Development and Testing of a Mobile Health Application for Management of Gestational Diabetes

Summary

Adequate control and management of gestational diabetes mellitus (GDM) during pregnancy is critical to mitigate its short- and long-term health consequences in women and their children and may serve as a key strategy to curb the escalating type 2 diabetes epidemic in low- and middle-income countries (LMICs). Taking a user-centered design approach, here the study investigators propose to develop a culturally-appropriate smartphone application (app) to support self-management of GDM, and additionally, test its usability and preliminary efficacy, among patients in a peri-urban hospital setting in Nepal. App-based lifestyle interventions for GDM management are not common, especially in LMICs where its prevalence is rapidly increasing, and as such, study findings will have important public health relevance for a broader population.

Eligibility

Inclusion Criteria:

* receive antenatal care at Dhulikhel Hospital
* receive a GDM diagnosis based on Carpenter-Coustan criteria or fail the Glucose Challenge Test only
* less than 30 gestational weeks into pregnancy
* own a smartphone
* have internet connectivity at home
* can understand and read Nepali

Exclusion Criteria:

• Patients with learning difficulties or vision/hearing impairments

Conditions3

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