- ICH GCP
- Yhdysvaltain kliinisten tutkimusten rekisteri
- Kliininen tutkimus NCT07762625
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.
Tutkimuksen yleiskatsaus
Tila
Opintotyyppi
Ilmoittautuminen (Arvioitu)
Vaihe
- Ei sovellettavissa
Yhteystiedot ja paikat
Opiskelupaikat
-
-
Hunan
-
Changde, Hunan, Kiina, 415003
- Changde First People's Hospital
-
Ottaa yhteyttä:
- Jing Zhang
- Puhelinnumero: 86 13873614102
- Sähköposti: zhang.jing254x@163.com
-
Changsha, Hunan, Kiina, 410004
- Changsha Central Hospital
-
Ottaa yhteyttä:
- Tao Liu
- Puhelinnumero: 86 18173164259
- Sähköposti: 92094418@qq.com
-
Huaihua, Hunan, Kiina, 418000
- General Hospital of Hunan University of Medicine
-
Ottaa yhteyttä:
- Fuyan Tan
- Puhelinnumero: 86 15115154712
- Sähköposti: 328407894@qq.com
-
-
Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
- Aikuinen
Hyväksyy terveitä vapaaehtoisia
Kuvaus
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.
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Ennaltaehkäisy
- Jako: Satunnaistettu
- Inventiomalli: Rinnakkaistehtävä
- Naamiointi: Yksittäinen
Aseet ja interventiot
Osallistujaryhmä / Arm |
Interventio / Hoito |
|---|---|
|
Kokeellinen: 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.
|
|
Active Comparator: 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.
|
Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
2 h Oral Glucose Tolerance Test
Aikaikkuna: 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
Aikaikkuna: 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
|
Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Fasting Blood Glucose
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: Baseline, 3 months, and 6 months
|
Overall life satisfaction will be assessed using the Satisfaction With Life Scale.
|
Baseline, 3 months, and 6 months
|
Yhteistyökumppanit ja tutkijat
Yhteistyökumppanit
Tutkijat
- Päätutkija: Chunxia Cheng, The Third XIANGYA Hospital of Central South University
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus (Arvioitu)
Ensisijainen valmistuminen (Arvioitu)
Opintojen valmistuminen (Arvioitu)
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Todellinen)
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Todellinen)
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
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