The Effects of a Health Behavior Promotion Program on Gestational Diabetes Mellitus Among Pregnant Women with Potential Risks


  • Tassaneewan Krungsaenmuang
  • Somporn Wattananukulkiat


health behavior promotion program, gestational diabetes mellitus, pregnant women with potential risks


There are a limited number of studies related to the promotion of health behaviors among pregnant women with potential risks for gestational diabetes mellitus (GDM) in Thailand. This randomized controlled trial aimed to investigate the effects of a Health Behavior Promotion Program (the HBPP) on health behavior and the incidence of GDM among pregnant women at potential risk for GDM. Participants were 108 pregnant women meeting the selection criteria, who were assigned to either the comparison or experimental group using stratified randomization with random permuted blocks within strata. The comparison group (n = 53) were provided with standard care, while the experimental group (n = 55) were provided with standard care and participated in the HBPP. Data were collected by using their demographic records, the Health Behavior of Pregnant Women with Potential Risks of GDM questionnaire (α = .83), and their clinical information records. The data were analyzed by using descriptive statistics, chi-squares, and t-tests. The results revealed that, after participating in the program, the mean score for the overall health behaviors of the pregnant women had increased statistically and significantly, t(54) = 12.213, p < .001, d = 0.88. The participant group’s mean score was also higher than that of the comparison group’s mean score, t(106) = 4.861, p < .01, d = 0.86. Moreover, we found that the women who had participated in the program had a statistically significant higher ratio of having adequate weight gain during pregnancy than the comparison group, X2(1, N = 108) = 3.077, p = .039 and a lower ratio of incidence for GDM, X2(1, N = 108) = 4.102, p = .021. In conclusion, the HPBB enhances appropriate health behavior among pregnant women with potential risks for GDM and adequate weight gain, while reducing the incidence of GDM. Therefore, employing the program for this group of pregnant women is recommended.


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