None listed
Conditions
Interventions
Intervention1: Community Health Worker-Delivered Home-based postpartum testing: Participants in both arms will receive CHW-delivered oral glucose tolerance testing (OGTT) during pregnancy to screen fo
Sponsors
National Institute of Child Health and Human Development (NICHD)
Eligibility
Inclusion criteria
Inclusion criteria: Referral and Home-based testing study arms 1.Pregnant woman residing in one of 12 pre-selected slum communities 2.18 years or older 3.� 24 weeks gestational age (as determined by self-reported last menstrual period or ultrasound) 4.Meet or exceed the threshold for GDM as determined by the CHW-delivered fasting OGTT 5.Agrees to study procedures, including in-person visits with the CHW postpartum if they are diagnosed with GDM CHW 1.18 years or older 2. Willingness to participate in study procedures and recruit eligible pregnant women 3. Agreement with goals of the study 4. Agreement to attend all training sessions/refresher courses 5. Willing to participate in surveys and interviews Clinicians 1.18 years or older 2. Diabetes or obstetrics physicians 3. In a patient-facing position for over 1 year Ministry of Health Officials 1.18 years or older 2.Employed by the Ministry of Health and Family Welfare, Maternal Health Division
Exclusion criteria
Exclusion criteria: Pregnant women 1.Preexisting diabetes diagnosis prior to current pregnancy 2.Unable to remain fasting for 8 hours 3.Unwilling or unable to participate in study procedures 4.Unwilling or unable to provide informed consent CHW, Clinicians, Ministry of Health Officials 1.Unwilling or unable to participate in study procedures 2.Unwilling or unable to provide informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary objective is to determine the effectiveness of two different CHW-delivered strategies to improve postpartum T2DM screening.Timepoint: This will be a binary outcome defined as whether the participant completed OGTT during the first year postpartum. | — |
Secondary
| Measure | Time frame |
|---|---|
| Uptake of GDM screeningTimepoint: number of participants who accept OGTT screening for GDM during enrollment;Progression to postpartum T2DM among participants with GDMTimepoint: proportion of participants who have abnormal postpartum OGTT results compared with the total number of participants with GDM in each study arm.;Optimal timing for postpartum T2DM screeningTimepoint: median time point participants complete T2DM screening within the first 12 months postpartum.;Entry in T2DM care among participants with abnormal postpartum OGTTTimepoint: percentage who complete a single clinic visit for T2DM care;Retention in T2DM careTimepoint: percentage who complete a second visit by 24 months postpartum | — |
Countries
India
Contacts
Public ContactAshlesha Onawale
Deep Griha Society
Outcome results
None listed