Understanding User Needs for a Mindfulness-based Mobile App to Improve Psychological Well-being and Glycemic Control in Gestational Diabetes

Gestational Diabetes Mellitus (GDM) is a prevalent metabolic disorder that poses significant physical and psychological challenges for affected individuals. Managing GDM requires strict blood glucose regulation through lifestyle modifications, frequent monitoring, and medical interventions, which can contribute to heightened stress and anxiety. Emerging evidence suggests that Mindfulness-Based Interventions (MBIs) can alleviate psychological distress and support glycemic control. However, integrating mindfulness into digital health solutions tailored for GDM remains underexplored. This study aimed to identify stakeholder needs, acceptability, perceptions and expectations to inform the design of a mindfulness-based mobile app to support stress management and well-being assessment in GDM. A qualitative, user-centered approach was employed, involving focus groups with individuals diagnosed with GDM and Healthcare Professionals (HCPs) involved in their care. Thematic analysis revealed a range of management challenges and gaps in psychological support. Participants highlighted current coping strategies, digital literacy levels, and openness to technologically supported interventions. These findings provide critical insights into stakeholder needs and acceptability factors, laying the groundwork for the future co-design of a user-centered, mindfulness-based mHealth intervention that offers holistic well-being support within GDM care, with the potential to enhance glycemic control.