Optimizing a Scalable Intervention to Maximize Guideline-recommended Diabetes Testing After GDM
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 2,000
- 试验地点
- 1
- 主要终点
- Completion of recommended postpartum diabetes screening.
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Health Services Research
- 盲法
- Triple (Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •Diagnosis of diabetes before pregnancy
- •Maternal or infant current hospitalization
- •Pregnancy loss
- •History of eating disorder
- •Previously requested not to receive research invitations
研究组 & 干预措施
Condition 1
Standard health message + VA + TRI + MI+ AP
干预措施: Values Affirmation (VA) (Behavioral)
Condition 1
Standard health message + VA + TRI + MI+ AP
干预措施: Tailored Risk Information (TRI) (Behavioral)
Condition 1
Standard health message + VA + TRI + MI+ AP
干预措施: Motivational Interviewing-based (MI) (Behavioral)
Condition 2
Standard health message + VA + TRI + MI
干预措施: Standard Health Information (Behavioral)
Condition 4
Standard health message + VA + TRI
干预措施: Values Affirmation (VA) (Behavioral)
Condition 4
Standard health message + VA + TRI
干预措施: Tailored Risk Information (TRI) (Behavioral)
Condition 6
Standard health message + VA + MI
干预措施: Standard Health Information (Behavioral)
Condition 6
Standard health message + VA + MI
干预措施: Values Affirmation (VA) (Behavioral)
Condition 6
Standard health message + VA + MI
干预措施: Motivational Interviewing-based (MI) (Behavioral)
Condition 7
Standard health message + VA + AP
干预措施: Standard Health Information (Behavioral)
Condition 10
Standard health message + TRI + MI
干预措施: Motivational Interviewing-based (MI) (Behavioral)
Condition 11
Standard health message + TRI + AP
干预措施: Standard Health Information (Behavioral)
Condition 11
Standard health message + TRI + AP
干预措施: Action planning (AP) (Behavioral)
Condition 12
Standard health message + TRI
干预措施: Standard Health Information (Behavioral)
Condition 13
Standard health message + MI+ AP
干预措施: Motivational Interviewing-based (MI) (Behavioral)
Condition 13
Standard health message + MI+ AP
干预措施: Action planning (AP) (Behavioral)
Condition 14
Standard health message + MI
干预措施: Standard Health Information (Behavioral)
Condition 14
Standard health message + MI
干预措施: Motivational Interviewing-based (MI) (Behavioral)
Condition 15
Standard health message + AP
干预措施: Standard Health Information (Behavioral)
Condition 15
Standard health message + AP
干预措施: Action planning (AP) (Behavioral)
Condition 16
Standard health message
干预措施: Standard Health Information (Behavioral)
Condition 5
Standard health message + VA + MI+ AP
干预措施: Standard Health Information (Behavioral)
Condition 5
Standard health message + VA + MI+ AP
干预措施: Values Affirmation (VA) (Behavioral)
Condition 5
Standard health message + VA + MI+ AP
干预措施: Motivational Interviewing-based (MI) (Behavioral)
Condition 1
Standard health message + VA + TRI + MI+ AP
干预措施: Standard Health Information (Behavioral)
Condition 10
Standard health message + TRI + MI
干预措施: Tailored Risk Information (TRI) (Behavioral)
Condition 9
Standard health message + TRI + MI+ AP
干预措施: Action planning (AP) (Behavioral)
Condition 9
Standard health message + TRI + MI+ AP
干预措施: Standard Health Information (Behavioral)
Condition 3
Standard health message + VA + TRI + AP
干预措施: Action planning (AP) (Behavioral)
Condition 1
Standard health message + VA + TRI + MI+ AP
干预措施: Action planning (AP) (Behavioral)
Condition 7
Standard health message + VA + AP
干预措施: Values Affirmation (VA) (Behavioral)
Condition 5
Standard health message + VA + MI+ AP
干预措施: Action planning (AP) (Behavioral)
Condition 3
Standard health message + VA + TRI + AP
干预措施: Values Affirmation (VA) (Behavioral)
Condition 3
Standard health message + VA + TRI + AP
干预措施: Tailored Risk Information (TRI) (Behavioral)
Condition 4
Standard health message + VA + TRI
干预措施: Standard Health Information (Behavioral)
Condition 2
Standard health message + VA + TRI + MI
干预措施: Values Affirmation (VA) (Behavioral)
Condition 2
Standard health message + VA + TRI + MI
干预措施: Tailored Risk Information (TRI) (Behavioral)
Condition 2
Standard health message + VA + TRI + MI
干预措施: Motivational Interviewing-based (MI) (Behavioral)
Condition 3
Standard health message + VA + TRI + AP
干预措施: Standard Health Information (Behavioral)
Condition 9
Standard health message + TRI + MI+ AP
干预措施: Motivational Interviewing-based (MI) (Behavioral)
Condition 10
Standard health message + TRI + MI
干预措施: Standard Health Information (Behavioral)
Condition 11
Standard health message + TRI + AP
干预措施: Tailored Risk Information (TRI) (Behavioral)
Condition 7
Standard health message + VA + AP
干预措施: Action planning (AP) (Behavioral)
Condition 8
Standard health message + VA
干预措施: Standard Health Information (Behavioral)
Condition 8
Standard health message + VA
干预措施: Values Affirmation (VA) (Behavioral)
Condition 9
Standard health message + TRI + MI+ AP
干预措施: Tailored Risk Information (TRI) (Behavioral)
Condition 12
Standard health message + TRI
干预措施: Tailored Risk Information (TRI) (Behavioral)
Condition 13
Standard health message + MI+ AP
干预措施: Standard Health Information (Behavioral)
结局指标
主要结局
Completion of recommended postpartum diabetes screening.
时间窗: 4-12 weeks postpartum
Completion of a 75-gram, 2-hour oral glucose tolerance test (OGTT)
次要结局
- 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)