Maintaining a healthy lifestyle behaviors and quality of sleep based on the PRECEDE-PROCEED model among women with gestational diabetes in Jordan: A quasi-experimental study.

BACKGROUND

Continuous educational programs based on the PRECEDE-PROCEED model are recommended for women with gestational diabetes to improve their knowledge and awareness of the condition. These programs should address individual, organizational, and healthcare-related factors.

OBJECTIVES

This research aimed to evaluate the effect of a nursing approach based on the PRECEDE-PROCEED model on health behaviors and sleep quality among women with gestational diabetes.

DESIGN

This study is a quasi-experimental research (pre-posttest design for control and study groups).

METHODS

This study includes a purposive sample of 90 pregnant women. This study was carried out in obstetrics and gynecology outpatient clinic at Al-Basheer hospital in Jordan. Data were collected through face-to-face interviews using a structured questionnaire, the questionnaire incorporated constructs from the PRECEDE-PROCEED model, along with the health-promoting lifestyle profile-II and Pittsburgh sleep quality index.

RESULTS

Following the intervention, participants in the study group achieved higher overall health-promoting lifestyle scores than those in the control group. The mean score in the intervention group was 97.02 ± 15.27, compared with 77.71 ± 11.55 in the control group, indicating a statistically significant difference. Significant improvements were also observed in key lifestyle domains, including nutrition (28.04 ± 5.52), physical activity (17.08 ± 3.34), and stress management (18.46 ± 2.69). In addition, sleep quality improved in the intervention group, as reflected by a reduction in the mean sleep disturbance score to 8.20 ± 2.65 compared with 11.24 ± 5.32 in the control group.

CONCLUSION

The PRECEDE-PROCEED model was effective in improving knowledge, attitude, sleep quality, and health behaviors among pregnant women diagnosed with gestational diabetes.