Adherence
Lifestyle interventions for type 2 diabetes prevention in women with a history of gestational diabetes are only effective if they are underpinned by a behavior change theory.
For women with a history of gestational diabetes, lifestyle interventions are most effective at preventing type 2 diabetes when they are designed using established behavior change theories (like Social Cognitive Theory or Health Belief Model). Simple advice without a structured behavioral framework may not be sufficient.
The subgroup analyses based on TIDieR characteristics showed that only studies that were based on behaviour change theories showed a significant reduction in T2DM, with a risk reduction of 48% (RR = 0.52; 95% CI: 0.34, 0.78)
Why this rating
Based on subgroup analysis of meta-analyzed RCTs with statistical significance (p=0.028).
Source
A Systematic Review and Meta-Analysis of Type 2 Diabetes Prevention Through Lifestyle Interventions in Women with a History of Gestational Diabetes—A Summary of Participant and Intervention Characteristics
Gebresilasea Gendisha Ukke et al. · Nutrients · 2024
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