Couple-Coordinated Lifestyle Intervention for Women With a History of Gestational Diabetes Mellitus
Effectiveness of a Couple-Coordinated Lifestyle Intervention Among Women With a History of Gestational Diabetes Mellitus
The goal of this clinical trial is to evaluate the effects of a couple-based collaborative lifestyle intervention among women with a history of gestational diabetes. The main questions it aims to answer are:
Does the intervention improve body mass index and 2-hour plasma glucose after an oral glucose tolerance test? Does the intervention improve health behaviors, psychological well-being, self-efficacy, couple functioning, and life satisfaction?
Researchers will compare a couple-based collaborative lifestyle intervention with a woman-only lifestyle intervention to determine whether adding spousal collaboration and support leads to greater improvements.
Participants will:
Receive healthy lifestyle education posts for 3 months. In the couple-based group, also receive instant messages on behavioral promotion and couple collaboration and support videos.
Přehled studie
Postavení
Postavení
Podmínky
Podmínky
Intervence / Léčba
Intervence / Léčba
Typ studie
Typ studie
Zápis (Odhadovaný)
Zápis
Fáze
Fáze
- Nelze použít
Kontakty a umístění
Studijní místa
-
-
Hunan
-
Changde, Hunan, Čína, 415003
- Changde First People's Hospital
-
Kontakt:
- Jing Zhang
- Telefonní číslo: 86 13873614102
- E-mail: zhang.jing254x@163.com
-
Changsha, Hunan, Čína, 410004
- Changsha Central Hospital
-
Kontakt:
- Tao Liu
- Telefonní číslo: 86 18173164259
- E-mail: 92094418@qq.com
-
Huaihua, Hunan, Čína, 418000
- General Hospital of Hunan University of Medicine
-
Kontakt:
- Fuyan Tan
- Telefonní číslo: 86 15115154712
- E-mail: 328407894@qq.com
-
-
Kritéria účasti
Kritéria způsobilosti
Kritéria způsobilosti
Věk způsobilý ke studiu
- Dospělý
Přijímá zdravé dobrovolníky
Popis
Inclusion Criteria:
For women:
- 20 to 40 years of age.
- Diagnosed with gestational diabetes mellitus during the most recent pregnancy.
- Have basic literacy and sufficient cognitive and physical ability to participate in the study.
- Living with their spouse.
- Able to use a smartphone.
- Willing to participate in the study.
For spouses:
- Living with an eligible woman with a history of gestational diabetes mellitus.
- Have basic literacy and sufficient cognitive and physical ability to participate in the study.
- Able to use a smartphone.
- Willing to participate in the study.
Exclusion Criteria:
For women:
- Diabetes diagnosed before pregnancy or after delivery.
- Pregnant at the time of screening.
- Currently using medications that affect glucose metabolism or medications for weight loss.
- Cognitive impairment or a serious psychiatric disorder.
- A contraindication to postpartum exercise.
- Current participation in another lifestyle intervention program.
For spouses:
- A diagnosed major chronic disease, such as coronary heart disease or diabetes, or another serious physical illness.
- Cognitive impairment or a serious psychiatric disorder.
- Current participation in another lifestyle intervention program.
Women with a history of gestational diabetes mellitus and their spouses will be recruited during postpartum follow-up visits at the participating hospitals. Both members of the couple must meet their respective eligibility criteria.
Studijní plán
Jak je studie koncipována?
Detaily designu
- Primární účel: Prevence
- Přidělení: Randomizované
- Intervenční model: Paralelní přiřazení
- Maskování: Singl
Počet zbraní
Zbraně a zásahy
Skupina účastníků / ArmSkupina účastníků / Arm |
Intervence / LéčbaIntervence / Léčba |
|---|---|
|
Experimentální: Couple-based Collaborative Lifestyle Intervention arm
Women with a history of gestational diabetes and their spouses will receive a 3-month couple-based lifestyle intervention consisting of health modules delivered through health education posts, instant messages, and short videos.
|
Couples will receive a 3-month lifestyle intervention delivered through health education posts, short videos, and instant messages.
The intervention addresses healthy diet, physical activity, and stress management, with smoking cessation and alcohol reduction provided when applicable.
Couple-specific components focus on role allocation, couple communication, and time management.
|
|
Aktivní komparátor: Woman-only Lifestyle Intervention arm
Women with a history of gestational diabetes will receive a 3-month lifestyle intervention delivered through health education posts, without the couple collaboration and support components (instant messages, and short videos).
|
Women will receive a 3-month lifestyle intervention delivered through health education posts focusing on healthy diet, physical activity, and stress management, with smoking cessation and alcohol reduction provided when applicable.
The intervention does not include the couple collaboration and support components provided in the experimental group.
|
Co je měření studie?
Primární výstupní opatření
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
2 h Oral Glucose Tolerance Test
Časové okno: Baseline and 6 months
|
Two-hour plasma glucose will be measured 2 hours after a 75-g oral glucose load during an oral glucose tolerance test and reported in mmol/L.
|
Baseline and 6 months
|
|
Body Mass Index
Časové okno: Baseline, 3 months, and 6 months
|
Body mass index will be calculated as weight in kilograms divided by height in meters squared (kg/m²).
|
Baseline, 3 months, and 6 months
|
Sekundární výstupní opatření
Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
Fasting Blood Glucose
Časové okno: Baseline and 6 months
|
Fasting blood glucose will be measured from venous blood samples after an overnight fast and expressed in mmol/L.
|
Baseline and 6 months
|
|
Total Cholesterol
Časové okno: Baseline and 6 months
|
Total cholesterol will be measured from venous blood samples after an overnight fast and expressed in mmol/L.
|
Baseline and 6 months
|
|
Triglycerides
Časové okno: Baseline and 6 months
|
Triglycerides will be measured from venous blood samples after an overnight fast and expressed in mmol/L.
|
Baseline and 6 months
|
|
High-Density Lipoprotein Cholesterol
Časové okno: Baseline and 6 months
|
High-density lipoprotein cholesterol will be measured from venous blood samples after an overnight fast and expressed in mmol/L.
|
Baseline and 6 months
|
|
Low-Density Lipoprotein Cholesterol
Časové okno: Baseline and 6 months
|
Low-density lipoprotein cholesterol will be measured from venous blood samples after an overnight fast and expressed in mmol/L.
|
Baseline and 6 months
|
|
Waist Circumference
Časové okno: Baseline, 3 months, and 6 months
|
Waist circumference will be measured with the participant standing, using a non-stretchable measuring tape positioned horizontally one fingerbreadth above the umbilicus, and recorded in centimeters.
|
Baseline, 3 months, and 6 months
|
|
Composite Z Score for Healthy Lifestyle Behavior
Časové okno: Baseline, 3 months, and 6 months
|
A composite healthy lifestyle behavior score will be calculated by standardizing behavior measures into Z scores.
|
Baseline, 3 months, and 6 months
|
|
Diabetes Risk-Related Eating Behavior
Časové okno: Baseline, 3 months, and 6 months
|
Diabetes risk-related eating behaviors will be assessed using the Diabetes Risk-Related Eating Behavior Scale.
|
Baseline, 3 months, and 6 months
|
|
Physical Activity
Časové okno: Baseline, 3 months, and 6 months
|
Physical activity will be assessed using the International Physical Activity Questionnaire-Short Form.
|
Baseline, 3 months, and 6 months
|
|
Depression
Časové okno: Baseline, 3 months, and 6 months
|
Depressive symptoms will be assessed using the 9-item Patient Health Questionnaire.
|
Baseline, 3 months, and 6 months
|
|
Perceived Stress
Časové okno: Baseline, 3 months, and 6 months
|
Perceived stress will be assessed using the Perceived Stress Scale.
|
Baseline, 3 months, and 6 months
|
|
Dietary Self-Efficacy
Časové okno: Baseline, 3 months, and 6 months
|
Confidence in adopting and maintaining healthy dietary behaviors will be assessed using the Dietary Self-Efficacy Scale.
|
Baseline, 3 months, and 6 months
|
|
Exercise Self-Efficacy
Časové okno: Baseline, 3 months, and 6 months
|
Confidence in engaging in and maintaining physical activity will be assessed using the Exercise Self-Efficacy Scale.
|
Baseline, 3 months, and 6 months
|
|
Couple Relationship Quality
Časové okno: Baseline, 3 months, and 6 months
|
Couple Relationship Quality will be assessed using the Marital Satisfaction Subscale.
|
Baseline, 3 months, and 6 months
|
|
Dyadic Coping Ability
Časové okno: Baseline, 3 months, and 6 months
|
Dyadic Coping Ability will be assessed using the Dyadic Coping Scale.
|
Baseline, 3 months, and 6 months
|
|
Life Satisfaction
Časové okno: Baseline, 3 months, and 6 months
|
Overall life satisfaction will be assessed using the Satisfaction With Life Scale.
|
Baseline, 3 months, and 6 months
|
Spolupracovníci a vyšetřovatelé
Sponzor
Sponzor
Spolupracovníci
Spolupracovníci
Vyšetřovatelé
Vyšetřovatelé
- Vrchní vyšetřovatel: Chunxia Cheng, The Third XIANGYA Hospital of Central South University
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia (Odhadovaný)
Začátek studia
Primární dokončení (Odhadovaný)
Primární dokončení
Dokončení studie (Odhadovaný)
Dokončení studie
Termíny zápisu do studia
První předloženo
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Aktuální)
První zveřejněno
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Poslední zveřejněná aktualizace
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Naposledy ověřeno
Více informací
Termíny související s touto studií
Další identifikační čísla studie
Další identifikační čísla studie
- 2025JK2117
Informace o lécích a zařízeních, studijní dokumenty
Studuje lékový produkt regulovaný americkým FDA
Studuje produkt zařízení regulovaný americkým úřadem FDA
Tyto informace byly beze změn načteny přímo z webu clinicaltrials.gov. Máte-li jakékoli požadavky na změnu, odstranění nebo aktualizaci podrobností studie, kontaktujte prosím register@clinicaltrials.gov. Jakmile bude změna implementována na clinicaltrials.gov, bude automaticky aktualizována i na našem webu .