Promoting Preconception Care and Diabetes Self-Management Among Reproductive-Aged Women With Diabetes

Summary

This study is being done to investigate strategies that may improve patient's knowledge of type 2 diabetes during reproductive age and improve knowledge and engagement in self-care activities.

Conditions

• Diabetes Mellitus, Type 2
• Electronic Health Record
• Primary Health Care
• Reproductive Behavior

Interventions

BEHAVIORAL

Medication Reconciliation (MedRec) Tool

Patients will receive a print MedRec tool, generated via the EHR, which includes a list of medications prescribed according to the patient record. Patients are asked to review this list, to add/remove drugs to reflect actual use, to note how they are taking each medication, and to describe any concerns.

BEHAVIORAL

Provider Alert and Decision Support

During the clinic visit, an automated, EHR alert will notify the provider that the patient is a woman of reproductive age with T2DM and should receive counseling on the importance of glycemic control, the use of contraception until glycemic control is achieved, and the benefits of folic acid.

BEHAVIORAL

PREPSheet

When patients leave an encounter, they will receive a patient-friendly educational material (a.k.a. the PREPSheet) that reviews potential risks of pregnancy in the context of T2DM and highlights the importance of: 1) achieving glycemic control through diabetes self-care, 2) using effective contraception until glycemic control is achieved and pregnancy is desired, 3) discussing medication use with a provider if planning or becoming pregnant, and 4) taking folic acid daily to reduce increased risk of neural tube defects.

BEHAVIORAL

Text Messaging

Within \~5 days of their index clinic visit, intervention patients will begin to receive daily, unidirectional text messages to reinforce diabetes self-care behaviors.

Sponsors & Collaborators

• Northwestern Memorial Hospital

  collaborator OTHER

• AllianceChicago

  collaborator OTHER

• Northwestern University

  lead OTHER

Principal Investigators

• Stacy Bailey, PhD MPH · Northwestern University

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

18 Years

Max Age

44 Years

Sex

FEMALE

Healthy Volunteers

No

Timeline & Regulatory

Start

2022-05-06

Primary Completion

2026-05-31

Completion

2026-05-31

Countries

• United States

Study Locations