Research Summary
Analyzed using Evidence Intelligence™

Holistic digital intervention improves lifestyle in women with gestational diabetes

Last updated August 29, 2026

Key finding

Changes in body weight were observed but group differences were not statistically significant.

This pilot randomized controlled trial evaluated a holistic digital intervention aimed at improving lifestyle behaviors among Asian women with a history of gestational diabetes mellitus. The results indicated no statistically significant changes in key health outcomes.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Short-Term (≤3 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This pilot randomized controlled trial evaluated a holistic digital intervention aimed at improving lifestyle behaviors among Asian women with a history of gestational diabetes mellitus. The results indicated no statistically significant changes in key health outcomes.

Clinical relevance

Understanding the effectiveness of digital interventions is crucial for developing effective strategies to support women with a history of gestational diabetes. This study highlights the challenges in achieving significant health improvements in this population, indicating that further research is needed to refine such interventions.

Keep in mind

Small sample size may limit generalizability. Short duration of the study may not capture long-term effects. Lack of significant findings suggests the intervention may need refinement.

Published in

Journal Reference

Publication details and source links for this paper.

Seaw JL, Chun SS, Yu CC, Mya TT, Johan GE. Feasibility and preliminary efficacy of a holistic digital intervention on improving lifestyle behaviors among Asian women with a history of gestational diabetes mellitus: A pilot randomized controlled trial. Frontiers in Clinical Diabetes and Healthcare. 2023;4:1251411. doi:10.3389/fcdhc.2023.1251411

Main Effects

No significant changes in BMI were observed between groups.

Systolic and diastolic blood pressure changes were not statistically significant.

Mental well-being scores (BDI-II, STAI-Trait, STAI-State) showed no significant differences.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Holistic digital intervention and BMI, Blood glucose, Change in WHO-5 Well-Being Index score, and 5 more.

Primary intervention

Holistic digital intervention

Primary outcomes

  • BMI
  • Blood glucose
  • Change in WHO-5 Well-Being Index score

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

8
Evidence pairs
8
Relationships
3
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 68

3

Related topics

8

Evidence pairs

1075

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 8 evidence relationships
  • Includes primary outcome data
  • Linked to 3 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Add related evidence to your Evidence Tracker

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Primary evidence

Evidence topic

Glycemic Control

matched_outcome

Related evidence

Evidence topic

HbA1c Reduction

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Blood glucose

Holistic digital intervention → Blood glucose

Holistic digital intervention → Blood glucose

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

BMI

Holistic digital intervention → BMI

Holistic digital intervention → BMI

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Change in WHO-5 Well-Being Index score

Holistic digital intervention → Change in WHO-5 Well-Being Index score

Holistic digital intervention → Change in WHO-5 Well-Being Index score

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Diastolic blood pressure

Holistic digital intervention → Diastolic blood pressure

Holistic digital intervention → Diastolic blood pressure

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Glucose levels at 120 minutes during the oral glucose tolerance test

Holistic digital intervention → Glucose levels at 120 minutes during the oral glucose tolerance test

Holistic digital intervention → Glucose levels at 120 minutes during the oral glucose tolerance test

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

Holistic digital intervention → HbA1c

Holistic digital intervention → HbA1c

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Improvement in Well-Being

Holistic digital intervention → Improvement in Well-Being

Holistic digital intervention → Improvement in Well-Being

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Systolic blood pressure

Holistic digital intervention → Systolic blood pressure

Holistic digital intervention → Systolic blood pressure

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • The intervention did not lead to significant changes in BMI.
  • Blood pressure changes were not statistically significant.
  • Mental well-being scores showed no significant improvements.
who this applies

Who this applies to

  • Asian women with a history of gestational diabetes mellitus.
  • Participants who may benefit from lifestyle interventions.
keep in mind

Keep in Mind

  • Results may not apply to other populations outside the study group.
  • Further research is needed to explore effective intervention strategies.
  • The study's findings highlight the complexity of lifestyle behavior changes.
between the lines

Between the Lines

  • Small sample size may limit generalizability.
  • Short duration of the study may not capture long-term effects.
  • Lack of significant findings suggests the intervention may need refinement.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Holistic digital intervention and Fasting Glucose, Holistic digital intervention and Body Mass Index.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Holistic digital intervention affect bmi?

Emerging Evidence

Current evidence does not show a clear benefit of Holistic digital intervention for BMI.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    BMI

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Holistic digital intervention improve blood glucose?

Emerging Evidence

Current evidence does not show a clear benefit of Holistic digital intervention for Blood glucose.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Blood glucose

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Holistic digital intervention improve change in who-5 well-being index score?

Emerging Evidence

Current evidence does not show a clear benefit of Holistic digital intervention for Change in WHO-5 Well-Being Index score.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Change in WHO-5 Well-Being Index score

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Holistic digital intervention improve diastolic blood pressure?

Emerging Evidence

Current evidence does not show a clear benefit of Holistic digital intervention for Diastolic blood pressure.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Diastolic blood pressure

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026
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