Women diagnosed with GDM represent an exceptional group of the population to examine innovative motivational strategies to deliver behavioral-based health promoting interventions. Therefore, prenatal nurses should consider integrating motivational strategies in any prenatal health promoting interventions, beyond those traditional health education interventions that limit mothers to being passive recipients of health information. The World Health Organization ‘Making Pregnancy Safer’ initiative, affirms that optimizing maternal health by supporting women’s active role and enhancing their capacities for making healthy choices is a fundamental nursing role (World Health Organization, ). Evidence supports the effectiveness of self-care measures (e.g., controlling body weight, healthy diet, physical activity, and self-monitoring of blood glucose ) to control blood glucose levels and lower the risk for development of overt diabetes, but behavioral changes could be challenging, in particular during a short span of pregnancy (Carolan, Steele, & Margetts, ). Most often, developing gestational diabetes requires the pregnant woman to modify her lifestyle behaviors (i.e., diet and physical activity) to control the elevated blood glucose level. Further, fetal intrauterine exposure to prolonged hyperglycemia has been found to double the risk for childhood obesity and development of type 1 diabetes (Gilbert et al., ). For instance, pregnant women with gestational diabetes mellitus (GDM) are at a sevenfold higher risk to develop type 2 diabetes within 5 to 10 years postpartum (Bellamy, Casas, Hingorani, & Williams, ). ![]() ![]() Gestational diabetes is the leading metabolic health condition during pregnancy that consequently contributes to the prevalence of diabetes and obesity across generations. The study is registered on Septem(ACTRN12619001278123p) by the Australian New Zealand Clinical Trials Registry. The developed innovative SEESPA is a feasible and acceptable intervention for behavioral modifications among women with GDM, and is ready to be tested in a larger RCT study which is expected to inform the health policymakers to integrate SEESPA with the antenatal health care practice of women with GDM, specifically in developing countries where there is a greater risk of developing GDM complications among mothers and their infants. In addition, they brought few suggestions that will be integrated on the final version of the app. Study participants reported that SEESPA is useful, effective, and they felt satisfied about it. Of these, 68.1% were acknowledged by the participants. Two motivational text messages per week were sent to all participants. Resultsįifteen randomly selected women consented to participate in the study, with a 60.0% ( n = 9) retention rate at post-trial intervention and 40.0% ( n = 6) trial dropout. ![]() Acceptability outcomes were determined by asking open-ended questions through telephone interview at 4-week post-intervention. Feasibility outcomes assessed were rates of recruitment, retention rate, success rate of transmitting motivational text messages, rate of participants acknowledging receipt of text messages, and success rate of recording healthy behaviors. Following SEESPA development (e.g., goal setting and action plan, role modeling, motivational messages, mastery of experiences, and tracking healthy behaviors), all participants were provided access to use the SEESPA for 4 weeks. This single-arm pilot clinical trial study included 15 pregnant women with GDM. This study aimed to document the process of designing, developing, and testing the feasibility and acceptability of the SEESPA. There is growing attention to the use of mHealth technologies to promote glycemic control for women with GDM around the world, but research on promoting a change in health behaviors is lacking.
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