Sleep Intervention to Improve Glycemic Control in Women With Gestational Diabetes
2019年8月8日 更新者：Roxanna Twedt、University of Pittsburgh
This is a pilot randomized controlled trial involving a sleep education intervention in women with gestational diabetes to study whether sleep education during pregnancy leads to improvement in glycemic control in women with gestational diabetes and improvement in sleep duration.
研究概览
详细说明
Patients will be identified from the Maternal-Fetal Medicine office and the Perinatal Assessment Clinic at Magee-Womens Hospital, University of Pittsburgh Medical Center.
Patients with gestational diabetes will be recruited following general education regarding gestational diabetes in pregnancy which is universally done for all patients at the time of their diagnosis of gestational diabetes.
Eligible subjects will be randomized to two groups (usual care vs. sleep education program).
研究类型
介入性
注册 (实际的)
74
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
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Pennsylvania
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Pittsburgh、Pennsylvania、美国、15213
- Magee-Womens Hospital of UPMC
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参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
18年 至 50年 (成人)
接受健康志愿者
不
有资格学习的性别
女性
描述
Inclusion Criteria:
- Pregnant female
- Ages 18-50
- Gestational age between 16 0/7 weeks and 31 6/7 weeks
- New diagnosis of GDM, not on treatment (i.e., insulin, glyburide, or metformin) at the time of enrollment
Exclusion Criteria:
- Children less than 18 years of age
- Non-English speaking
- Multiple gestations (twins, triplets, etc)
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的：Sleep Education Intervention
This is a two-session program designed to educate patients about healthy sleep in respect to timing, regularity, efficiency, and duration in order to promote sleep during pregnancy.
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Sleep education specific to pregnancy
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无干预：Routine Care
Usual care
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Glycemic control
大体时间：3-6 months during pregnancy
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Proportion of participants achieving glycemic control at study end.
Glycemic control defined as greater than 75% of weeks with average fasting blood glucose < 95 mg/dL and 1-hr postprandial blood glucose <140 mg/dL.
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3-6 months during pregnancy
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Self-reported sleep duration
大体时间：3-6 months during pregnancy
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Proportion of patients who report sleeping between 7-9 hours per night
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3-6 months during pregnancy
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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分娩胎龄
大体时间：交货时间
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交货时间
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Average fasting glucose values
大体时间：3-6 months during pregnancy
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3-6 months during pregnancy
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Average postprandial glucose values
大体时间：3-6 months during pregnancy
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3-6 months during pregnancy
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Neonatal birth weight
大体时间：Time of delivery
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Time of delivery
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Indication for delivery
大体时间：Time of delivery
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Medical records will be used to determine whether a patient when into spontaneous labor, had an induction or labor or a recommended delivery by cesarean section.
If the patient had an induction or labor or a recommended cesarean delivery, the indication for this recommendation will be recorded.
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Time of delivery
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Route of delivery
大体时间：Time of delivery
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Medical records will be reviewed to determine if the patient had a vaginal delivery or cesarean delivery.
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Time of delivery
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Preeclampsia
大体时间：Time of delivery
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Medical records will be reviewed to determine whether a patient had a diagnosis of preeclampsia prior to delivery.
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Time of delivery
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：Roxanna Twedt, MD、Clinical Fellow, Division of Maternal-Fetal Medicine
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
一般刊物
- Facco FL, Parker CB, Reddy UM, Silver RM, Koch MA, Louis JM, Basner RC, Chung JH, Nhan-Chang CL, Pien GW, Redline S, Grobman WA, Wing DA, Simhan HN, Haas DM, Mercer BM, Parry S, Mobley D, Hunter S, Saade GR, Schubert FP, Zee PC. Association Between Sleep-Disordered Breathing and Hypertensive Disorders of Pregnancy and Gestational Diabetes Mellitus. Obstet Gynecol. 2017 Jan;129(1):31-41. doi: 10.1097/AOG.0000000000001805.
- Twedt R, Bradley M, Deiseroth D, Althouse A, Facco F. Sleep Duration and Blood Glucose Control in Women With Gestational Diabetes Mellitus. Obstet Gynecol. 2015 Aug;126(2):326-331. doi: 10.1097/AOG.0000000000000959.
- Facco FL, Grobman WA, Kramer J, Ho KH, Zee PC. Self-reported short sleep duration and frequent snoring in pregnancy: impact on glucose metabolism. Am J Obstet Gynecol. 2010 Aug;203(2):142.e1-5. doi: 10.1016/j.ajog.2010.03.041. Epub 2010 May 26.
- Qiu C, Enquobahrie D, Frederick IO, Abetew D, Williams MA. Glucose intolerance and gestational diabetes risk in relation to sleep duration and snoring during pregnancy: a pilot study. BMC Womens Health. 2010 May 14;10:17. doi: 10.1186/1472-6874-10-17.
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2017年11月27日
初级完成 (实际的)
2019年6月30日
研究完成 (实际的)
2019年6月30日
研究注册日期
首次提交
2017年8月22日
首先提交符合 QC 标准的
2017年8月28日
首次发布 (实际的)
2017年8月29日
研究记录更新
最后更新发布 (实际的)
2019年8月12日
上次提交的符合 QC 标准的更新
2019年8月8日
最后验证
2019年8月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.