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Lifestyle Interventions to Prevent Diabetes in U.S. Home Visiting Programs

Sponsored by California Polytechnic State University-San Luis Obispo

About this study

The study is examining the health effects of gestational diabetes mellitus (GDM) intervention and medically tailored meals within home visiting. A large study is proposed that will include nearly a thousand pregnant or recently pregnant adults with recent GDM and who are from different regions and backgrounds. Two treatment approaches are compared, and both are in home visiting. One treatment group is receiving enhanced lifestyle support for GDM along with meals, and the other is receiving just the enhanced lifestyle support. The study will examine whether these interventions help reduce diabetes and pre-diabetes through 12 months postpartum, as well as other health factors like weight and blood pressure.

Gestational diabetes mellitus (GDM) is rapidly rising in prevalence and has been linked with several short and long-term adverse maternal health outcomes, including type 2 diabetes (T2DM) and cardiovascular disease. The postpartum year is a time of heightened risk, and 32-46% of people with GDM develop type 2 diabetes (T2DM) or Pre-Diabetes (PreDM) during the postpartum year. To prevent maternal diabetes, US guidelines recommend behavioral counseling to promote healthy eating, activity, and weight, but dissemination channels have been lacking. Evidence-based home visiting programs, with their well-established infrastructure in every state and focus on maternal and child health, are a promising platform through which the recommended behavioral interventions could reach people with GDM and r…

Where this study is enrolling (3)

Who can participate

Inclusion criteria

  • ✓Currently in home visiting
  • ✓Pregnant or \< 3 months (13 weeks) postpartum
  • ✓Gestational Diabetes Mellitus diagnosis in most recent pregnancy (based on self-report)
  • ✓Aged 18 years or older
  • ✓English- or Spanish-speaking.
  • ✓Not currently being given medically tailored meals
  • ✓Willing to receive randomization to either group

Exclusion criteria

  • ✕Pre-existing diabetes (based on self-report)

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Trial data sourced from ClinicalTrials.gov.