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Couple-Coordinated Lifestyle Intervention for Women With a History of Gestational Diabetes Mellitus

2026年8月8日 更新者：Cheng chunxia、The Third Xiangya Hospital of Central South University

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.

研究概览

地位

尚未招聘

条件

干预/治疗

研究类型

介入性

注册 (估计的)

362

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

  • 中国
    • Hunan
      • Changde、Hunan、中国、415003
        • Changde First People's Hospital
        • 接触：
      • Changsha、Hunan、中国、410004
        • Changsha Central Hospital
        • 接触：
      • Huaihua、Hunan、中国、418000
        • General Hospital of Hunan University of Medicine
        • 接触：

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

  • 成人

接受健康志愿者

是的

描述

Inclusion Criteria:

  1. 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.

  2. 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:

  1. 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.

  2. 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.

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：预防
  • 分配：随机化
  • 介入模型：并行分配
  • 屏蔽：单身的

武器和干预

参与者组/臂
干预/治疗
实验性的：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.
行为的：Couple-based Collaborative Lifestyle Intervention
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.
有源比较器：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).
行为的：Woman-only Lifestyle Intervention
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.

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
2 h Oral Glucose Tolerance Test
大体时间：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
大体时间：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

次要结果测量

结果测量
措施说明
大体时间
Fasting Blood Glucose
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：Baseline, 3 months, and 6 months
Overall life satisfaction will be assessed using the Satisfaction With Life Scale.
Baseline, 3 months, and 6 months

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。

赞助

The Third Xiangya Hospital of Central South University

合作者

Central South University

调查人员

  • 首席研究员：Chunxia Cheng、The Third XIANGYA Hospital of Central South University

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 (估计的)

2026年8月15日

初级完成 (估计的)

2028年8月30日

研究完成 (估计的)

2028年8月30日

研究注册日期

首次提交

2026年8月8日

首先提交符合 QC 标准的

2026年8月8日

首次发布 (实际的)

2026年8月13日

研究记录更新

最后更新发布 (实际的)

2026年8月13日

上次提交的符合 QC 标准的更新

2026年8月8日

最后验证

2026年8月1日

更多信息

与本研究相关的术语

其他研究编号

  • 2025JK2117

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

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