Gestational Diabetes Mellitus Clinical Trial
Official title:
Clinical Decision Support for Women With a History of Gestational Diabetes
The investigators hypothesize that computer-assisted decision support will increase the
percentage of women with a history of gestational diabetes who receive appropriate follow-up
screening.
Specific Aim 1: Develop an algorithm to identify cases of gestational diabetes among
patients in the Partners Health Care system using administrative and laboratory data.
Specific Aim 2: Assess primary care provider knowledge, attitudes, beliefs, and barriers to
compliance regarding screening guidelines for women with a history of gestational diabetes.
Specific Aim 3: Test whether a computer-assisted decision support tool to identify patients
with a GDM history and prompt screening will increase compliance with guidelines. The
investigators hypothesize that decision support will significantly increase in the
percentage of women screened.
Approximately 5 percent of women are diagnosed with gestational diabetes (GDM) during pregnancy. These women face an increased risk of progression to type 2 diabetes1 and may benefit from lifestyle interventions and screening to detect early disease. However, studies have shown that less than half of women are screened appropriately in the postpartum period. This performance gap may reflect both lack of communication between obstetric and primary care providers and lack of knowledge of appropriate screening guidelines. The investigators plan to assess a quality improvement initiative, using administrative and clinical data, to identify women with a history of GDM and implement decision support to enhance quality of care. ;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Screening
Status | Clinical Trial | Phase | |
---|---|---|---|
Recruiting |
NCT06099574 -
A Study on the Oral Health Status of Pregnant Women With Gestational Diabetes and Its Correlation With Oral Flora
|
||
Completed |
NCT02744300 -
Balance After Baby Intervention for Women With Recent Gestational Diabetes
|
N/A | |
Completed |
NCT02890693 -
Improving Cardio-metabolic and Mental Health in Women With Gestational Diabetes Mellitus and Their Offspring
|
N/A | |
Completed |
NCT02436551 -
Gestational Diabetes in Central Asia: Prevalence and Management
|
||
Completed |
NCT02384226 -
User Testing and Feedback for a Mobile Health Program for Postpartum Women: A Pilot Study
|
||
Recruiting |
NCT02275845 -
Medico-GDM Trial - Metformine to Prevent Gestational Diabetes Mellitus
|
Phase 3 | |
Recruiting |
NCT04621396 -
The Next Generation Longitudinal Birth Cohort Diabetes Study
|
||
Completed |
NCT01916694 -
Trial of Remote Evaluation and Treatment of Gestational Diabetes Mellitus
|
N/A | |
Completed |
NCT01931280 -
A Transgenerational e-Intervention for Gestational Diabetics and Their Offspring
|
N/A | |
Not yet recruiting |
NCT01637727 -
Long Term Effects of Gestational Diabetes Mellitus in a Population of Parous Women
|
N/A | |
Completed |
NCT01565564 -
Randomized Translational Study to Examine the Effects of Shared Care in Management of Gestational Diabetes
|
N/A | |
Recruiting |
NCT00550979 -
Gestational Diabetes Mellitus and Implications for Cardiovascular Disease Risk
|
N/A | |
Completed |
NCT00460018 -
Diet, Exercise, and Breastfeeding Intervention Program for Women With Gestational Diabetes (DEBI Trial)
|
Phase 2 | |
Not yet recruiting |
NCT04915716 -
Effect of Fasting Time Before Cesarean Section on Neonatal Blood Glucose in Pregnant Women With Gestational Diabetes Mellitus
|
||
Completed |
NCT04422821 -
Flash Glucose Monitoring in Gestational Diabetes Mellitus: Study Protocol for a Randomized Controlled Trial
|
N/A | |
Recruiting |
NCT04369313 -
Effect of DCC on Neonatal Jaundice and Blood Gas Analysis in Infants Born to GDM Mothers
|
N/A | |
Recruiting |
NCT05348863 -
SPARK- a Digital Platform to Improve Self-management of Gestational Diabetes
|
N/A | |
Recruiting |
NCT04272840 -
The Impact of Glycemic Index Education on Lowering Dietary GI in Gestational Diabetes Mellitus
|
N/A | |
Completed |
NCT02588729 -
A Mobile Smartphone Application to Promote a Healthy Diet and Physical Activity Among Pregnant Women With GDM - RCT
|
N/A | |
Completed |
NCT01922791 -
Nutrition and Pregnancy Intervention Study
|
N/A |