Optimizing a Scalable Intervention to Maximize Guideline-recommended Diabetes Testing After GDM
Overview
- Phase
- Not Applicable
- Intervention
- Standard Health Information
- Conditions
- Diabetes, Gestational
- Sponsor
- University of California, Davis
- Enrollment
- 2000
- Locations
- 1
- Primary Endpoint
- Completion of recommended postpartum diabetes screening.
- Status
- Enrolling By Invitation
- Last Updated
- last month
Overview
Brief Summary
The aim of this trial is to test components of a digital health outreach intervention to promote uptake of postpartum screening and lifestyle programs for diabetes prevention among patients with gestational diabetes (GDM). The outreach intervention, designed to be interactive and delivered online, includes standard health information plus up to four theory-based components, targeting motivational and logistical barriers to engaging in diabetes preventive care during the postpartum period. The trial leverages the Multiphase Optimization Strategy (MOST) using a randomized factorial study design.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Current pregnancy complicated by gestational diabetes mellitus (GDM)
- •Age: 18 years and older
- •Contact with the Kaiser Permanente Northern California (KPNC) Regional Perinatal Service Center
- •Able to communicate in English
Exclusion Criteria
- •Diagnosis of diabetes before pregnancy
- •Maternal or infant current hospitalization
- •Pregnancy loss
- •History of eating disorder
- •Previously requested not to receive research invitations
Arms & Interventions
Condition 8
Standard health message + VA
Intervention: Standard Health Information
Condition 8
Standard health message + VA
Intervention: Values Affirmation (VA)
Condition 5
Standard health message + VA + MI+ AP
Intervention: Standard Health Information
Condition 5
Standard health message + VA + MI+ AP
Intervention: Values Affirmation (VA)
Condition 5
Standard health message + VA + MI+ AP
Intervention: Motivational Interviewing-based (MI)
Condition 5
Standard health message + VA + MI+ AP
Intervention: Action planning (AP)
Condition 1
Standard health message + VA + TRI + MI+ AP
Intervention: Standard Health Information
Condition 1
Standard health message + VA + TRI + MI+ AP
Intervention: Values Affirmation (VA)
Condition 1
Standard health message + VA + TRI + MI+ AP
Intervention: Tailored Risk Information (TRI)
Condition 1
Standard health message + VA + TRI + MI+ AP
Intervention: Motivational Interviewing-based (MI)
Condition 1
Standard health message + VA + TRI + MI+ AP
Intervention: Action planning (AP)
Condition 2
Standard health message + VA + TRI + MI
Intervention: Standard Health Information
Condition 2
Standard health message + VA + TRI + MI
Intervention: Values Affirmation (VA)
Condition 2
Standard health message + VA + TRI + MI
Intervention: Tailored Risk Information (TRI)
Condition 2
Standard health message + VA + TRI + MI
Intervention: Motivational Interviewing-based (MI)
Condition 3
Standard health message + VA + TRI + AP
Intervention: Standard Health Information
Condition 3
Standard health message + VA + TRI + AP
Intervention: Values Affirmation (VA)
Condition 3
Standard health message + VA + TRI + AP
Intervention: Tailored Risk Information (TRI)
Condition 3
Standard health message + VA + TRI + AP
Intervention: Action planning (AP)
Condition 4
Standard health message + VA + TRI
Intervention: Standard Health Information
Condition 4
Standard health message + VA + TRI
Intervention: Values Affirmation (VA)
Condition 4
Standard health message + VA + TRI
Intervention: Tailored Risk Information (TRI)
Condition 6
Standard health message + VA + MI
Intervention: Standard Health Information
Condition 6
Standard health message + VA + MI
Intervention: Values Affirmation (VA)
Condition 6
Standard health message + VA + MI
Intervention: Motivational Interviewing-based (MI)
Condition 7
Standard health message + VA + AP
Intervention: Standard Health Information
Condition 7
Standard health message + VA + AP
Intervention: Values Affirmation (VA)
Condition 7
Standard health message + VA + AP
Intervention: Action planning (AP)
Condition 9
Standard health message + TRI + MI+ AP
Intervention: Standard Health Information
Condition 9
Standard health message + TRI + MI+ AP
Intervention: Tailored Risk Information (TRI)
Condition 9
Standard health message + TRI + MI+ AP
Intervention: Motivational Interviewing-based (MI)
Condition 9
Standard health message + TRI + MI+ AP
Intervention: Action planning (AP)
Condition 10
Standard health message + TRI + MI
Intervention: Standard Health Information
Condition 10
Standard health message + TRI + MI
Intervention: Tailored Risk Information (TRI)
Condition 10
Standard health message + TRI + MI
Intervention: Motivational Interviewing-based (MI)
Condition 11
Standard health message + TRI + AP
Intervention: Standard Health Information
Condition 11
Standard health message + TRI + AP
Intervention: Tailored Risk Information (TRI)
Condition 11
Standard health message + TRI + AP
Intervention: Action planning (AP)
Condition 12
Standard health message + TRI
Intervention: Standard Health Information
Condition 12
Standard health message + TRI
Intervention: Tailored Risk Information (TRI)
Condition 13
Standard health message + MI+ AP
Intervention: Standard Health Information
Condition 13
Standard health message + MI+ AP
Intervention: Motivational Interviewing-based (MI)
Condition 13
Standard health message + MI+ AP
Intervention: Action planning (AP)
Condition 14
Standard health message + MI
Intervention: Standard Health Information
Condition 14
Standard health message + MI
Intervention: Motivational Interviewing-based (MI)
Condition 15
Standard health message + AP
Intervention: Standard Health Information
Condition 15
Standard health message + AP
Intervention: Action planning (AP)
Condition 16
Standard health message
Intervention: Standard Health Information
Outcomes
Primary Outcomes
Completion of recommended postpartum diabetes screening.
Time Frame: 4-12 weeks postpartum
Completion of a 75-gram, 2-hour oral glucose tolerance test (OGTT)
Secondary Outcomes
- Completion of any recommended postpartum diabetes screening test.(4-52 weeks postpartum)
- Uptake of a lifestyle program for diabetes prevention.(4-52 weeks postpartum)
- Completion of any recommended postpartum diabetes screening test.(4-12 weeks postpartum)