Gestational Weight Gain and the Electronic Medical Record

NCT01987141 | Completed

• 1 other identifier: 205512
• Study Type: interventional
• Target: 150
• Locations: 1 country
• Sites: 1

Brief Summary

Less than one third of pregnant women actually achieve the Institute of Medicine's (IOM) recommended weight gain. To date, there are no randomized controlled trials studying the use of the electronic medical record to alert providers to initiate the counseling of patients on the IOM gestational weight gain recommendations. In the investigator's planned study intervention, using the EPIC EMR system, an electronic alert (Best Practice Advisory) will appear for providers at each prenatal care visit. This alert will remind providers to counsel patients on the recommendations for gestational weight gain. The control group will receive standard prenatal care, without electronic alerts generated regarding BMI and gestational weight gain. The investigators hypothesize that a higher percentage of patients who receive the intervention will meet the IOM guidelines for weight gain.

Conditions

Pregnancy; Weight Gain

Outcome Measures

Primary Outcomes (1)

• Weight gain

  Primary outcome will be measured as the percent of patients who achieve their recommended weight gain goal in pregnancy (IOM guidelines)

  At delivery, average of 40 weeks from enrollment

Secondary Outcomes (1)

• Patient perception

  At end of pregnancy, average of 40 weeks from enrollment

Study Arms (2)

EMR intervention

EXPERIMENTAL

Patients will have an electronic medical record popup/highlight in their chart, displaying the recommended guidelines for weight gain in pregnancy.

Other: EMR Intervention

Control

NO INTERVENTION

The patient's medical record will be displayed as usual, with no flag or highlight for weight gain recommendations

Interventions

EMR Intervention OTHER

Electronic medical record flag/notification in the patient's chart

EMR intervention

Eligibility Criteria

• Age: 18 Years+
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Pregnant with a single intrauterine gestation
• Present for new OB visit up to 13 weeks and 6 days gestation

You may not qualify if:

• They have a multiple gestation pregnancy
• They are under the age of 18
• They do not speak English

Sponsors & Collaborators

• Loyola University: lead

Study Sites (1)

Loyola University Medical Center

Maywood, Illinois, 60153, United States

Location

MeSH Terms

Conditions

Weight Gain

Condition Hierarchy (Ancestors)

Body Weight Changes; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: October 29, 2013
• First Posted: November 19, 2013
• Study Start: October 1, 2013
• Primary Completion: October 1, 2014
• Study Completion: May 1, 2016
• Last Updated: May 12, 2016

Record last verified: 2016-05

Locations

US (1)