Table 1.
Outcome variable | Data source | Collection timepoint | ||||||||||
|
|
Baseline | 36-38 weeks gestation | Delivery | 6-weeks post partum | |||||||
Maternal outcomes | ||||||||||||
|
Fasting and 2-hour blood glucose | Medical record | ✓ |
|
|
✓ | ||||||
|
Gestational weight gain | Medical record |
|
|
✓ |
|
||||||
|
Glucose readings during gestation | GDM-DHa app and medical record (intervention group); medical record (standard care group) |
|
|
✓ |
|
||||||
|
Initiation of insulin therapy | Medical record |
|
|
✓ |
|
||||||
|
Induction of labor | Medical record |
|
|
✓ |
|
||||||
|
Cesarean delivery | Medical record |
|
|
✓ |
|
||||||
Neonatal outcomes | ||||||||||||
|
Birth weight | Medical record |
|
|
✓ |
|
||||||
|
Apgar score | Medical record |
|
|
✓ |
|
||||||
|
NICUb admission | Medical record |
|
|
✓ |
|
||||||
|
Neonatal hypoglycemia | Medical record |
|
|
✓ |
|
||||||
Usability and acceptability outcomes | ||||||||||||
|
Oxford Maternity Diabetes Treatment Satisfaction Questionnaire [56] | Survey (self-report) |
|
✓ |
|
|
||||||
Variables measured in the intervention group only | ||||||||||||
|
App usage | GDM-DH app |
|
|
|
|
||||||
|
|
Time spent on the app |
|
|
|
|
✓ | |||||
|
Self-monitoring compliance (observed vs expected number of entries) | GDM-DH app |
|
|
|
|
||||||
|
|
Carbohydrate intake |
|
|
|
|
✓ | |||||
|
|
Blood glucose entries |
|
|
|
|
|
|||||
|
|
Blood pressure entries |
|
|
|
|
|
|||||
|
|
Weight entries |
|
|
|
|
|
|||||
|
mHealthc App Usability Questionnaire [57] | Survey (self-report) |
|
✓ |
|
|
||||||
|
System Usability Scale [54] | Survey (self-report) |
|
✓ |
|
|
||||||
Covariates | ||||||||||||
|
Sociodemographics | Survey (self-report) | ✓ |
|
|
|
||||||
|
Prepregnancy weight | Survey (self-report) | ✓ |
|
|
|
aGDM-DH: gestational diabetes mellitus-Dhulikhel Hospital.
bNICU: neonatal intensive care unit.
cmHealth: mobile health.