Please use this identifier to cite or link to this item: https://doi.org/10.1186/s12889-019-7691-3
Title: Smart Phone APP to Restore Optimal Weight (SPAROW): protocol for a randomised controlled trial for women with recent gestational diabetes
Authors: Lim, Karen 
Chi, Claudia 
Chan, Shiao-Yng
Lim, Su Lin
Ang, Siew Min
Yoong, Joanne S
Tsai, Cammy
Wong, Su Ren
Yew, Tong Wei
Tai, E Shyong
Yong, Eu-Leong
Keywords: Science & Technology
Life Sciences & Biomedicine
Public, Environmental & Occupational Health
Randomized controlled trial
Gestational diabetes
Prevention
Smartphone application
Weight loss
LIFE-STYLE INTERVENTION
SOCIAL SUPPORT
PREVENTION
EFFICACY
OVERWEIGHT
RETENTION
METFORMIN
MELLITUS
IMPACT
Issue Date: 15-Oct-2019
Publisher: BMC
Citation: Lim, Karen, Chi, Claudia, Chan, Shiao-Yng, Lim, Su Lin, Ang, Siew Min, Yoong, Joanne S, Tsai, Cammy, Wong, Su Ren, Yew, Tong Wei, Tai, E Shyong, Yong, Eu-Leong (2019-10-15). Smart Phone APP to Restore Optimal Weight (SPAROW): protocol for a randomised controlled trial for women with recent gestational diabetes. BMC PUBLIC HEALTH 19 (1). ScholarBank@NUS Repository. https://doi.org/10.1186/s12889-019-7691-3
Abstract: Background: Gestational diabetes (GDM) is a known risk factor for type 2 diabetes mellitus (T2DM), and women with a history of GDM have a 7-fold increased risk of developing the disease. Achieving a healthy weight post-delivery is key in reducing the risk of future diabetes in these women. The aim of this trial is to investigate the use of an interactive smartphone application (APP) to restore women to optimal weight following delivery. Methods: This will be an open-label randomized controlled trial. Two hundred women with gestational diabetes will be randomized to receive the intervention or standard care following delivery. Participants will be reviewed at 6 weeks and 4 months post-delivery. The intervention is an APP serving as a platform for weight, diet and physical activity tracking. The APP provides 3-5 min educational videos suggesting suitable lifestyle adjustments relevant to postnatal period such as breast feeding, diet and exercise. Lastly, the APP will allow real-time interaction between users and the team of dietitians, physiotherapists and occupational therapists to encourage restoration of optimal weight. Women in the control arm will be informed about the increased risk of developing T2DM and advised to maintain a healthy weight. Primary outcome measure is the restoration of participants' booking weight if booking BMI ≤ 23, or weight loss of at least 5% from booking weight if booking BMI > 23 over the 4 month period. Secondary outcome measures will assess serum metabolic and inflammatory markers, quality of life via questionnaires and cost-effectiveness of the intervention at each follow-up visit. Discussion: This will be the first randomised controlled trial investigating the use of a smartphone application for postpartum weight loss in women with gestational diabetes. The major ethnic groups in our study population represent the majority of ethnic groups in Asia, amongst which the prevalence of diabetes is high. If shown to be effective, this APP may be used in wider clinical settings to improve postpartum weight loss and reduce the risk of developing T2DM in these women. Trial registration: This study was registered on clintrials.gov on the 30th of October 2017, under the trial registration number: NCT03324737.
Source Title: BMC PUBLIC HEALTH
URI: https://scholarbank.nus.edu.sg/handle/10635/205900
ISSN: 14712458
14712458
DOI: 10.1186/s12889-019-7691-3
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