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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
TRIPLE
Enrollment
2,000
Standard health information about postpartum screening and lifestyle programs for diabetes prevention
Interactive prompts to reflect on core personal values
Interactive prompts to provide tailored information on risk factors for type 2 diabetes
Interactive prompts based on principles of motivational interviewing
Interactive prompts to problem solve challenges
Kaiser Permanente Northern California
Pleasanton, California, United States
Completion of recommended postpartum diabetes screening.
Completion of a 75-gram, 2-hour oral glucose tolerance test (OGTT)
Time frame: 4-12 weeks postpartum
Completion of any recommended postpartum diabetes screening test.
Completion of any screening test (OGTT, fasting plasma glucose, or HbA1c)
Time frame: 4-52 weeks postpartum
Completion of any recommended postpartum diabetes screening test.
Completion of any screening test (OGTT, fasting plasma glucose, or HbA1c)
Time frame: 4-12 weeks postpartum
Uptake of a lifestyle program for diabetes prevention.
Enrollment in a lifestyle program for diabetes prevention among women without type 2 diabetes mellitus according to any screening result
Time frame: 4-52 weeks postpartum
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