Mobile Health App to Reduce Diabetes in Latina Women With Prior Gestational Diabetes
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Gestational Diabetes Mellitus
- Sponsor
- Environment and Health Group, Inc.
- Enrollment
- 77
- Locations
- 3
- Primary Endpoint
- Sallis Self Efficacy for Healthy Eating
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
The investigators will conduct a pre-post study to evaluate the effectiveness of the Hola Bebe intervention on improving self-efficacy for healthy eating and physical activity, and on weight loss among Hispanic women with recent GDM. The Hola Bebe app provides a unique opportunity to provide an effective, culturally tailored lifestyle modification program. The investigators will provide training to health educators at the two participating sites to ensure consistency and fidelity of implementation.
Detailed Description
The study builds on the investigators' previous research in which the investigator developed a culturally-tailored Spanish and English app for Latinas with recent GDM based on Social Cognitive Theory and Behavioral Economics. The app-based program included 12 audio/visual behavioral and educational modules on healthy eating and physical activity, motivational texts, weight tracking, personalized action plans, tiered badges, videos (easy at-home exercises, user-friendly, easy-to-follow recipes, and building a balanced plate), and an online community to communicate with other participants. All content was in plain-language Spanish and English, with Spanish and English audio voice-over. Graphics were dynamic and incorporated culturally sensitive.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Self-identify as Latina;
- •Overweight or obese (BMI \> or =25);
- •Age 18 to 45;
- •Having had a pregnancy complicated by GDM within the prior 5 years.
Exclusion Criteria
- •Currently has a diagnosis for diabetes (type 1, type 2 or secondary form);
- •Has underlying disease or treatment that might interfere with participation in or completion of the protocol (e.g., cancer, moderate or severe cardiovascular disease, HIV positive, active tuberculosis, lung disease, significant gastrointestinal conditions, renal disease, major psychiatric disorders, and other at the discretion of the study clinician);
- •Has diseases associated with glucose metabolism;
- •Takes certain medications (e.g., glucocorticoids) which interfere with glucose metabolism.
Outcomes
Primary Outcomes
Sallis Self Efficacy for Healthy Eating
Time Frame: up to 6 months
The investigators will use the eat habits confidence survey, which includes a list of things people might do while trying to change their eating habits. The investigators are mainly interested in salt and fat intake. There are 20 items to be scored in this survey. Exapmle questions are: 1. Stick to your low fat, low salt foods when you feel depressed, bored, or tense; 2. Stick to your low fat, low salt foods when there is high fat, high salt food readily available at a party. The four factors for the Self-Efficacy and Eating Habits Survey should be scored as follows: Sticking to it: mean items I - 5 Reducing calories: mean items 6 - 10 Reducing salt: mean items 11 - 15 Reducing fat: mean items 16 - 20
Sallis Self Efficacy for Physical Activity
Time Frame: up to 6 month
The investigators will use the exercise confidence survey, which includes list of things people might do while trying to increase or continue regular exercise. The investigators are interested in exercises like running, swimming, brisk walking, bicycle riding, or aerobics classes. There are 12 items to be scored in this survey (continued from the 1st eating habit survey). Example questions are: 1. Get up early, even on weekends, to exercise; 2. Stick to your exercise program after a long, tiring day at work; 3. Exercise even though you are feeling depressed. 24. Set aside time for a physical activity program; that is, walking, jogging. swimming, biking, or other continuous activities for at least 30 The two factors for the Self-Efficacy and Exercise Habits Survey should be scored as follows: Sticking to it: mean items 22, 23, 25, 26, 28 - 31 Making time for exercise: mean items 21, 24, 27, 32
Secondary Outcomes
- Weight loss(up to 6 months)