Clinic to Community Connections - Broader Distribution

Study Overview
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Brief Summary
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This study addresses education needs in gestational diabetes care and followup at the staff and patient levels. In the initial phase, nurses and community health workers will complete specific training modules on gestational diabetes developed for this study. The effectiveness of the education modules will be evaluated through pre/post surveys of participants assessing diabetes knowledge, attitudes, and self-efficacy.

Official Title
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Clinic to Community Connections: Enhancing Prenatal to Postpartum Care Transitions to Prevent Type 2 Diabetes in Low Income Women With Gestational Diabetes

Conditions
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Gestational Diabetes, Gestational Diabetes Mellitus in Pregnancy

Intervention / Treatment
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* Behavioral: Staff -Educational training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Clinic staff: nurses (RN, LPN, BSN), community health workers, and others involved in maternal child health care Exclusion Criteria: Clinic staff: individuals not involved in maternal child health care or who do not consent to participate in study

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Intervention Model: Single Group Assignment
Interventional Model Description: Staff participants will complete surveys on diabetes knowledge, attitudes, and self-efficacy before and after completing online training modules on gestational diabetes.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Staff - Educational training<br>Nurses, community health workers, and others involved in maternal healthcare | Behavioral: Staff -Educational training<br>* Nurses and community health workers will complete 4 hours of online modules on gestational diabetes - Module 1: GDM Disease, Diagnosis and Complications; Module 2: Nutrition and Physical Activity Management; Module 3: Monitoring, Medications, and Avoiding Hypoglycemia; Module 4: Future Diabetes Risk and Prevention. Effectiveness of the training will be evaluated with pre/post evaluation of diabetes knowledge, attitudes, and self efficacy.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Staff - Self-efficacy to Provide Diabetes Education Questionnaire (Newly Developed) | Pre-Post change in staff participants' perceived self-efficacy to provide diabetes education (Mean score min:1 max 10) high score=more confident | Baseline and upon module completion (approximately 3 months) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Staff - Diabetes Knowledge Test | Change in diabetes knowledge measured by multiple choice test (% correct out of 21 items) high score =better knowledge | Baseline and upon module completion (approximately 3 months) | 
| Staff - Diabetes Attitudes (Diabetes Attitudes Scale-3 (DAS-3)) | Change in diabetes attitudes measured by 3 subscales of DAS-3 (Mean score min 1, max 5) high score=better attitudes | Baseline and upon module completion (approximately 3 months) | 
| Staff - Intention to Recommend Diabetes Prevention Activities Questionnaire (Newly Developed) | Change in staff's intention to recommend postpartum diabetes screening measured by a survey developed for this study (mean score; min 1, max 5) higher score= increased intention to perform action | Baseline and upon module completion (approximately 3 months) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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diabetes in pregnancy, type 2 diabetes prevention, diabetes, Care coordination, care delivery, care fragmentation, community health worker, community partnership, community health aides, federally qualified health center, underserved population, patient education