NCT00774124

Brief Summary

Our objective is to test an innovative approach to improve outcomes among underserved women with gestational diabetes. We ill utilize a multi-lingual, Interactive Voice Response (IVR) -enabled telephone system to facilitate diabetes control and thereby improve pregnancy outcomes. Our hypothesis is that Telemonitoring will improve maternal glycemia, thereby reducing infant birth weights and leading to improved pregnancy outcomes.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
57

participants targeted

Target at P25-P50 for not_applicable diabetes-mellitus

Timeline
Completed

Started Aug 2007

Typical duration for not_applicable diabetes-mellitus

Geographic Reach
1 country

2 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

August 1, 2007

Completed
1.2 years until next milestone

First Submitted

Initial submission to the registry

October 16, 2008

Completed
1 day until next milestone

First Posted

Study publicly available on registry

October 17, 2008

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2010

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2010

Completed
Last Updated

October 20, 2017

Status Verified

October 1, 2017

Enrollment Period

2.9 years

First QC Date

October 16, 2008

Last Update Submit

October 18, 2017

Conditions

Keywords

GDM, pregnancy, macrosomia

Outcome Measures

Primary Outcomes (1)

  • maternal blood glucose control

    3 to 9 months

Secondary Outcomes (1)

  • infant birthweight

    at delivery

Study Arms (2)

1 Telemedicine

EXPERIMENTAL

Usual care plus telemonitoring

Other: telemonitoring

2 Standard of Care

ACTIVE COMPARATOR

Standard of care - women will monitor and record blood glucose levels four times a day.

Other: Standard of care

Interventions

Women will transmit their blood glucose levels, fetal movement counts, and insulin doses via the Internet and/or IVR system at least three times per week

1 Telemedicine

Health data (blood glucose levels and insulin doses) will be recorded in a paper log book which will be reviewed at prenatal visits.

2 Standard of Care

Eligibility Criteria

Age18 Years - 45 Years
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • diagnosis of GDM
  • or less weeks gestation

You may not qualify if:

  • multiple gestations
  • history of glucose intolerance outside of pregnancy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Tallahassee Memorial Diabetes Center

Tallahassee, Florida, 32308, United States

Location

Temple University Hospital

Philadelphia, Pennsylvania, 19140, United States

Location

Related Publications (1)

  • Homko CJ, Santamore WP, Whiteman V, Bower M, Berger P, Geifman-Holtzman O, Bove AA. Use of an internet-based telemedicine system to manage underserved women with gestational diabetes mellitus. Diabetes Technol Ther. 2007 Jun;9(3):297-306. doi: 10.1089/dia.2006.0034.

    PMID: 17561800BACKGROUND

MeSH Terms

Conditions

Diabetes Mellitus

Interventions

Standard of Care

Condition Hierarchy (Ancestors)

Glucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Intervention Hierarchy (Ancestors)

Quality Indicators, Health CareQuality of Health CareHealth Services AdministrationHealth Care Quality, Access, and Evaluation

Study Officials

  • Carol J Homko, RN, PhD

    Temple University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 16, 2008

First Posted

October 17, 2008

Study Start

August 1, 2007

Primary Completion

July 1, 2010

Study Completion

July 1, 2010

Last Updated

October 20, 2017

Record last verified: 2017-10

Locations