CClinicalTrials.gg
Status unknownNCT05204706MyGODDESSUpdated Nov 4, 2022

The MalaYsian GestatiOnal Diabetes and Prevention of DiabetES Study

An interventional study of MyManis app in Gestational Diabetes, GDM and Pregnancy-Induced Diabetes, sponsored by Universiti Putra Malaysia. Status unknown at 3 sites in Malaysia. Open to female participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-11-04.

Sponsored by Universiti Putra Malaysia · Not applicable, Interventional, and Supportive care

The sponsor has not verified this record recently (last verified Nov 2022), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

Gestational diabetes mellitus (GDM) is an increasingly common condition of pregnancy and is associated with adverse foetal, infant, and maternal outcomes. Over 50% of women with history of GDM will develop type 2 diabetes (T2D) in later life. Asian women experience disproportionate risk of both GDM and T2D compared to women from other ethnic groups. Lifestyle interventions have been proven to be effective in preventing progression to T2DM in high-risk populations. This is a two-arm, parallel feasibility RCT. Sixty Malaysian women with GDM will be randomized to receive the intervention or standard care in the antenatal period to 12 months postpartum. The intervention is a diabetes prevention intervention delivered via a smartphone application developed based on the Information-Motivation-Behavioral Skills (IMB) model of behavior change and group support utilizing motivational interviewing, which will provide women with tailored information and support to encourage weight loss through adapted dietary intake and physical activity. Women in the control arm will receive standard care.

Read the detailed description

Gestational diabetes mellitus (GDM) is a global health challenge, with rates increasing around the world. The adverse short and long-term health outcomes of GDM for both mother and their offspring have been well established. In the long-terms women are up to ten times more likely to develop T2D after GDM and approximately 50% of mothers with GDM will develop diabetes within 10 years. Considerable evidence from several landmark studies has shown that healthy lifestyle interventions and behaviour change can delay or even prevent the onset of T2D in high-risk populations. Given women with prior GDM are at high risk of developing T2D earlier in their lifespan than women with normoglycemic pregnancies, intervening early with an effective diabetes prevention intervention offers a unique window of opportunity along the life-course for the prevention of T2D for the mother. Mobile health (mHealth) is a rapidly growing field of public health, defined as the use of mobile phones and other wireless technology to support the achievement of health objectives. Due to the increasing ownership rate of smartphones, significant numbers of mHealth applications 'apps' have been developed. Pregnant and postpartum women are increasingly utilising such technologies as sources of health information and services for pregnancy self-care and infant care.

The overall aim of the RCT is to test the feasibility of undertaking a definitive trial of a diabetes prevention intervention delivered via a smartphone app over 15-months in women with GDM from randomisation in the antenatal period to 12 months postpartum.

Sixty participants will be recruited from three public health clinics within the southern Selangor state of Malaysia. Women will be eligible for recruitment if they meet the following criteria: i) aged above 18 years, ii) diagnosed with GDM defined using fasting blood glucose > 5.1mmol/1 or 2-hour postprandial >7.8mmol/1 which are the standard guidelines for diagnosis of GDM in Malaysia, iii) permanent resident in the state of Selangor, iv) registered in one of the study health clinics v) owning a smartphone (iOS 11 or Android 7), vi) able to speak, read, and understand English and/or Malay. Women will be excluded if they meet any of the following criteria: i) are having a twin pregnancy, ii) have type 1 or 2 diabetes, iii) have severe physical disability that would prevent any increased uptake of physical exercise, iv) have severe mental illness (psychosis, bipolar, substance dependence or active suicidal ideation), v) are currently participating in a weight loss program or diabetes prevention intervention.

Women who meet study inclusion criteria and consent to study participation will be randomised to either the intervention or control arm. The intervention consists of a smartphone app for women with GDM called MyManis (the English meaning of MyManis is 'my sweet (baby)' and a virtual peer support group. The development of the app was guided by the Information-Motivation-Behavioural Skills (IMB) model of behaviour change. The MyManis app aims to provide women with information and support and motivation to act on this information to make lifestyle behaviour changes in diet and physical activity from pregnancy to post-partum. The app is available for women in both Malay and English. Women allocated to the control arm will receive standard care and no digital intervention.

The overall aim of the RCT is to test the feasibility of undertaking a definitive trial of a diabetes prevention intervention including a smartphone app and group support over 15-months in women with GDM from randomization in the antenatal period to 12 months postpartum.

02

Conditions studied

  • Gestational Diabetes
  • GDM
  • Pregnancy-Induced Diabetes
03

In context

Diabetes, Gestational

842 studies on the registry are indexed under Diabetes, Gestational; 198 are open to participants now.

This study's planned enrollment of 60 is below the median of 110 across 550 interventional studies indexed under Diabetes, Gestational.

Browse Diabetes, Gestational studies →

Lead sponsor

Universiti Putra Malaysia is the lead sponsor of 144 studies on the registry; 51 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  • aged above 18 years,
  • diagnosed with GDM defined using fasting blood glucose > 5.1mmol/1 or 2-hour postprandial >7.8mmol/1 which are the standard guidelines for diagnosis of GDM in Malaysia,
  • permanent resident in the state of Selangor,
  • registered in one of the study health clinics
  • owning a smartphone (iOS 11 or Android 7) with internet connection,
  • able to speak, read, and understand English and/or Malay.

Exclusion criteria

Exclusion Criteria:

  • are having a twin pregnancy,
  • have type 1 or 2 diabetes,
  • have severe physical disability that would prevent any increased uptake of physical exercise,
  • have severe mental illness (psychosis, bipolar, substance dependence or active suicidal ideation),
  • are currently participating in a weight loss program or diabetes prevention intervention.
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
60 participants (estimated)

Study arms

  • Active comparator
    Intervention arm

    Women who meet study inclusion criteria and consent to study participation will be randomised using sealed envelope randomisation and online database for clinical trials to one of two groups in a 1:1 ratio.

    Other: MyManis app

  • No intervention
    Control arm

    Women allocated to the control arm will receive standard care and no digital intervention. This includes self-monitoring blood glucose and lifestyle advice (diet, physical activity, optimal body weight) by a multidisciplinary team.

Interventions

  • OtherMyManis app

    The women will receive a brochure outlining the app features and step guide on how to download the app which will be available in both Bahasa Melayu and English languages. A link to download the app via text message will also be sent to participants for convenience. Once the app has been downloaded, participants will be invited to set up an account. Once completed this will give them full access to the MyManis app. The key component of MyManis app content presented under six main tabs which are homepage, information, diet, exercise, wellbeing and GDM monitoring. The women will be invited to join group peer support through WhatsApp facilitated by a dietitian trained in motivational interviewing. The women will be notified via text message if an update of the app is required. If there's women who have not accessed the app for over a two-week period will be flagged and a notification will be sent via the app to motivate app engagement.

06

What researchers measure

Primary outcomes

  1. Number of women who were randomised to the treatment groups.

    The proportion of women who were randomised (numerator) out of those identified from the clinical registers (study population as denominator)

    Time frame: Collected antenatally at 30 weeks pregnancy

  2. Number of women that take up the intervention

    The proportion of women who take up the intervention (numerator) out of those in the intervention arm (denominator)

    Time frame: Collected antenatally at 36 weeks pregnancy

  3. Number of women that take up the intervention

    The proportion of women who take up the intervention (numerator) out of those in the intervention arm (denominator)

    Time frame: Collected antenatally at 6 months after delivery.

  4. Number of women that take up the intervention

    The proportion of women who take up the intervention (numerator) out of those in the intervention arm (denominator)

    Time frame: Collected antenatally at 12 months after delivery.

  5. Number of women withdrawn or loss to follow up

    The proportion of women who are withdrawn or lost to follow-up (numerator) out of those randomised (denominator)

    Time frame: Collected antenatally at 36 weeks pregnancy

  6. Number of women withdrawn or loss to follow up

    The proportion of women who are withdrawn or lost to follow-up (numerator) out of those randomised (denominator)

    Time frame: Collected antenatally at 3 months after delivery

  7. Number of women withdrawn or loss to follow up

    The proportion of women who are withdrawn or lost to follow-up (numerator) out of those randomised (denominator)

    Time frame: Collected antenatally at 6 months after delivery

  8. Number of women withdrawn or loss to follow up

    The proportion of women who are withdrawn or lost to follow-up (numerator) out of those randomised (denominator)

    Time frame: Collected antenatally at 9 months after delivery

  9. Number of women withdrawn or loss to follow up

    The proportion of women who are withdrawn or lost to follow-up (numerator) out of those randomised (denominator)

    Time frame: Collected antenatally at 12 months after delivery

Secondary outcomes

  1. Number of women consented

    The proportion of women who give consent for screening eligibility (numerator) out of those identified from clinical registers (denominator)

    Time frame: Collected antenatally at 24-28 weeks pregnancy

  2. Number of women randomised

    The proportion of women who were randomised (numerator) out of those eligible to participate (denominator)

    Time frame: Collected antenatally at 24-28 weeks pregnancy

  3. Number of women completed the secondary outcomes

    The proportion of those who completed the secondary outcomes at follow-up (numerator) out of those randomised (denominator)

    Time frame: Collected antenatally at 36 weeks pregnancy

  4. Number of women completed the secondary outcomes

    The proportion of those who completed the secondary outcomes at follow-up (numerator) out of those randomised (denominator)

    Time frame: Collected antenatally at 3 months after delivery

  5. Number of women completed the secondary outcomes

    The proportion of those who completed the secondary outcomes at follow-up (numerator) out of those randomised (denominator)

    Time frame: Collected antenatally at 6 months after delivery

  6. Number of women completed the secondary outcomes

    The proportion of those who completed the secondary outcomes at follow-up (numerator) out of those randomised (denominator)

    Time frame: Collected antenatally at 9 months after delivery

  7. Number of women completed the secondary outcomes

    The proportion of those who completed the secondary outcomes at follow-up (numerator) out of those randomised (denominator)

    Time frame: Collected antenatally at 12 months after delivery

  8. Number of women randomised

    The number of women randomised per month overall, and per month per study site.

    Time frame: Collected antenatally at 30 weeks pregnancy

Other outcomes

  1. Body weight at T0

    Weight (kg)

    Time frame: Collected antenatally at T0: 30 weeks pregnancy

  2. Body weight at T1

    Weight (kg)

    Time frame: Collected antenatally at T1: 36 weeks pregnancy

  3. Body weight at T2

    Weight (kg)

    Time frame: Collected antenatally at T2: 3 months after delivery

  4. Body weight at T3

    Weight (kg)

    Time frame: Collected antenatally at T3: 6 months after delivery

  5. Body weight at T4

    Weight (kg)

    Time frame: Collected antenatally at T4: 9 months after delivery

  6. Body weight at T5

    Weight (kg)

    Time frame: Collected antenatally at T5: 12 months after delivery

  7. Height at T0

    measured for 1 time only (in centimetres, cm)

    Time frame: Collected antenatally at T0: 30 weeks pregnancy

  8. Body mass index at T0

    calculated as body weight divided by (heightxheight) (kg/m\^2)

    Time frame: Collected antenatally at T0: 30 weeks pregnancy

  9. Body mass index at T1

    calculated as body weight divided by (heightxheight) (kg/m\^2)

    Time frame: Collected antenatally at T1: 36 weeks pregnancy

  10. Body mass index at T2

    calculated as body weight divided by (heightxheight) (kg/m\^2)

    Time frame: Collected antenatally at T2: 3 months after delivery

  11. Body mass index at T3

    calculated as body weight divided by (heightxheight) (kg/m\^2)

    Time frame: Collected antenatally at T3: 6 months after delivery

  12. Body mass index at T4

    calculated as body weight divided by (heightxheight) (kg/m\^2)

    Time frame: Collected antenatally at T4: 9 months after delivery

  13. Body mass index at T5

    calculated as body weight divided by (heightxheight) (kg/m\^2)

    Time frame: Collected antenatally at T5: 12 months after delivery

  14. Body fat percentage at T0

    Body fat percentage reported in % (to 1 decimal point)

    Time frame: Collected antenatally at T0: 30 weeks pregnancy

  15. Body fat percentage at T1

    Body fat percentage reported in % (to 1 decimal point)

    Time frame: Collected antenatally at T1: 36 weeks pregnancy

  16. Body fat percentage at T2

    Body fat percentage reported in % (to 1 decimal point)

    Time frame: Collected antenatally at T2: 3 months after delivery

  17. Body fat percentage at T3

    Body fat percentage reported in % (to 1 decimal point)

    Time frame: Collected antenatally at T3: 6 months after delivery

  18. Body fat percentage at T4

    Body fat percentage reported in % (to 1 decimal point)

    Time frame: Collected antenatally at T4: 9 months after delivery

  19. Body fat percentage at T5

    Body fat percentage reported in % (to 1 decimal point)

    Time frame: Collected antenatally at T5: 12 months after delivery

  20. Blood pressure reading at T0

    measure systolic and diastolic blood pressure (mmHg)

    Time frame: Collected antenatally at T0: 30 weeks pregnancy

  21. Blood pressure reading at T1

    measure systolic and diastolic blood pressure (mmHg)

    Time frame: Collected antenatally at T1: 36 weeks pregnancy

  22. Blood pressure reading at T3

    measure systolic and diastolic blood pressure (mmHg)

    Time frame: Collected antenatally at T3: 6 months after delivery

  23. Blood pressure reading at T5

    measure systolic and diastolic blood pressure (mmHg)

    Time frame: Collected antenatally at T5: 12 months after delivery

  24. Total Cholestrol at T0

    Total Cholestrol (mmol/L)

    Time frame: Collected antenatally at T0: 30 weeks pregnancy

  25. Total Cholestrol at T1

    Total Cholestrol (mmol/L)

    Time frame: Collected antenatally at T1: 36 weeks pregnancy

  26. Total Cholestrol at T3

    Total Cholestrol (mmol/L)

    Time frame: Collected antenatally at T3: 6 months after delivery

  27. Total Cholestrol at T5

    Total Cholestrol (mmol/L)

    Time frame: Collected antenatally at T5: 12 months after delivery

  28. Low Density Lipoprotein Cholestrol at T0

    Low Density Lipoprotein Cholestrol, LDL (mmol/L)

    Time frame: Collected antenatally at T0: 30 weeks pregnancy

  29. Low Density Lipoprotein Cholestrol at T1

    Low Density Lipoprotein Cholestrol, LDL (mmol/L)

    Time frame: Collected antenatally at T1: 36 weeks pregnancy

  30. Low Density Lipoprotein Cholestrol at T3

    Low Density Lipoprotein Cholestrol, LDL (mmol/L)

    Time frame: Collected antenatally at T3: 6 months after delivery

  31. Low Density Lipoprotein Cholestrol at T5

    Low Density Lipoprotein Cholestrol, LDL (mmol/L)

    Time frame: Collected antenatally at T5: 12 months after delivery

  32. High Density Lipoprotein cholesterol at T0

    High Density Lipoprotein cholesterol, HDL (mmol/L)

    Time frame: Collected antenatally at T0: 30 weeks pregnancy

  33. High Density Lipoprotein cholesterol at T1

    High Density Lipoprotein cholesterol, HDL (mmol/L)

    Time frame: Collected antenatally at T1: 36 weeks pregnancy

  34. High Density Lipoprotein cholesterol at T3

    High Density Lipoprotein cholesterol, HDL (mmol/L)

    Time frame: Collected antenatally at T3: 6 months after delivery

  35. High Density Lipoprotein cholesterol at T5

    High Density Lipoprotein cholesterol, HDL (mmol/L)

    Time frame: Collected antenatally at T5: 12 months after delivery

  36. HbA1c at T0

    HbA1c (%)

    Time frame: Collected antenatally at T0: 30 weeks pregnancy

  37. HbA1c at T1

    HbA1c (%)

    Time frame: Collected antenatally at T1: 36 weeks pregnancy

  38. HbA1c at T3

    HbA1c (%)

    Time frame: Collected antenatally at T3: 6 months after delivery

  39. HbA1c at T5

    HbA1c (%)

    Time frame: Collected antenatally at T5: 12 months after delivery

  40. Fasting blood glucose at T0

    Fasting blood glucose (mmol/l)

    Time frame: Collected antenatally at T0: 30 weeks pregnancy

  41. Fasting blood glucose at T1

    Fasting blood glucose (mmol/l)

    Time frame: Collected antenatally at T1: 36 weeks pregnancy

  42. Oral glucose tolerance test (OGTT) Fasting at T3

    Oral glucose tolerance test (OGTT) Fasting (mmol/l)

    Time frame: Collected antenatally at T3: 6 months after delivery

  43. Oral glucose tolerance test (OGTT) Fasting at T5

    Oral glucose tolerance test (OGTT) Fasting (mmol/l)

    Time frame: Collected antenatally at T5: 12 months after delivery

  44. Oral glucose tolerance test (OGTT) 2-hour Postprandial at T3

    Oral glucose tolerance test (OGTT) 2-hour Postprandial (mmol/l)

    Time frame: Collected antenatally at T3: 6 months after delivery

  45. Oral glucose tolerance test (OGTT) 2-hour Postprandial at T5

    Oral glucose tolerance test (OGTT) 2-hour Postprandial (mmol/l)

    Time frame: Collected antenatally at T5: 12 months after delivery

  46. Fasting Serum Insulin at T0

    Fasting Serum Insulin (U/mL)

    Time frame: Collected antenatally at T0: 30 weeks pregnancy

  47. Fasting Serum Insulin at T1

    Fasting Serum Insulin (U/mL)

    Time frame: Collected antenatally at T1: 36 weeks pregnancy

  48. Fasting Serum Insulin at T3

    Fasting Serum Insulin (U/mL)

    Time frame: Collected antenatally at T3: 6 months after delivery

  49. Fasting Serum Insulin at T5

    Fasting Serum Insulin (U/mL)

    Time frame: Collected antenatally at T5: 12 months after delivery

  50. Insulin resistance at T0

    Insulin resistance (HOMA-IR)

    Time frame: Collected antenatally at T0: 30 weeks pregnancy

  51. Insulin resistance at T1

    Insulin resistance (HOMA-IR)

    Time frame: Collected antenatally at T1: 36 weeks pregnancy

  52. Insulin resistance at T3

    Insulin resistance (HOMA-IR)

    Time frame: Collected antenatally at T3: 6 months after delivery

  53. Insulin resistance at T5

    Insulin resistance (HOMA-IR)

    Time frame: Collected antenatally at T5: 12 months after delivery

  54. Total score for Self-efficacy for exercise at T0

    This scale consist of 18 items whereby the response options are ranging from 0-100, ranging in 10-unit intervals from 0 (cannot do); through intermediate degrees of assurance, 50 (moderately certain can do); to complete assurance, 100 (highly certain can do). The scale is scored by summing the numerical ratings for each response and dividing by the number of responses. Higher scores indicates higher self-efficacy for exercise.

    Time frame: Collected at T0: 30 weeks pregnancy

  55. Total score for Self-efficacy for exercise at T3

    This scale consist of 18 items whereby the response options are ranging from 0-100, ranging in 10-unit intervals from 0 (cannot do); through intermediate degrees of assurance, 50 (moderately certain can do); to complete assurance, 100 (highly certain can do). The scale is scored by summing the numerical ratings for each response and dividing by the number of responses. Higher scores indicates higher self-efficacy for exercise.

    Time frame: Collected at T3: 6 months after delivery

  56. Total score for Self-efficacy for exercise at T5

    This scale consist of 18 items whereby the response options are ranging from 0-100, ranging in 10-unit intervals from 0 (cannot do); through intermediate degrees of assurance, 50 (moderately certain can do); to complete assurance, 100 (highly certain can do). The scale is scored by summing the numerical ratings for each response and dividing by the number of responses. Higher scores indicates higher self-efficacy for exercise.

    Time frame: Collected at T5: 12 months after delivery

  57. Mother-infant relationship at T0

    The mother-infant relationship will be assessed using the Maternal Antenatal Attachment Scale which comprises 19 items with response options presented on a 5-point Likert scale. A total score is obtained by summing the responses to the 19 items, resulting in a possible scoring range of 19 to 95. Higher scores are indicative of stronger attachment.

    Time frame: Collected at 30 weeks pregnancy

  58. Mother-infant relationship at T3

    The mother-infant relationship will be assessed using the Maternal Antenatal Attachment Scale which comprises 19 items with response options presented on a 5-point Likert scale. A total score is obtained by summing the responses to the 19 items, resulting in a possible scoring range of 19 to 95. Higher scores are indicative of stronger attachment.

    Time frame: Collected at 6 months after delivery

  59. Mother-infant relationship at T5

    The mother-infant relationship will be assessed using the Maternal Antenatal Attachment Scale which comprises 19 items with response options presented on a 5-point Likert scale. A total score is obtained by summing the responses to the 19 items, resulting in a possible scoring range of 19 to 95. Higher scores are indicative of stronger attachment.

    Time frame: Collected at 12 months after delivery

  60. Depressive symptoms at T0

    The questionnaire consist of 10 items. Add up all checked (Tick) boxes on PHQ-9. For every tick boxes: the score indicated is as below: 0= Not at all; 1=Several days; 2=More than half the days; 3=Nearly every day. Then add the subtotal to produce a total score. The possible range score is 0-27.

    Time frame: Collected at T0: 30 weeks pregnancy

  61. Depressive symptoms at T3

    The questionnaire consist of 10 items. Add up all checked (Tick) boxes on PHQ-9. For every tick boxes: the score indicated is as below: 0= Not at all; 1=Several days; 2=More than half the days; 3=Nearly every day. Then add the subtotal to produce a total score. The possible range score is 0-27.

    Time frame: Collected at T3: 6 months after delivery

  62. Depressive symptoms at T5

    The questionnaire consist of 10 items. Add up all checked (Tick) boxes on PHQ-9. For every tick boxes: the score indicated is as below: 0= Not at all; 1=Several days; 2=More than half the days; 3=Nearly every day. Then add the subtotal to produce a total score. The possible range score is 0-27.

    Time frame: Collected at T5: 12 months after delivery

  63. Dietary intake at T0

    Total macronutrient intake from standardised multiple-pass 24-hour dietary recall)

    Time frame: Collected at T0: 30 weeks pregnancy

  64. Dietary intake at T3

    Total macronutrient intake from standardised multiple-pass 24-hour dietary recall)

    Time frame: Collected at T3: 6 months after delivery

  65. Dietary intake at T5

    Total macronutrient intake from standardised multiple-pass 24-hour dietary recall)

    Time frame: Collected at T5: 12 months after delivery

  66. Physical activity at T0

    The questionnaire consist of 7 items. The total score will be reported as a continuous measure and reported as median METminutes. Median values can be computed for walking (W), moderate-intensity activities (M), and vigorous-intensity activities (V) using the following formulas: MET values and Formula for computation of Met-minutes Walking MET-minutes/week = 3.3 \* walking minutes \* walking days Moderate MET-minutes/week = 4.0 \* moderate-intensity activity minutes \* moderate days Vigorous MET-minutes/week = 8.0 \* vigorous-intensity activity minutes \* vigorous-intensity days A combined total physical activity MET-min/week can be computed as the sum of Walking + Moderate + Vigorous MET-min/week scores.

    Time frame: Collected at T0: 30 weeks pregnancy

  67. Physical activity at T3

    The questionnaire consist of 7 items. The total score will be reported as a continuous measure and reported as median METminutes. Median values can be computed for walking (W), moderate-intensity activities (M), and vigorous-intensity activities (V) using the following formulas: MET values and Formula for computation of Met-minutes Walking MET-minutes/week = 3.3 \* walking minutes \* walking days Moderate MET-minutes/week = 4.0 \* moderate-intensity activity minutes \* moderate days Vigorous MET-minutes/week = 8.0 \* vigorous-intensity activity minutes \* vigorous-intensity days A combined total physical activity MET-min/week can be computed as the sum of Walking + Moderate + Vigorous MET-min/week scores.

    Time frame: Collected at T3: 6 months after delivery

  68. Physical activity at T5

    The questionnaire consist of 7 items. The total score will be reported as a continuous measure and reported as median METminutes. Median values can be computed for walking (W), moderate-intensity activities (M), and vigorous-intensity activities (V) using the following formulas: MET values and Formula for computation of Met-minutes Walking MET-minutes/week = 3.3 \* walking minutes \* walking days Moderate MET-minutes/week = 4.0 \* moderate-intensity activity minutes \* moderate days Vigorous MET-minutes/week = 8.0 \* vigorous-intensity activity minutes \* vigorous-intensity days A combined total physical activity MET-min/week can be computed as the sum of Walking + Moderate + Vigorous MET-min/week scores.

    Time frame: Collected at T5: 12 months after delivery

  69. mean step count at T0

    Number of steps in inbuild smartphone app

    Time frame: Collected at T0: 30 weeks pregnancy

  70. mean step count at T3

    Number of steps in inbuild smartphone app

    Time frame: Collected at T3: 6 months after delivery

  71. mean step count at T5

    Number of steps in inbuild smartphone app

    Time frame: Collected at T5: 12 months after delivery

  72. Infant feeding T3

    Type of feeding status

    Time frame: Collected at T3: 6 months after delivery

  73. Infant feeding at T5

    Type of feeding status

    Time frame: Collected at T5: 12 months after delivery

  74. Alcohol intake at T0

    Frequency of intake

    Time frame: Collected at T0: 30 weeks pregnancy

  75. Alcohol intake at T3

    Frequency of intake

    Time frame: Collected at T3: 6 months after delivery

  76. Alcohol intake at T5

    Frequency of intake

    Time frame: Collected at T5: 12 months after delivery

  77. Smoking status at T0

    type of smoker

    Time frame: Collected at T0: 30 weeks pregnancy

  78. Smoking status at T3

    type of smoker

    Time frame: Collected at T3: 6 months after delivery

  79. Smoking status at T5

    type of smoker

    Time frame: Collected at T5: 12 months after delivery

  80. Recruitment rate

    number of eligible, consented, screened, enrolled, and randomised

    Time frame: Collected at 30 weeks pregnancy

  81. T1 Dosage delivered - app download

    The number of MyManis app delivered by the researcher and the number of app downloads (n) by the participant.

    Time frame: Collected at T1: 36 weeks pregnancy

  82. T3 Dosage delivered - app download

    The number of MyManis app delivered by the researcher and the number of app downloads (n) by the participant.

    Time frame: Collected at T3: 6 months after delivery

  83. T5 Dosage delivered - app download

    The number of MyManis app delivered by the researcher and the number of app downloads (n) by the participant.

    Time frame: Collected at T5: 12 months after delivery

  84. T1 Dosage delivered - Support group

    Total number of group support sessions (n) planned to deliver by the dietitian train in motivational interviewing.

    Time frame: Collected at T1: 36 weeks pregnancy

  85. T3 Dosage delivered - Support group

    Total number of group support sessions (n) planned to deliver by the dietitian train in motivational interviewing.

    Time frame: Collected at T3: 6 months after delivery

  86. T5 Dosage delivered - Support group

    Total number of group support sessions (n) planned to deliver by the dietitian train in motivational interviewing.

    Time frame: Collected at T5: 12 months after delivery

  87. T1 Dosage received - Participant's engagement

    The number of participant log into MyManis app per month (n)

    Time frame: Collected at T1: 36 weeks pregnancy

  88. T3 Dosage received - Participant's engagement

    The number of participant log into MyManis app per month (n)

    Time frame: Collected at T3: 6 months after delivery

  89. T5 Dosage received - Participant's engagement

    The number of participant log into MyManis app per month (n)

    Time frame: Collected at T5: 12 months after delivery

  90. T1 Dosage received - length of log in

    This is an extent to which participant's engagement through length of participant log into MyManis app (hours and minutes)

    Time frame: Collected at T1: 36 weeks pregnancy

  91. T3 Dosage received - length of log in

    This is an extent to which participant's engagement through length of participant log into MyManis app (hours and minutes)

    Time frame: Collected at T3: 6 months after delivery

  92. T5 Dosage received - length of log in

    This is an extent to which participant's engagement through length of participant log into MyManis app (hours and minutes)

    Time frame: Collected at T5: 12 months after delivery

  93. T1 Dosage received - time spent on DIET component

    Participant time spent on DIET component (hours and minutes)

    Time frame: Collected at T1: 36 weeks pregnancy

  94. T1 Dosage received - time spent on EXERCISE component

    Participant time spent on EXERCISE component (hours and minutes)

    Time frame: Collected at T1: 36 weeks pregnancy

  95. T1 Dosage received - time spent on MENTAL HEALTH component

    Participant time spent on MENTAL HEALTH component (hours and minutes)

    Time frame: Collected at T1: 36 weeks pregnancy

  96. T3 Dosage received - time spent on DIET component

    Time spent on DIET component (hours and minutes)

    Time frame: Collected at T3: 6months after delivery

  97. T3 Dosage received - time spent on EXERCISE component

    Time spent on EXERCISE component (hours and minutes)

    Time frame: Collected at T3: 6months after delivery

  98. T3 Dosage received - time spent on MENTAL HEALTH component

    Time spent on MENTAL HEALTH component (hours and minutes)

    Time frame: Collected at T3: 6months after delivery

  99. T5 Dosage received - time spent on DIET component

    Time spent on DIET component (hours and minutes)

    Time frame: Collected at T5: 12 months after delivery

  100. T5 Dosage received - time spent on EXERCISE component

    Time spent on EXERCISE component (hours and minutes)

    Time frame: Collected at T5: 12 months after delivery

  101. T5 Dosage received - time spent on MENTAL HEALTH component

    Time spent on MENTAL HEALTH component (hours and minutes)

    Time frame: Collected at T5: 12 months after delivery

  102. Fidelity at T1

    This is an assessment of the researcher in the team to check on the research dietitian's in delivering group support according to a pre-specified plan. This will be reported descriptively.

    Time frame: collected at T1: 36 weeks pregnancy

  103. Fidelity at T3

    This is an assessment of the researcher in the team to check on the research dietitian's in delivering group support according to a pre-specified plan. This will be reported descriptively.

    Time frame: collected at T3: 6 months after delivery

  104. Fidelity at T5

    This is an assessment of the researcher in the team to check on the research dietitian's in delivering group support according to a pre-specified plan. This will be reported descriptively.

    Time frame: collected at T5: 12 months after delivery

  105. Semi-structured interview at T1

    Interviews on participant experiences and satisfaction towards the intervention

    Time frame: Collected at T1: 36 weeks pregnancy

  106. Semi-structured interview at T3

    Interviews on participant experiences and satisfaction towards the intervention

    Time frame: Collected at T3: 6 months after delivery

  107. Semi-structured interview at T5

    Interviews on participant experiences and satisfaction towards the intervention

    Time frame: Collected at T5: 12 months after delivery

  108. Mother infant relationship at T2

    3-minutes video recording captured through Zoom and coded based on the CARE-INDEX

    Time frame: Collected at T2: 3 months after delivery

  109. Satisfaction survey at T5

    acceptability, experience and perceived usefulness of the project

    Time frame: Collected at T5: 12 months after delivery

  110. Hypertension

    This is a diagnosis by the clinic and reported in the record from anytime after delivery to 3 months postpartum.

    Time frame: Collected at T2: 3 months postpartum

  111. Hypercholesterolemia

    This is a diagnosis by the clinic and reported in the record from anytime after delivery to 3 months postpartum.

    Time frame: Collected at T2: 3 months postpartum

  112. Delivery method

    This is reported in the record from anytime after delivery to 3 months postpartum.

    Time frame: Collected at T2: 3 months postpartum

  113. Pregnancy complications

    This is reported in the record from anytime after delivery to 3 months postpartum.

    Time frame: Collected at T2: 3 months postpartum

  114. Birth complications

    This is reported in the record from anytime after delivery to 3 months postpartum.

    Time frame: Collected at T2: 3 months postpartum

  115. Breastfeeding status on discharge

    This is reported in the record from anytime after delivery to 3 months postpartum.

    Time frame: Collected at T2: 3 months postpartum

  116. Neonatal birth weight

    This is reported in the record from anytime after delivery to 3 months postpartum.

    Time frame: Collected at T2: 3 months postpartum

  117. Neonatal APGAR score 5 minutes

    This is reported in the record from anytime after delivery to 3 months postpartum.

    Time frame: Collected at T2: 3 months postpartum

  118. Congenital anomaly

    This is reported in the record from anytime after delivery to 3 months postpartum.

    Time frame: Collected at T2: 3 months postpartum

  119. Congenital pnuemonia / heart defects

    This is reported in the record from anytime after delivery to 3 months postpartum.

    Time frame: Collected at T2: 3 months postpartum

  120. Admission to neonatal intensive care

    This is reported in the record from anytime after delivery to 3 months postpartum.

    Time frame: Collected at T2: 3 months postpartum

  121. Length of stay at the hospital ward

    This is reported in the record from anytime after delivery to 3 months postpartum.

    Time frame: Collected at T2: 3 months postpartum

07

Study locations

3 of 3 sites recruiting
  • Klinik Kesihatan Puchong Batu 14
    Petaling Jaya, Selangor 47100, Malaysia
    • Haslinda Hassan · Contact · lynn_nidz@yahoo.com.my · 0122146257
    • Atikah Mohamed Basri · Contact · 0134495057
    Recruiting
  • Klinik Kesihatan Seri Kembangan
    Seri Kembangan, Selangor 43300, Malaysia
    • Ziti Akthar Supian · Contact · zitisupian@gmail.com · 0136813478
    • Fadzilah Abd Rahman · Contact · 0192257783
    Recruiting
  • Klinik Kesihatan Putrajaya Presint 9
    Putrajaya, Wilayah Persekutuan 62250, Malaysia
    Recruiting
08

References and documents

Publications

  • Mohd Sa'id, I. I., Papachristou Nadal, I., Forbes, A., Goldsmith, K., Ismail, I. Z., Hassan, F., Ching, S. M., Guess, N., Murphy, H., Prina, M., Mohd Yusoff, B. N., Basri, N. I., Binti Salim, M. S., Mahamad Sobri, N. H., Har Yap, P. P., Ismail, K., & Chew, B. H. (2021). A Protocol of Process Evaluations of Interventions for the Prevention of Type 2 Diabetes in Women With Gestational Diabetes Mellitus: A Systematic Review. International Journal of Qualitative Methods, 20. https://doi.org/10.1177/16094069211034010
  • Sobri NHM, Ismail IZ, Hassan F, Papachristou Nadal I, Forbes A, Ching SM, Ali H, Goldsmith K, Murphy H, Guess N, Mohd Yusof BN, Basri NI, Salim MS, Azmiyaty C, Mohd Sa'id II, Chew BH, Ismail K; MYGODDESS Project Team. Protocol for a qualitative study exploring the perception of need, importance and acceptability of a digital diabetes prevention intervention for women with gestational diabetes mellitus during and after pregnancy in Malaysia (Explore-MYGODDESS). BMJ Open. 2021 Aug 26;11(8):e044878. doi: 10.1136/bmjopen-2020-044878. PubMed 34446477 ↗
  • Benton M, Iman I, Goldsmith K, Forbes A, Ching SM, Papachristou Nadal I, Guess N, Murphy HR, Mohd Yusof BN, Baharom A, Mahamad Sobri NH, Basri NI, Salim MS, Ismail IZ, Hassan F, Ismail K, Chew BH. A Mobile Phone App for the Prevention of Type 2 Diabetes in Malaysian Women With Gestational Diabetes Mellitus: Protocol for a Feasibility Randomized Controlled Trial. JMIR Res Protoc. 2022 Sep 8;11(9):e37288. doi: 10.2196/37288. PubMed 36074545 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 4, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05204706
Lead sponsor
Universiti Putra Malaysia
Collaborators
King's College London, Ministry of Education, Malaysia, Ministry of Health, Malaysia
Responsible party
Boon-How Chew (Principal Investigator, Universiti Putra Malaysia) — Principal investigator
First posted
Jan 24, 2022
Start date
Jan 24, 2022
Primary completion
Apr 2023 (estimated)
Completion
Apr 2023 (estimated)
Last update
Nov 4, 2022

Study contacts

BOON HOW CHEW
Contact
chewboonhow@upm.edu.my
0126900652
IKLIL IMAN MOHD SA'ID
Contact
iklil17493@gmail.com
BOON HOW CHEW
principal investigator · Universiti Putra Malaysia
KHALIDA ISMAIL
principal investigator · King's College London

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is status unknown, as verified in Nov 2022. You cannot join it, but the record below documents what was studied.

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