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Completed

NCT Number: NCT04474795

Clinic to Community Connections - Broader Distribution

This study addresses education needs in gestational diabetes care and followup at the staff and patient levels.

In the initial phase, nurses and community health workers will complete specific training modules on gestational diabetes developed for this study. The effectiveness of the education modules will be evaluated through pre/post surveys of participants assessing diabetes knowledge, attitudes, and self-efficacy.

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Key information

Conditions

Gestational Diabetes Diabetes Mellitus Diabetes, Gestational Endocrine System Diseases Female Urogenital Diseases and Pregnancy Complications Gestational Diabetes Mellitus in Pregnancy Glucose Metabolism Disorders Metabolic Diseases Nutritional and Metabolic Diseases Pregnancy Complications Urogenital Diseases

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Affinia Healthcare

St Louis, Missouri, 63107, United States

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Clinic staff: nurses (RN, LPN, BSN), community health workers, and others involved in maternal child health care

Exclusion criteria

Clinic staff: individuals not involved in maternal child health care or who do not consent to participate in study

Treatment and study plan

Staff -Educational training

Behavioral

Nurses and community health workers will complete 4 hours of online modules on gestational diabetes - Module 1: GDM Disease, Diagnosis and Complications; Module 2: Nutrition and Physical Activity Management; Module 3: Monitoring, Medications, and Avoiding Hypoglycemia; Module 4: Future Diabetes Risk and Prevention. Effectiveness of the training will be evaluated with pre/post evaluation of diabetes knowledge, attitudes, and self efficacy.

Primary outcomes

  1. Staff - Self-efficacy to Provide Diabetes Education Questionnaire (Newly Developed)

    Time frame: Baseline and upon module completion (approximately 3 months)

    Pre-Post change in staff participants' perceived self-efficacy to provide diabetes education (Mean score min:1 max 10) high score=more confident

Secondary outcomes

  1. Staff - Diabetes Knowledge Test

    Time frame: Baseline and upon module completion (approximately 3 months)

    Change in diabetes knowledge measured by multiple choice test (% correct out of 21 items) high score =better knowledge

  2. Staff - Diabetes Attitudes (Diabetes Attitudes Scale-3 (DAS-3))

    Time frame: Baseline and upon module completion (approximately 3 months)

    Change in diabetes attitudes measured by 3 subscales of DAS-3 (Mean score min 1, max 5) high score=better attitudes

  3. Staff - Intention to Recommend Diabetes Prevention Activities Questionnaire (Newly Developed)

    Time frame: Baseline and upon module completion (approximately 3 months)

    Change in staff's intention to recommend postpartum diabetes screening measured by a survey developed for this study (mean score; min 1, max 5) higher score= increased intention to perform action

Other outcomes

  1. Staff-General Self Efficacy Scale (Schwarzer)

    Time frame: Baseline

    General Self Efficacy measure (for use in validation of the Self-Efficacy for Providing Diabetes Education Scale) Sum Score (min: 10, max: 40); higher score=more confidence

  2. Staff-Provider Teaching Motivation Questionnaire Intrinsic Motivation Subscale

    Time frame: Baseline

    Measure of teaching motivation (for use in validation of the Self-Efficacy for Providing Diabetes Education Scale) Mean score (min: 0, max 4) higher score=more intrinsic motivation

Sponsors and collaborators

Lead sponsor

Washington University School of Medicine

Other

Collaborators

  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
  • Longer Life Foundation

Registry information

Official study title

Clinic to Community Connections: Enhancing Prenatal to Postpartum Care Transitions to Prevent Type 2 Diabetes in Low Income Women With Gestational Diabetes

Important dates

Study start
2020
Primary completion
2022
Study completion
2022
First posted
Jul 17, 2020
Registry last updated
Feb 27, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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