Linking High Risk Postpartum Women with a Technology Enabled Health Coaching Program to Reduce Diabetes Risk and Improve Wellbeing: Program Description, Case Studies, and Recommendations for Community Health Coaching Programs
Background. Low-income minority women with prior gestational diabetes mellitus (pGDM) or high BMIs have increased risk for chronic illnesses postpartum. Although the Diabetes Prevention Program (DPP) provides an evidence-based model for reducing diabetes risk, few community-based interventions have...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2016/4353956 |
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| author | Priyanka Athavale Melanie Thomas Adriana T. Delgadillo-Duenas Karen Leong Adriana Najmabadi Elizabeth Harleman Christina Rios Judy Quan Catalina Soria Margaret A. Handley |
| author_facet | Priyanka Athavale Melanie Thomas Adriana T. Delgadillo-Duenas Karen Leong Adriana Najmabadi Elizabeth Harleman Christina Rios Judy Quan Catalina Soria Margaret A. Handley |
| author_sort | Priyanka Athavale |
| collection | DOAJ |
| description | Background. Low-income minority women with prior gestational diabetes mellitus (pGDM) or high BMIs have increased risk for chronic illnesses postpartum. Although the Diabetes Prevention Program (DPP) provides an evidence-based model for reducing diabetes risk, few community-based interventions have adapted this program for pGDM women. Methods. STAR MAMA is an ongoing randomized control trial (RCT) evaluating a hybrid HIT/Health Coaching DPP-based 20-week postpartum program for diabetes prevention compared with education from written materials at baseline. Eligibility includes women 18–39 years old, ≥32 weeks pregnant, and GDM or BMI > 25. Clinic- and community-based recruitment in San Francisco and Sonoma Counties targets 180 women. Sociodemographic and health coaching data from a preliminary sample are presented. Results. Most of the 86 women included to date (88%) have GDM, 80% were identified as Hispanic/Latina, 78% have migrant status, and most are Spanish-speaking. Women receiving the intervention indicate high engagement, with 86% answering 1+ calls. Health coaching callbacks last an average of 9 minutes with range of topics discussed. Case studies presented convey a range of emotional, instrumental, and health literacy-related supports offered by health coaches. Discussion. The DPP-adapted HIT/health coaching model highlights the possibility and challenge of delivering DPP content to postpartum women in community settings. This trial is registered with ClinicalTrials.gov NCT02240420. |
| format | Article |
| id | doaj-art-e7250953eb4d46da978f97f861c1d662 |
| institution | Kabale University |
| issn | 2314-6745 2314-6753 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-e7250953eb4d46da978f97f861c1d6622025-08-20T03:26:14ZengWileyJournal of Diabetes Research2314-67452314-67532016-01-01201610.1155/2016/43539564353956Linking High Risk Postpartum Women with a Technology Enabled Health Coaching Program to Reduce Diabetes Risk and Improve Wellbeing: Program Description, Case Studies, and Recommendations for Community Health Coaching ProgramsPriyanka Athavale0Melanie Thomas1Adriana T. Delgadillo-Duenas2Karen Leong3Adriana Najmabadi4Elizabeth Harleman5Christina Rios6Judy Quan7Catalina Soria8Margaret A. Handley9Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USADepartment of Psychiatry, UCSF/Zuckerberg San Francisco General Hospital, San Francisco, CA, USADepartment of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USADivision of General Internal Medicine, UCSF/Zuckerberg San Francisco General Hospital, University of California San Francisco, San Francisco, CA, USADivision of General Internal Medicine, UCSF/Zuckerberg San Francisco General Hospital, University of California San Francisco, San Francisco, CA, USADepartment of Obstetrics and Gynecology, University of California San Francisco, San Francisco, CA, USAUCSF Center for Vulnerable Populations, Zuckerberg San Francisco General Hospital, San Francisco, CA 94110, USAUCSF Center for Vulnerable Populations, Zuckerberg San Francisco General Hospital, San Francisco, CA 94110, USAUCSF Center for Vulnerable Populations, Zuckerberg San Francisco General Hospital, San Francisco, CA 94110, USADepartment of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USABackground. Low-income minority women with prior gestational diabetes mellitus (pGDM) or high BMIs have increased risk for chronic illnesses postpartum. Although the Diabetes Prevention Program (DPP) provides an evidence-based model for reducing diabetes risk, few community-based interventions have adapted this program for pGDM women. Methods. STAR MAMA is an ongoing randomized control trial (RCT) evaluating a hybrid HIT/Health Coaching DPP-based 20-week postpartum program for diabetes prevention compared with education from written materials at baseline. Eligibility includes women 18–39 years old, ≥32 weeks pregnant, and GDM or BMI > 25. Clinic- and community-based recruitment in San Francisco and Sonoma Counties targets 180 women. Sociodemographic and health coaching data from a preliminary sample are presented. Results. Most of the 86 women included to date (88%) have GDM, 80% were identified as Hispanic/Latina, 78% have migrant status, and most are Spanish-speaking. Women receiving the intervention indicate high engagement, with 86% answering 1+ calls. Health coaching callbacks last an average of 9 minutes with range of topics discussed. Case studies presented convey a range of emotional, instrumental, and health literacy-related supports offered by health coaches. Discussion. The DPP-adapted HIT/health coaching model highlights the possibility and challenge of delivering DPP content to postpartum women in community settings. This trial is registered with ClinicalTrials.gov NCT02240420.http://dx.doi.org/10.1155/2016/4353956 |
| spellingShingle | Priyanka Athavale Melanie Thomas Adriana T. Delgadillo-Duenas Karen Leong Adriana Najmabadi Elizabeth Harleman Christina Rios Judy Quan Catalina Soria Margaret A. Handley Linking High Risk Postpartum Women with a Technology Enabled Health Coaching Program to Reduce Diabetes Risk and Improve Wellbeing: Program Description, Case Studies, and Recommendations for Community Health Coaching Programs Journal of Diabetes Research |
| title | Linking High Risk Postpartum Women with a Technology Enabled Health Coaching Program to Reduce Diabetes Risk and Improve Wellbeing: Program Description, Case Studies, and Recommendations for Community Health Coaching Programs |
| title_full | Linking High Risk Postpartum Women with a Technology Enabled Health Coaching Program to Reduce Diabetes Risk and Improve Wellbeing: Program Description, Case Studies, and Recommendations for Community Health Coaching Programs |
| title_fullStr | Linking High Risk Postpartum Women with a Technology Enabled Health Coaching Program to Reduce Diabetes Risk and Improve Wellbeing: Program Description, Case Studies, and Recommendations for Community Health Coaching Programs |
| title_full_unstemmed | Linking High Risk Postpartum Women with a Technology Enabled Health Coaching Program to Reduce Diabetes Risk and Improve Wellbeing: Program Description, Case Studies, and Recommendations for Community Health Coaching Programs |
| title_short | Linking High Risk Postpartum Women with a Technology Enabled Health Coaching Program to Reduce Diabetes Risk and Improve Wellbeing: Program Description, Case Studies, and Recommendations for Community Health Coaching Programs |
| title_sort | linking high risk postpartum women with a technology enabled health coaching program to reduce diabetes risk and improve wellbeing program description case studies and recommendations for community health coaching programs |
| url | http://dx.doi.org/10.1155/2016/4353956 |
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