Context: Baker Institute piloted a lifestyle modification program (LMP) for women with prior gestational diabetes (GDM) aimed at addressing the typical barriers to attendance including suitable facilities, time constraints and affordability. Following on from the pilot the WAG program has continued to be run with modifications to the program based on our successes and failures.
Aim: To determine the success of delivering a tailored LMP through maternal child health (MCH) centres.
Method: A tailored LMP was developed for women post GDM and delivered at local MCH centres. The content, timing and venue were all targeted to best meet the needs of mothers. The five week program involved one hour sessions weekly conducted by a dietitian, psychologist or physiotherapist/exercise physiologist. Women were referred to the program by their local MCH nurse or from Baker Institute.
Health questionnaires were administered pre and post program and collected information on diet, physical activity and diabetes screening. Ongoing support post program was provided by a closed Facebook group moderated by Baker staff. Ethics approval was obtained.
Results: 11 programs have been completed (n=70) with an average of 6 participants each session. Retention to the program has been exceptional with 53% of participants attending all five sessions, and only 7% attending one session. The average attendance across all sessions was 81%.
Whilst significance has not been tested, improvements were seen post program. Diabetes screening measured by completion of the post-natal OGTT improved (58% pre program compared to 70% post program). Vegetable consumption improved from 2.6 serves to 3.1 serves post program, and walking time improved from 163 minutes to 195 minutes pre and post program respectively.
Conclusion: Collaborating with MCH centres is a successful strategy to engage women post GDM in a LMP to reduce type 2 diabetes risk.