Research Summary
Analyzed using Evidence Intelligence™

Nursing Approach Improves Health Behaviors and Sleep Quality in Gestational Diabetes

Last updated July 11, 2026

Key finding

The mean score in the intervention group was 97.02 ± 15.27, compared with 77.71 ± 11.55 in the control group.

This study examined the impact of a nursing approach based on the PRECEDE-PROCEED model on health behaviors and sleep quality in women with gestational diabetes, finding significant improvements in various health metrics.

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 study examined the impact of a nursing approach based on the PRECEDE-PROCEED model on health behaviors and sleep quality in women with gestational diabetes, finding significant improvements in various health metrics.

Clinical relevance

Improving health behaviors and sleep quality in women with gestational diabetes is crucial, as these factors can influence both maternal and fetal health outcomes. This study provides evidence that targeted nursing interventions can effectively enhance lifestyle changes, which may lead to better management of gestational diabetes and overall health.

Keep in mind

The study design was non-randomized, which may introduce bias. Sample size and demographic diversity may limit generalizability. Effectiveness of the intervention was classified as unclear.

Published in

Journal Reference

Publication details and source links for this paper.

Fatima KA, Amira MAA, Rabia HH, et al. The Effect of a Nursing Approach Based on the PRECEDE-PROCEED Model on Health Behaviors and Sleep Quality Among Women with Gestational Diabetes. Women's Health. 2026;22:17455057261442707. doi:10.1177/17455057261442707

Main Effects

Total health-promoting lifestyle score increased by 19.31 points (p=0.001).

Nutrition score improved by 4.12 points (p=0.001).

Sleep disturbance score decreased by 3.04 points (p=0.001).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to MDT nursing model combined with high-fiber dietary intervention and Nutrition score measured by HPLP-II, Overall health-promoting lifestyle score measured by HPLP-II, Physical activity level (MET-minutes per week), and 2 more.

Primary intervention

MDT nursing model combined with high-fiber dietary intervention

Primary outcomes

  • Nutrition score measured by HPLP-II
  • Overall health-promoting lifestyle score measured by HPLP-II
  • Physical activity level (MET-minutes per week)

Evidence relationships

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

5
Evidence pairs
5
Relationships
2
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

2

Related topics

5

Evidence pairs

60

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 5 evidence relationships
  • Includes primary outcome data
  • Linked to 2 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence topic

Physical Activity Levels

matched_outcome

Related evidence

Evidence topic

Treatment Adherence

Follow evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Nutrition score measured by HPLP-II

MDT nursing model combined with high-fiber dietary intervention → Nutrition score measured by HPLP-II

MDT nursing model combined with high-fiber dietary intervention → Nutrition score measured by HPLP-II

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Unlock full evidence details

Overall health-promoting lifestyle score measured by HPLP-II

MDT nursing model combined with high-fiber dietary intervention → Overall health-promoting lifestyle score measured by HPLP-II

MDT nursing model combined with high-fiber dietary intervention → Overall health-promoting lifestyle score measured by HPLP-II

Evidence Intelligence™
ImpactScore™
25
Negative
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Unlock full evidence details

Physical activity level (MET-minutes per week)

MDT nursing model combined with high-fiber dietary intervention → Physical activity level (MET-minutes per week)

MDT nursing model combined with high-fiber dietary intervention → Physical activity level (MET-minutes per week)

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Unlock full evidence details

Sleep disturbance score measured by Pittsburgh Sleep Quality Index

MDT nursing model combined with high-fiber dietary intervention → Sleep disturbance score measured by Pittsburgh Sleep Quality Index

MDT nursing model combined with high-fiber dietary intervention → Sleep disturbance score measured by Pittsburgh Sleep Quality Index

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Unlock full evidence details

Stress score

MDT nursing model combined with high-fiber dietary intervention → Stress score

MDT nursing model combined with high-fiber dietary intervention → Stress score

Evidence Intelligence™
ImpactScore™
25
Negative
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Unlock full evidence details

Unlock full evidence analysis

Create a free account to access effectiveness ratings, evidence strength and depth scores, consistency analysis, and direct links to all supporting studies.

evidence suggest

Evidence Suggest

  • Health-promoting lifestyle scores increased significantly in the intervention group.
  • Nutrition and physical activity scores improved notably.
  • Sleep disturbances were significantly reduced.
who this applies

Who this applies to

  • Women diagnosed with gestational diabetes.
  • Participants engaged in health behavior interventions.
keep in mind

Keep in Mind

  • The study's non-randomized design may affect the reliability of results.
  • Findings may not be applicable to all populations with gestational diabetes.
  • Further research is needed to confirm long-term effects of the intervention.
between the lines

Between the Lines

  • The study design was non-randomized, which may introduce bias.
  • Sample size and demographic diversity may limit generalizability.
  • Effectiveness of the intervention was classified as unclear.

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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 MDT nursing model combined with high-fiber dietary intervention and Nutrition score measured by HPLP-II, MDT nursing model combined with high-fiber dietary intervention and Physical Activity Levels.

Related evidence relationships

Explore in Evidence Archive

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

Included in these evidence collections

Curated evidence collections and hubs this study is part of.

Explore more in the evidence archive

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Questions answered by this study

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

Does MDT nursing model combined with high-fiber dietary intervention improve nutrition score measured by hplp-ii?

Emerging Evidence

MDT nursing model combined with high-fiber dietary intervention appears to improve Nutrition score measured by HPLP-II.

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

Ranked evidence signals

  1. 1

    Nutrition score measured by HPLP-II

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | 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: Jul 2026

Does MDT nursing model combined with high-fiber dietary intervention improve physical activity level (met-minutes per week)?

Emerging Evidence

MDT nursing model combined with high-fiber dietary intervention appears to improve Physical activity level (MET-minutes per week).

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

Ranked evidence signals

  1. 1

    Physical activity level (MET-minutes per week)

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | 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: Jul 2026

Does MDT nursing model combined with high-fiber dietary intervention improve sleep disturbance score measured by pittsburgh sleep quality index?

Emerging Evidence

MDT nursing model combined with high-fiber dietary intervention appears to improve Sleep disturbance score measured by Pittsburgh Sleep Quality Index.

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

Ranked evidence signals

  1. 1

    Sleep disturbance score measured by Pittsburgh Sleep Quality Index

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | 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: Jul 2026

Does MDT nursing model combined with high-fiber dietary intervention improve overall health-promoting lifestyle score measured by hplp-ii?

Emerging Evidence

MDT nursing model combined with high-fiber dietary intervention may worsen Overall health-promoting lifestyle score measured by HPLP-II or be associated with harm.

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

Ranked evidence signals

  1. 1

    Overall health-promoting lifestyle score measured by HPLP-II

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | moderate negative | 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: Jul 2026
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