title: Assessing use of a printed lifestyle intervention tool by women with borderline gestational diabetes and their achievement of diet and exercise goals: a descriptive study.
abstract: BACKGROUND
  The purpose of this study is to assess use of a booklet by pregnant women to record and assist dietary and lifestyle changes; to describe diet and exercise goals set during the initial lifestyle discussions; and to assess achievement of goals.
  
  
  METHODS
  Participants were women with borderline gestational diabetes who received a printed pregnancy record booklet, as part of a randomised trial, to record and set monthly goals for diet and exercise. Outcomes included women's use of the booklets and their achievement of dietary and exercise goals after 1 month.
  
  
  RESULTS
  Fifty-six women returned their used pregnancy record booklets and were included in this study. These women set a total of 197 dietary goals and 65 exercise goals. In the first month, over 80% of dietary goals that targeted grains, dairy and overall diet were achieved, but only 20-30% of goals about vegetables, and foods high in fat, sugar and/or salt were achieved. After 1 month, women had achieved 86.4% of their exercise goals to maintain their current level of activity, but only 25.0 % exercise goals to increase walking during pregnancy.
  
  
  CONCLUSIONS
  Women who used pregnancy record booklets reported good achievement rates for goals related to grains, fruits, dairy and overall diet, but they were less likely to be successful in achieving goals to increase intake of vegetables, and limit foods that high in fat, sugar and/or salt. Maintaining an active lifestyle during pregnancy was feasible for women although increases in physical activity were less often achieved. Using a pregnancy record booklet may be helpful in assisting and encouraging behavioural changes, although further investigations of long-term effects and in different populations are warranted.
authors.affiliation: Australian Research Centre for Health of Women and Babies (ARCH), Robinson Research Institute, School of Medicine, Discipline of Obstetrics and Gynaecology, The University of Adelaide, 72 King William Road, North Adelaide, 5006, South Australia, Australia. shan.han@adelaide.edu.au.
authors.forename: Shanshan
authors.initials: S
authors.lastname: Han
authors.affiliation: Australian Research Centre for Health of Women and Babies (ARCH), Robinson Research Institute, School of Medicine, Discipline of Obstetrics and Gynaecology, The University of Adelaide, 72 King William Road, North Adelaide, 5006, South Australia, Australia. philippa.middleton@adelaide.edu.au.|Women's and Children's Health Research Institute, 72 King William Road, North Adelaide, 5006, South Australia, Australia. philippa.middleton@adelaide.edu.au.
authors.forename: Philippa F
authors.initials: PF
authors.lastname: Middleton
authors.affiliation: Garvan Institute of Medical Research, 384 Victoria Street, Darlinghurst, 2010, NSW, Australia. th.tran@garvan.org.au.
authors.forename: Thach S
authors.initials: TS
authors.lastname: Tran
authors.affiliation: Australian Research Centre for Health of Women and Babies (ARCH), Robinson Research Institute, School of Medicine, Discipline of Obstetrics and Gynaecology, The University of Adelaide, 72 King William Road, North Adelaide, 5006, South Australia, Australia. c.crowther@auckland.ac.nz.|Liggins Institute, The University of Auckland, Private Bag 92019 Victoria Street West, West Auckland, 1142, Auckland, New Zealand. c.crowther@auckland.ac.nz.
authors.forename: Caroline A
authors.initials: CA
authors.lastname: Crowther
mesh_terms: D000124:Achievement; D000328:Adult; D016640:Diabetes, Gestational / Q000523:psychology* / Q000628:therapy; D004032:Diet / Q000523:psychology*; D015930:Diet Records; D015444:Exercise / Q000523:psychology*; D005260:Female; D005638:Fruit; D006040:Goals; D055991:Health Records, Personal / Q000523:psychology*; D006801:Humans; D008019:Life Style; D011247:Pregnancy; D014675:Vegetables