Research Summary
Analyzed using Evidence Intelligence™

Home-based intervention may help prevent diabetes in women with GDM

Last updated September 9, 2026

Key finding

255 (78.7%) were contactable 6 weeks postpartum.

This feasibility study evaluated a home-based lifestyle modification intervention for women with gestational diabetes mellitus. The results showed unclear effectiveness 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

Medium-Term (3–12 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 feasibility study evaluated a home-based lifestyle modification intervention for women with gestational diabetes mellitus. The results showed unclear effectiveness in key health outcomes.

Clinical relevance

Gestational diabetes is a significant health concern that can affect both mothers and their babies. Effective interventions are needed to manage this condition. Although this study showed that a home-based approach is feasible and well-received, the lack of significant health improvements suggests that further research is necessary to identify effective strategies.

Keep in mind

The effectiveness of the intervention remains unclear due to lack of significant health outcome improvements. The study had a notable loss to follow-up, which may affect the reliability of the results. The sample size may limit the generalizability of the findings.

Published in

Journal Reference

Publication details and source links for this paper.

Romaina I, Sabahat N, Sana S, et al. Home-based lifestyle modification intervention for women with gestational diabetes mellitus: a feasibility study. Pilot and Feasibility Studies. 2024;10:92. doi:10.1186/s40814-024-01514-3

Main Effects

255 (78.7%) of participants were contactable 6 weeks postpartum.

180 (70.6%) were eligible and randomized to intervention and control groups.

Loss to follow-up was 22.7% in the intervention arm and 18.5% in the control arm.

Weight change and BMI change were not statistically significant.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Lifestyle intervention for prediabetes and Body Mass Index (BMI) change, Experience with text message reminders, Fasting Plasma Glucose (FPG), and 6 more.

Primary intervention

Lifestyle intervention for prediabetes

Primary outcomes

  • Body Mass Index (BMI) change
  • Experience with text message reminders
  • Fasting Plasma Glucose (FPG)

Evidence relationships

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

9
Evidence pairs
9
Relationships
4
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

4

Related topics

9

Evidence pairs

1676

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 9 evidence relationships
  • Includes primary outcome data
  • Linked to 4 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence topic

Weight Loss

matched_outcome

Related evidence

Evidence topic

Fasting Blood Glucose

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Body Mass Index (BMI) change

Lifestyle intervention for prediabetes → Body Mass Index (BMI) change

Lifestyle intervention for prediabetes → Body Mass Index (BMI) change

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
50
Neutral
ConsistencyScore™
100
consistent
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Experience with text message reminders

Lifestyle intervention for prediabetes → Experience with text message reminders

Lifestyle intervention for prediabetes → Experience with text message reminders

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Fasting Plasma Glucose (FPG)

Lifestyle intervention for prediabetes → Fasting Plasma Glucose (FPG)

Lifestyle intervention for prediabetes → Fasting Plasma Glucose (FPG)

Evidence Intelligence™
EvidenceScore™
87
Strong
ImpactScore™
69
Positive
ConsistencyScore™
35
mixed
Supporting studies: Based on 9 studies
Add to Evidence Tracker

GDM screening rate

Lifestyle intervention for prediabetes → GDM screening rate

Lifestyle intervention for prediabetes → GDM screening rate

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

Lifestyle intervention for prediabetes → HbA1c

Lifestyle intervention for prediabetes → HbA1c

Evidence Intelligence™
EvidenceScore™
87
Strong
ImpactScore™
83
Positive
ConsistencyScore™
80
consistent
Supporting studies: Based on 15 studies
Add to Evidence Tracker

Participant retention at 6 months

Lifestyle intervention for prediabetes → Participant retention at 6 months

Lifestyle intervention for prediabetes → Participant retention at 6 months

Evidence Intelligence™
EvidenceScore™
74
Moderate
ImpactScore™
100
Very Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 3 studies
Add to Evidence Tracker

Recruitment Rate

Lifestyle intervention for prediabetes → Recruitment Rate

Lifestyle intervention for prediabetes → Recruitment Rate

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Satisfaction with home-based counseling

Lifestyle intervention for prediabetes → Satisfaction with home-based counseling

Lifestyle intervention for prediabetes → Satisfaction with home-based counseling

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Weight change

Lifestyle intervention for prediabetes → Weight change

Lifestyle intervention for prediabetes → Weight change

Evidence Intelligence™
EvidenceScore™
Strong
Score 79 · Based on 4 studies
ImpactScore™
63
Slightly Positive
ConsistencyScore™
75
consistent
Supporting studies: Based on 4 studies
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • High satisfaction with home-based counseling was reported by participants.
  • No significant improvement in fasting plasma glucose levels was observed.
  • Retention rates were relatively high, indicating feasibility of the intervention.
who this applies

Who this applies to

  • Women diagnosed with gestational diabetes mellitus.
  • Participants who are eligible for lifestyle modification interventions.
keep in mind

Keep in Mind

  • The study's findings may not be generalizable to all populations with gestational diabetes.
  • The lack of significant health improvements suggests the need for further research.
  • Satisfaction with the intervention does not equate to clinical effectiveness.
between the lines

Between the Lines

  • The effectiveness of the intervention remains unclear due to lack of significant health outcome improvements.
  • The study had a notable loss to follow-up, which may affect the reliability of the results.
  • The sample size may limit the generalizability of the findings.

Evidence Library

Build your evidence library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Lifestyle intervention for prediabetes and HbA1c, Lifestyle intervention for prediabetes and Fasting Glucose.

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 Lifestyle intervention for prediabetes lower HbA1c?

Strong Evidence

Lifestyle intervention for prediabetes may lower HbA1c.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Strong | EvidenceScore™ 87.3 | moderate positive | ConsistencyScore™ Consistent | 1 study

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

Limitations

  • Only one supporting study is available.
1 supporting study

Does Lifestyle intervention for prediabetes improve fasting plasma glucose (FPG)?

Strong Evidence

Lifestyle intervention for prediabetes may improve fasting plasma glucose (FPG).

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Fasting Plasma Glucose (FPG)

    EvidenceScore™ Strong | EvidenceScore™ 87.1 | moderate positive | ConsistencyScore™ Mixed | 1 study

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Lifestyle intervention for prediabetes improve weight change?

Strong Evidence

Lifestyle intervention for prediabetes may improve weight change.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Weight change

    EvidenceScore™ Strong | EvidenceScore™ 79.0 | weak positive | ConsistencyScore™ Consistent | 1 study

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

Limitations

  • Only one supporting study is available.
1 supporting study

Does Lifestyle intervention for prediabetes improve participant retention at 6 months?

Moderate Evidence

Lifestyle intervention for prediabetes appears to improve participant retention at 6 months.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Participant retention at 6 months

    EvidenceScore™ Moderate | EvidenceScore™ 74.2 | strong positive | ConsistencyScore™ Consistent | 1 study

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

Limitations

  • Only one supporting study is available.
1 supporting study
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