepartment of Engineering Science, Institute of Biomedical Engineering, University of Oxford, Oxford, UK.
Nicola WangoOxford University Hospitals NHS Foundation Trust, Oxford, UK.
Amy WireIndependent Researcher, Patient Representative, Oxford, UK.
Lucy MackillopOxford University Hospitals NHS Foundation Trust, Oxford, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhysical activity (PA) interventions have an encouraging role in gestational diabetes mellitus (GDM) management. Digital technologies can potentially be used at scale to support PA. The aim of this study was to assess the feasibility and acceptability of + Stay-Active: a complex intervention which combines motivational interviewing with a smartphone application to promote PA levels in women with GDM.

methodsThis non-randomised feasibility study used a mixed methods approach. Participants were recruited from the GDM antenatal clinic at Oxford University Hospitals. Following baseline assessments (visit 1) including self-reported and device determined PA measurements (wrist worn accelerometer), women participated in an online motivational interview, and then downloaded (visit 2) and used the Stay-Active app (Android or iOS). Women had access to Stay-Active until 36 weeks' gestation, when acceptability and PA levels were reassessed (visit 3). The primary outcome measures were recruitment and retention rates, participant engagement, and acceptability and fidelity of the intervention. Secondary outcome measures included PA levels, app usage, blood glucose and perinatal outcomes. Descriptive statistics were performed for assessments at study visits. Statistics software package Stata 14 and R were used.

resultsOver the recruitment period (46 weeks), 114 of 285 women met inclusion criteria and 67 (58%) enrolled in the study. Mean recruitment rate of 1.5 participants/clinic with 2.5 women/clinic meeting inclusion criteria. Fifty-six (83%) received the intervention at visit 2 and 53 (79%) completed the study. Compliance to accelerometer measurement protocols were sufficient in 78% of participants (52/67); wearing the device for more than 10 h on 5 or more days at baseline and 61% (41/67) at 36 weeks. There was high engagement with Stay-Active; 82% (55/67) of participants set goals on Stay-Active. Sustained engagement was evident, participants regularly accessed and logged multiples activities on Stay-Active. The intervention was deemed acceptable; 85% of women rated their care was satisfactory or above, supported by written feedback.

conclusionsThis combined intervention was feasible and accepted. Recruitment rates were lower than expected. However, retention rates remained satisfactory and participant compliance with PA measurements and engagement was a high. Future work will explore the intervention's efficacy to increase PA and impact on clinical outcomes.

trial registrationThe study has received a favourable opinion from South Central-Hampshire B Research Ethics Committee; REC reference: 20/SC/0342. ISRCTN11366562.

Indexed as

Diabetes, GestationalExerciseFeasibility StudiesMobile ApplicationsMotivational InterviewingSmartphoneAdultFemaleHealth PromotionHumansPregnancyPrenatal CareGestational diabetes mellitusPhysical activitySmartphone applications

Identifiers

PMID38745288
PMCPMC11094872

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.