Trial reportBMC pregnancy and childbirth2025
Effect of stress management based self-care counseling on glycemic control in women with gestational diabetes mellitus: a randomized controlled trial study.
Trial report in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The impact of maternal depression during pregnancy on the risk of gestational diabetes mellitus: a meta-analysis.Frontiers in endocrinology · 2025Pooled it
- The effect of mental health-based self-care model counseling on anxiety and depression in women with gestational diabetes: a randomized clinical trial.BMC psychiatry · 2025Trial
- The Effect of Self-Care Model Counseling Based on Mental Health on Anxiety and Depression of Women With Gestational Diabetes: A Study Protocol of a Randomized Clinical Trial.Health science reports · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStress plays an important role in the consequences of gestational diabetes mellitus [GDM]. It is possible to make a change in the lifestyle by providing counseling in the field of self-care based on stress management in order to avoid the adverse consequences of GDM. Therefore, the present study was designed and implemented with the aim of determining the effect of self-care counseling based on stress management on blood sugar control in women with GDM.
methodsA randomized trial with two parallel arms was conducted involving 75 pregnant women diagnosed with GDM at 20-30 weeks of gestation, who were referred to Shohada Hospital in Behshahr city from July 2022 to March 2023. The women with GDM were divided into two groups for intervention and control through random block allocation. The intervention group received 8 virtual counseling sessions once a week for 45-50 min continuously based on stress management, while the control group only received antenatal usual care (AUC). The data were measured before and after the intervention using Fasting Blood Sugar [FBS] and HbA1c (glycated hemoglobin) tests, SDSCA [summary of diabetes self-care activities, NuPDQ‑17 [Prenatal Distress Questionnaire]and DASS [stress, depression and anxiety] questionnaires.
resultsThe mean FBS in the intervention group were significantly lower than the control group after the intervention (P < 0.001, η2 = 0.49). The HbA1c level was lower in the intervention group than in the control group, but not statistically significant (P = 0.078). The mean score of SDSCA after counseling in the intervention group was significantly higher than the control group (P < 0.001, η2 = 0.79). Also, the NuPDQ-17 after counseling in the intervention group was significantly lower than the control group (P < 0.001, η2 = 0.67). Moreover, the mean scores of the depression (P < 0.001, η2 = 0.82), anxiety (P < 0.001, η2 = 0.67) and stress (P < 0.001, η2 = 0.77) were significantly lower in the intervention group than in the control group.
conclusionStress management-based self-care counseling to prenatal usual care could be considered as an adjunctive care option for reducing on blood sugar and increasing the self-care activities of pregnant women with gestational diabetes and reducing their stress during pregnancy.
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