Gestational diabetes & diabetes in pregnancy

Treatment adherence and satisfaction of a mobile-based lifestyle intervention in women with prior gestational diabetes

J Clin Endocrinol MetabPublished Secondary analysis of the mobile-based lifestyle intervention in women with glucose intolerance after a recent history of gestational diabetes mellitus (GDM) randomised trial

Authors' conclusion

The blended mHealth intervention was feasible and generally well accepted. Women with both high treatment adherence and high treatment satisfaction showed the most favorable metabolic outcomes.

Study context

Population
Women with postpartum prediabetes after GDM receiving a blended mHealth lifestyle intervention82 with complete data
Primary endpoint
Treatment adherence (high: app use ≥1 in 5 days and ≥80% attendance at monthly telephonic coaching sessions) and treatment satisfaction (self-designed questionnaire)
Follow-up
1 year postrandomization

Primary result

As reported in the abstract

High treatment adherence

54.9%

High treatment satisfaction

41.5%

Further findings

Most frequently used app components

Step tracker
61.5%
Dietary tips
59.5%
Recipes
34.9%

Acceptability

Valued telephone coaching
75.6%
Found the app easy to use
84.1%

Metabolic outcomes in participants with both high adherence and high satisfaction

Lower BMI with both high adherence and high satisfaction
23.7 vs 27.7 kg/m², P = .031
Smaller waist circumference with both high adherence and high satisfaction
80.5 vs 89.7 cm, P = .010
Greater postpartum weight reduction with both high adherence and high satisfaction
−3.8 kg vs + 0.95 kg, P = .047

Original publication

Treatment adherence and satisfaction of a mobile-based lifestyle intervention in women with prior gestational diabetes. J Clin Endocrinol Metab. Published 21 January 2026. doi:10.1210/clinem/dgag019

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