Group vs. Traditional Diabetes Prenatal Care
Group Prenatal Care Compared to Traditional Prenatal Care for Women With Pre-gestational Diabetes: A Randomized Clinical Trial.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Wisconsin
-
Madison, Wisconsin, United States, 53715
- UnityPoint Health- Meriter Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Clinically confirmed viable pregnancy at the time of enrollment.
- Able to provide consent for participation.
- Diabetes diagnosed prior to 12 weeks gestation.
- Initiation of care by 20 weeks gestation.
- Age 18 years or older.
Exclusion Criteria:
- Not planning to deliver at UnityPoint Health- Meriter Hospital.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
No Intervention: Traditional Care
If the participant is randomized to the individual prenatal care model, she will continue to receive individualized care in the prenatal clinic.
This includes being seen by both a MFM specialist and possibly an endocrinologist at each prenatal visit.
During the prenatal visit, the individual caregivers are responsible for discussing educational topics that they feel are relevant to the patient.
Patients are seen every two weeks for Traditional Care.
|
|
|
Experimental: Group Care
If the participant is randomized into the group prenatal care model she will be placed in a group of approximately 6-10 women of approximately the same gestational age.
These women will then have sessions scheduled at the same intervals they would have had their traditional prenatal visits, every two weeks until 36 weeks and then weekly until delivery, 12 sessions in total.
Each session will last between 90-120 minutes.
In the group prenatal care model, the entire visit time will be face to face with a provider and the group.
Billing will be done through the standard reimbursement system since the program will follow the schedule of prenatal visits recommended by the American Congress of Obstetricians and Gynecologist.
|
Participation in 12 group sessions with 6-10 women who are also pregnant and have diabetes.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Compliance with glucose testing over time
Time Frame: 2 years
|
Compare the glucose compliance of participants in the group care model to the control group: a traditional, individual care model.
|
2 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Maternal Weight Gain (kilograms)
Time Frame: 2 years
|
Compare maternal weight gain of participants in the group care model to the control group: a traditional, individual care model.
|
2 years
|
|
Length of stay for delivery (days)
Time Frame: 2 years
|
Compare maternal hospital length of stay for delivery of participants in the group care model to the control group: a traditional, individual care model.
|
2 years
|
|
Presence of infection (Y/N)
Time Frame: 2 years
|
Compare presence of infection in participants in the group care model to the control group: a traditional, individual care model.
|
2 years
|
|
Type of Delivery (Vaginal, C-Section, Vacuum, Forceps, other)
Time Frame: 2 years
|
Compare type of delivery in participants in the group care model to the control group: a traditional, individual care model.
|
2 years
|
|
Blood Pressure (mm Hg)
Time Frame: 2 years
|
Compare blood pressures in participants in the group care model to the control group: a traditional, individual care model.
|
2 years
|
|
Neonatal Birth Weight (grams)
Time Frame: 2 years
|
Compare neonatal birth weight of participants in the group care model to the control group: a traditional, individual care model.
|
2 years
|
|
Neonatal Length of stay (days)
Time Frame: 2 years
|
Compare neonatal length of stay of participants in the group care model to the control group: a traditional, individual care model.
|
2 years
|
|
Neonatal APGAR Score (0-10)
Time Frame: 2 years
|
Compare neonatal APGAR score of participants in the group care model to the control group: a traditional, individual care model.
|
2 years
|
|
Gestational Age at Delivery (weeks)
Time Frame: 2 years
|
Compare gestational age at delivery of participants in the group care model to the control group: a traditional, individual care model.
|
2 years
|
|
Pregnancy related and Diabetes related knowledge acquired during pregnancy (survey)
Time Frame: 2 years
|
Compare pregnancy and diabetes related knowledge of participants in the group care model to the control group: a traditional, individual care model.
|
2 years
|
|
Patient and care giver satisfaction (survey)
Time Frame: 2 years
|
Compare satisfaction of participants and their respective providers in the group care model to the control group: a traditional, individual care model.
|
2 years
|
|
Cost-effectiveness (dollars per hour)
Time Frame: 2 years
|
Compare cost-effectiveness of the group care model to the control group: a traditional, individual care model.
|
2 years
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Kara Hoppe, DO, University of Wisconsin, Madison
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 2016-015
- A532860 (Other Identifier: UW Madison)
- SMPH/OBSTET & GYNECOL/OBSTET (Other Identifier: UW Madison)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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