Clinic to Community Connections - Broader Distribution

NCT04474795 | Completed Results

• 2 other identifiers: 2020070601K23HD096204-01A1
• Study Type: interventional
• Target: 85
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Gestational Diabetes; Gestational Diabetes Mellitus in Pregnancy

Keywords

diabetes in pregnancy; type 2 diabetes prevention; diabetes; Care coordination; care delivery; care fragmentation; community health worker; community partnership; community health aides; federally qualified health center; underserved population; patient education

Outcome Measures

Primary Outcomes (1)

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

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

  Baseline and upon module completion (approximately 3 months)

Secondary Outcomes (3)

• Staff - Diabetes Knowledge Test

  Baseline and upon module completion (approximately 3 months)

• Staff - Diabetes Attitudes (Diabetes Attitudes Scale-3 (DAS-3))

  Baseline and upon module completion (approximately 3 months)

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

  Baseline and upon module completion (approximately 3 months)

Other Outcomes (2)

• Staff-General Self Efficacy Scale (Schwarzer)

  Baseline

• Staff-Provider Teaching Motivation Questionnaire Intrinsic Motivation Subscale

  Baseline

Study Arms (1)

Staff - Educational training

EXPERIMENTAL

Nurses, community health workers, and others involved in maternal healthcare

Behavioral: Staff -Educational training

Interventions

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.

Staff - Educational training

Eligibility Criteria

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

You may qualify if:

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

You may not qualify if:

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

Sponsors & Collaborators

• Washington University School of Medicine: lead
• Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD): collaborator
• Longer Life Foundation: collaborator

Study Sites (1)

Affinia Healthcare

St Louis, Missouri, 63107, United States

Location

Related Publications (2)

• Krutilova P, Williams R, Morey R, Field C, Byrth V, Tepe M, McQueen A, Herrick C. Gestational diabetes knowledge improves with interactive online training modules. BMC Med Educ. 2024 Sep 9;24(1):977. doi: 10.1186/s12909-024-05969-z.

  PMID: 39251972 DERIVED

• Krutilova P, Williams R, Morey R, Field C, Byrth V, Tepe M, McQueen A, Herrick C. Gestational diabetes knowledge improves with interactive online training modules: a pre-post analysis. Res Sq [Preprint]. 2023 Jun 2:rs.3.rs-2860961. doi: 10.21203/rs.3.rs-2860961/v1.

  PMID: 37398401 DERIVED

MeSH Terms

Conditions

Diabetes, Gestational; Diabetes Mellitus

Condition Hierarchy (Ancestors)

Pregnancy Complications; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases

Results Point of Contact

• Title: Cynthia Herrick, MD, MPHS
• Organization: Washington University In St. Louis School of Medicine

herrickc@wustl.edu

3147470278

Study Officials

• Cynthia J Herrick, MD, MPHS

  Washington University School of Medicine

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Staff participants will complete surveys on diabetes knowledge, attitudes, and self-efficacy before and after completing online training modules on gestational diabetes.

Study Record Dates

• First Submitted: May 18, 2020
• First Posted: July 17, 2020
• Study Start: June 18, 2020
• Primary Completion: August 22, 2022
• Study Completion: August 22, 2022
• Last Updated: February 27, 2023
• Results First Posted: February 27, 2023

Record last verified: 2023-01

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)