PMID- 22730940
OWN - NLM
STAT- MEDLINE
DCOM- 20120731
LR  - 20220408
IS  - 1036-1073 (Print)
IS  - 1036-1073 (Linking)
VI  - 23
IP  - 1
DP  - 2012 Apr
TI  - lmplementing lifestyle change through phone-based motivational interviewing in 
      rural-based women with previous gestational diabetes mellitus.
PG  - 5-9
AB  - ISSUE ADDRESSED: Substantial numbers of women with past gestational diabetes 
      mellitus (GDM) develop type 2 diabetes mellitus (T2DM). In northern New South 
      Wales 23% of women attending diabetes services between 2007 and 2010 with T2DM 
      previously had GDM. This study investigated whether phone-based lifestyle 
      education using motivational interviewing resulted in positive lifestyle change 
      post GDM for women in a large rural area. METHOD: Thirty-eight women were 
      recruited to this pilot study following GDM diagnosis and randomly allocated to 
      either the control or intervention group. Following baseline assessment, the 
      intervention group received a 6-month phone-based motivational interviewing 
      program, and access to usual care. The control group received usual care only. 
      Measures were collected at baseline (6 weeks postnatal), and at 6 months 
      follow-up. Outcome measures included body mass index, diet, and physical 
      activity. RESULTS: At follow-up, the intervention group compared to the control 
      group significantly reduced total fat intake by -19 g/d (95%CI: -37 to -1), total 
      carbohydrate intake by -42 g/d (95%CI: -82 to -1), and glycaemic load by -26 
      units (95%CI: -48 to -4). These women also increased leisure physical activity 
      compared to the control group by 11 min/d (95%CI: 1 to 22); no significant change 
      in total physical activity levels occurred. At follow-up, body mass index in the 
      intervention group improved by -1.5 kg/m2 (95%CI: -2.8 to -0.1) compared to the 
      control group. CONCLUSION: The intervention group showed positive trends across 
      lifestyle variables compared to the control group. Further large-scale research 
      on the effectiveness of phone-based lifestyle counselling following GDM is 
      warranted.
FAU - Reinhardt, Judith A
AU  - Reinhardt JA
AD  - Northern NSW Local Health District, Lismore. 
      judy.reinhardt@cahs.health.nsw.gov.au
FAU - van der Ploeg, Hidde P
AU  - van der Ploeg HP
FAU - Grzegrzulka, Richard
AU  - Grzegrzulka R
FAU - Timperley, Jennifer G
AU  - Timperley JG
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
PL  - Australia
TA  - Health Promot J Austr
JT  - Health promotion journal of Australia : official journal of Australian 
      Association of Health Promotion Professionals
JID - 9710936
RN  - 0 (Blood Glucose)
RN  - 0 (Lipids)
SB  - IM
MH  - Adult
MH  - Blood Glucose
MH  - Counseling
MH  - Diabetes Mellitus, Type 2/*prevention & control
MH  - Diabetes, Gestational/epidemiology/*therapy
MH  - Diet
MH  - Exercise
MH  - Female
MH  - Health Behavior
MH  - Health Promotion/methods
MH  - Humans
MH  - Interviews as Topic
MH  - *Life Style
MH  - Lipids/blood
MH  - *Motivation
MH  - Patient Education as Topic/methods
MH  - Pilot Projects
MH  - Pregnancy
MH  - *Rural Population
MH  - *Telephone
EDAT- 2012/06/27 06:00
MHDA- 2012/08/01 06:00
CRDT- 2012/06/27 06:00
PHST- 2012/06/27 06:00 [entrez]
PHST- 2012/06/27 06:00 [pubmed]
PHST- 2012/08/01 06:00 [medline]
AID - 10.1071/he12005 [doi]
PST - ppublish
SO  - Health Promot J Austr. 2012 Apr;23(1):5-9. doi: 10.1071/he12005.