{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T18:33:48Z","timestamp":1774290828237,"version":"3.50.1"},"reference-count":50,"publisher":"Public Library of Science (PLoS)","issue":"3","license":[{"start":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T00:00:00Z","timestamp":1774224000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100013898","name":"Milli E\u011fitim Bakanli\u011fi","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100013898","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000764","name":"king's college london","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000764","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The Women\u2019s Wellness with Type 2 Diabetes Programme (WWDP) is a complex intervention, encouraging positive lifestyle behaviours to enhance wellness outcomes. A previous feasibility study found the original WWDP had a good effect signal and was acceptable to women but had challenges with national scalability. In response, the programme was revised (WWDP+). This study evaluated the feasibility of delivering the WWDP+ and its evaluation procedures and assessed physical and psychosocial outcomes in midlife women to inform the design of a future randomised controlled trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A single arm, pre- and post-intervention design were conducted. Women living with type 2 diabetes and aged between 45\u201365 years were recruited via a social media campaign using purposive sampling targeting individuals who had previously expressed interest in type 2 diabetes research. Alongside recruitment and completion rates, clinical and behavioural study outcomes were assessed at baseline, 3 months and 6 months post baseline. Individualised goals were set at week 3 and assessed at 12-week. Analysis comprised descriptive statistics, Wilcoxon\u2019s signed-rank and paired t tests.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirty-four women (mean age\u2009=\u200955.4) from diverse backgrounds participated. Feasibility targets were met: 77% recruitment of eligible women, 88% 12-week completion, and data completeness of 82% at 3 months and 79% at 6 months. Post-intervention diabetes distress decreased by 1.52 points (p\u2009&lt;\u20090.001), self-reported HbA1c decreased by 13 mmol\/mol (p\u2009&lt;\u20090.02) and BMI by 0.6 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      (p\u2009&lt;\u20090.049). Menopausal symptoms declined by 13 points on the Greene scale (p\u2009&lt;\u20090.001). Improvements were observed in diabetes self-efficacy (+7.4 points, p\u2009&lt;\u20090.001), general health (+27.5 points, p\u2009&lt;\u20090.01), sleep disturbance (\u20136.2 points, p\u2009&lt;\u20090.002), and confidence in making dietary choices (+1.1 points, p\u2009&lt;\u20090.02). Goal attainment scores indicated that 68% of participants achieved or exceeded their expectations.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This feasibility study suggests that the WWDP+ is acceptable and feasible for midlife women with type 2 diabetes. The findings will directly inform the design, sample size, and recruitment strategies of a fully powered randomised controlled trial to evaluate WWDP+ effectiveness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec005\">\n                    <jats:title>Trial registration<\/jats:title>\n                    <jats:p>\n                      ISRCTN: ISRCTN93338547.\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/doi.org\/10.1186\/ISRCTN93338547\" xlink:type=\"simple\">https:\/\/doi.org\/10.1186\/ISRCTN93338547<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0345517","type":"journal-article","created":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T17:45:27Z","timestamp":1774287927000},"page":"e0345517","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Women\u2019s Wellness with Type 2 Diabetes Programme: Feasibility of an online peer support and goal-setting intervention for midlife women"],"prefix":"10.1371","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6715-3103","authenticated-orcid":true,"given":"Deniz","family":"Bozkurt","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Duaso","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iliatha Papachristou","family":"Nadal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosie","family":"Walker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jackie","family":"Sturt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2026,3,23]]},"reference":[{"key":"pone.0345517.ref001","unstructured":"International Diabetes Federation. 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