Conclusion
GDM
GDM, DISEASES
The present study successfully developed a theory-guided and evidence-based physical activity intervention in women with high risk for GDM following the MRC framework. The study results indicate that the developed self-efficacy-enhancing physical activity intervention is both clinically feasible and acceptable to be used by pregnant women with high risk for GDM. Following this pilot study, we are planning to conduct a large RCT to compare the effectiveness of the final version of the intervention with the usual prenatal care in pregnant women at high risk for GDM. Findings from the large RCT are expected to provide the foundation for health policymakers and healthcare providers to shape standardized physical activity monitoring procedures in antenatal care, and then increase physical activity during pregnancy and decrease the burden of non-communicable diseases.