Mothers After Gestational Diabetes in Australia Diabetes Prevention Program (MAGDA-DPP) post-natal intervention: study protocol for a randomized controlled trial

Sophy Shih, Nathalie Davis-Lameloise, Edward Janus, Carol Wildey, Vincent Versace, Virginia Hagger, Dino Asproloupos, Sharleen O'Reilly, Paddy Phillips, Michael Ackland, Timothy Skinner, Jeremy Oats, Rob Carter, James Best, James Dunbar

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    Abstract

    Background: Gestational diabetes mellitus (GDM) is defined as glucose intolerance with its onset or first recognition during pregnancy. Post-GDM women have a life-time risk exceeding 70% of developing type 2 diabetes mellitus (T2DM). Lifestyle modifications reduce the incidence of T2DM by up to 58% for high-risk individuals.


    Methods/Design: The Mothers After Gestational Diabetes in Australia Diabetes Prevention Program (MAGDA-DPP) is a randomized controlled trial aiming to assess the effectiveness of a structured diabetes prevention intervention for post-GDM women. This trial has an intervention group participating in a diabetes prevention program (DPP), and a control group receiving usual care from their general practitioners during the same time period. The 12-month intervention comprises an individual session followed by five group sessions at two-week intervals, and two follow-up telephone calls. A total of 574 women will be recruited, with 287 in each arm. The women will undergo blood tests, anthropometric measurements, and self-reported health status, diet, physical activity, quality of life, depression, risk perception and healthcare service usage, at baseline and 12 months. At completion, primary outcome (changes in diabetes risk) and secondary outcome (changes in psychosocial and quality of life measurements and in cardiovascular disease risk factors) will be assessed in both groups.


    Discussion: This study aims to show whether MAGDA-DPP leads to a reduction in diabetes risk for post-GDM women. The characteristics that predict intervention completion and improvement in clinical and behavioral measures will be useful for further development of DPPs for this population.

    Original languageEnglish
    Article number339
    Pages (from-to)1-10
    Number of pages10
    JournalTrials
    Volume14
    DOIs
    Publication statusPublished - 17 Oct 2013

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    Shih, S., Davis-Lameloise, N., Janus, E., Wildey, C., Versace, V., Hagger, V., Asproloupos, D., O'Reilly, S., Phillips, P., Ackland, M., Skinner, T., Oats, J., Carter, R., Best, J., & Dunbar, J. (2013). Mothers After Gestational Diabetes in Australia Diabetes Prevention Program (MAGDA-DPP) post-natal intervention: study protocol for a randomized controlled trial. Trials, 14, 1-10. [339]. https://doi.org/10.1186/1745-6215-14-339